Brief Report
2015; Lippincott Williams & Wilkins; Volume: 69; Issue: 5 Linguagem: Inglês
10.1097/qai.0000000000000669
ISSN1944-7884
AutoresLyson Tenthani, Andreas D. Haas, Matthias Egger, Joep J. van Oosterhout, Andreas Jahn, Frank Chimbwandira, Kali Tal, Landon Myer, Janne Estill, Olivia Keiser,
Tópico(s)Global Maternal and Child Health
ResumoMalawi adopted the Option B+ strategy in 2011. Its success in reducing mother-to-child transmission depends on coverage and timing of HIV testing. We assessed HIV status ascertainment and its predictors during pregnancy. HIV status ascertainment was 82.3% (95% confidence interval: 80.2 to 85.9) in the pre-Option B+ period and 85.7% (95% confidence interval: 83.4 to 88.0) in the Option B+ period. Higher HIV ascertainment was independently associated with higher age, attending antenatal care more than once, and registration in 2010. The observed high variability of HIV ascertainment between sites (50.6%–97.7%) and over time suggests that HIV test kit shortages and insufficient numbers of staff posed major barriers to reducing mother-to-child transmission.
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