Document Detail


Approaches for scaling up human immunodeficiency virus testing and counseling in prevention of mother-to-child human immunodeficiency virus transmission settings in resource-limited countries.
MedLine Citation:
PMID:  17825654     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Prevention of mother-to-child human immunodeficiency virus (HIV) transmission (PMTCT) programs have nearly eliminated mother-to-child transmission of HIV in developed countries, but progress in resource-limited countries has been slow. A key factor limiting the scale-up of PMTCT programs is lack of knowledge of HIV serostatus. Increasing the availability and acceptability of HIV testing and counseling services will encourage more women to learn their status, providing a gateway to PMTCT interventions. Key factors contributing to the scale-up of testing and counseling include a policy of provider-initiated testing and counseling with right to refuse (opt-out); group pretest counseling; rapid HIV testing; innovative staffing strategies; and community and male involvement. Integration of testing and counseling within the community and all maternal and child health settings are critical for scaling-up and for linking women and their families to care and treatment services. This paper will review best practices needed for expansion of testing and counseling in PMTCT settings in resource-limited countries.
Authors:
Omotayo O Bolu; Virginia Allread; Tracy Creek; Elizabeth Stringer; Fatu Forna; Marc Bulterys; Nathan Shaffer
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  197     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-10     Completed Date:  2007-09-25     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S83-9     Citation Subset:  AIM; IM    
Affiliation:
Centers for Disease Control and Prevention, National Center for HIV, Hepatitis, STD, and TB Prevention, Global AIDS Program, Prevention of Mother-to-Child HIV Transmission Team, Atlanta, GA 30333, USA. obolu@cdc.gov
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MeSH Terms
Descriptor/Qualifier:
Africa
Counseling*
Delivery, Obstetric
Diagnostic Tests, Routine*
Female
HIV Infections / diagnosis*,  transmission*
Health Resources / supply & distribution*
Humans
Infectious Disease Transmission, Vertical / prevention & control*
Labor, Obstetric
Male
Patient Education as Topic / methods
Pregnancy
Pregnancy Complications, Infectious / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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