The challenge of referring HIV-positive pregnant women with treatment indication from PMTCT to ART services: a retrospective follow-up study in Mbeya, Tanzania

作者: Stefanie Theuring , Julius Sewangi , Philo Nchimbi , Gundel Harms , Paulina Mbezi

DOI: 10.1080/09540121.2013.869535

关键词:

摘要: Providing full antiretroviral therapy (ART) to all HIV-positive, pregnant women with treatment indication could significantly reduce overall mother-to-child transmission. However, the effectiveness of referring HIV-positive antenatal care (ANC) clients a ART services has rarely been assessed date. We retrospectively followed-up data cohort treatment-eligible ANC in Mbeya Region, Tanzania by retracing and merging registries ANC, Care Treatment Centers (CTC), Infant Care. initiation duration before delivery served as primary outcome indicators assess referral effectiveness. retraced 60 indication: 39 (65%) started predelivery 21 (35%) remained untreated during pregnancy. Eight (13.3%) did not initiate at within observation period. Women starting had lower CD4-cell counts enrollment than nonstarters (medians: 207.5 vs. 292 cells/µl; p = 0.013...

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