Improving retention in the early infant diagnosis of HIV program in rural Mozambique by better service integration.

Ciampa PJ, Burlison JR, Blevins M, Sidat M, Moon TD, Rothman RL, Vermund SH
J Acquir Immune Defic Syndr. 2011 58 (1): 115-9

PMID: 21546845 · DOI:10.1097/QAI.0b013e31822149bf

Low mother/infant retention has impeded early infant diagnosis of HIV in rural Mozambique. We enhanced the referral process for postpartum 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 to June 2010) found enhanced referral was associated with higher odds of follow-up (adjusted odds ratio = 3.18, 95% confidence interval: 1.76 to 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 with women receiving standard referral. This simple intervention demonstrates benefits gleaned from attention to system improvement through service integration without increasing staff.

MeSH Terms (17)

Adult Anti-HIV Agents Delivery of Health Care Drug Therapy, Combination Female HIV Infections Humans Infant, Newborn Infectious Disease Transmission, Vertical Lamivudine Mozambique Nevirapine Pregnancy Retrospective Studies Rural Population Young Adult Zidovudine

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