Document Detail


Improving Retention in the Early Infant Diagnosis of HIV Program in Rural Mozambique by Better Service Integration.
MedLine Citation:
PMID:  21546845     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Low mother/infant retention has impeded early infant diagnosis of HIV in rural Mozambique. We enhanced the referral process for post-partum HIV-infected women by offering direct accompaniment to the location of exposed infant testing before discharge. Retrospective record review for 395 women/infants (September 2009-June 2010) found enhanced referral was associated with higher odds of follow-up (adjusted OR=3.18, 95%CI:1.76-5.73, p<0.001) and among those followed-up, earlier infant testing (median follow-up: 33 days vs. 59 days, p=0.01) compared to women receiving standard referral. This simple intervention demonstrates benefits gleaned from attention to system improvement through service integration without increasing staff.
Authors:
Philip J Ciampa; Janeen R Burlison; Meridith Blevins; Mohsin Sidat; Troy D Moon; Russell L Rothman; Sten H Vermund
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-04
Journal Detail:
Title:  Journal of acquired immune deficiency syndromes (1999)     Volume:  -     ISSN:  1944-7884     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100892005     Medline TA:  J Acquir Immune Defic Syndr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1Vanderbilt Institute for Global Health, Nashville, Tennessee, USA; 2Universidade Eduardo Mondlane, Maputo, Mozambique; 3Friends in Global Health, LLC, Maputo, Mozambique; 4 Vanderbilt University Department of General Internal Medicine and Public Health, Nashville, Tennessee, USA.
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