dc.contributor.author | van't, Hoog AH | |
dc.contributor.author | Mbori-Ngacha, DA | |
dc.contributor.author | Marum, LH | |
dc.contributor.author | Otieno, JA | |
dc.contributor.author | Misore, AO | |
dc.contributor.author | Nganga, LW | |
dc.contributor.author | Decock, KM | |
dc.date.accessioned | 2013-06-10T09:32:30Z | |
dc.date.available | 2013-06-10T09:32:30Z | |
dc.date.issued | 2005-11 | |
dc.identifier.citation | J Acquir Immune Defic Syndr. 2005 Nov 1;40(3):344-9. | en |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/pubmed/16249710 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/30597 | |
dc.description.abstract | OBJECTIVES:
To improve uptake in a program to prevent mother-to-child HIV transmission and describe lessons relevant for prevention of mother-to-child transmission programs in resource-poor settings.
METHODS:
Implementation of a pilot project that evaluates approaches to increase program uptake at health facility level at New Nyanza Provincial General Hospital, a public hospital in western Kenya, an area with high HIV prevalence. Client flow was revised to integrate counseling, HIV testing, and dispensing of single-dose nevirapine into routine antenatal services. The number of facilities providing PMCT services was expanded to increase district-wide coverage. Main outcome measures were uptake of counseling, HIV testing, nevirapine, and estimated program impact.
RESULTS:
Uptake of counseling and testing improved from 55 to 68% (P < 0.001), nevirapine uptake from 57% to 70% (P < 0.001), and estimated program impact from 15% to 23% (P = 0.03). Aggregate reports compare well with computer-entered data.
CONCLUSION:
Addressing institutional factors can improve uptake, but expected program impact remains low for several reasons, including relatively low efficacy of the intervention and missed opportunities in the labor room. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi. | en |
dc.title | Preventing mother-to-child transmission of HIV in Western Kenya: operational issues. | en |
dc.type | Article | en |
local.publisher | Centers for Disease Control and Prevention Kenya, Kisumu, Kenya | en |
local.publisher | Department of Paediatrics and Child Health, Univeristy of Nairobi, Kenya | en |