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Reducing vertical HIV transmission in Kinshasa, Democratic Republic of Congo: trends in HIV prevalence and service delivery.

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Title: Reducing vertical HIV transmission in Kinshasa, Democratic Republic of Congo: trends in HIV prevalence and service delivery.
Authors: Behets, Frieda (AUTHOR), Mutombo, GertrudeMusuamba (AUTHOR), Edmonds, Andrew (AUTHOR), Dulli, Lisa (AUTHOR), Belting, MartineTabala (AUTHOR), Kapinga, Melanie (AUTHOR), Pantazis, Athena (AUTHOR), Tomlin, Holly (AUTHOR), Okitolonda, Emile (AUTHOR), for the PTME Group (AUTHOR)
Source: AIDS Care. May2009, Vol. 21 Issue 5, p583-590. 8p. 2 Charts, 1 Graph, 1 Map.
Subjects: HIV-positive women, HIV infection transmission, Vertical transmission (Communicable diseases), Maternal-fetal exchange, HIV, Disease prevalence, Medical care
Geographic Terms: Kinshasa (Congo), Congo (Democratic Republic)
Abstract: Scale-up of vertical HIV transmission prevention has been too slow in sub-Saharan Africa. We describe approaches, challenges, and results obtained in Kinshasa. Staff members of 21 clinics managed by public servants or non-governmental organizations were trained in improved basic antenatal care (ANC) including nevirapine (NVP)-based HIV transmission prevention. Program initiation was supported on-site logistically and technically. Aggregate implementation data were collected and used for program monitoring. Contextual information was obtained through a survey. Among 45,262 women seeking ANC from June 2003 through July 2005, 90% accepted testing; 792 (1.9%) had HIV of whom 599 (76%) returned for their result. Among 414 HIV+ women who delivered in participating maternities, NVP coverage was 79%; 92% of newborns received NVP. Differences were noted by clinic management in program implementation and HIV prevalence (1.2 to 3.0%). Initiating vertical HIV transmission prevention embedded in improved antenatal services in a fragile, fragmented, severely resource-deprived health care system was possible and improved over time. Scope and quality of service coverage should further increase; strategies to decrease loss to follow-up of HIV+ women should be identified to improve program effectiveness. The observed differences in HIV prevalence highlight the importance of selecting representative sentinel surveillance centers. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
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  Data: Reducing vertical HIV transmission in Kinshasa, Democratic Republic of Congo: trends in HIV prevalence and service delivery.
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  Data: <searchLink fieldCode="AR" term="%22Behets%2C+Frieda%22">Behets, Frieda</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mutombo%2C+GertrudeMusuamba%22">Mutombo, GertrudeMusuamba</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Edmonds%2C+Andrew%22">Edmonds, Andrew</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dulli%2C+Lisa%22">Dulli, Lisa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Belting%2C+MartineTabala%22">Belting, MartineTabala</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kapinga%2C+Melanie%22">Kapinga, Melanie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pantazis%2C+Athena%22">Pantazis, Athena</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tomlin%2C+Holly%22">Tomlin, Holly</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Okitolonda%2C+Emile%22">Okitolonda, Emile</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22for+the+PTME+Group%22">for the PTME Group</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. May2009, Vol. 21 Issue 5, p583-590. 8p. 2 Charts, 1 Graph, 1 Map.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22HIV-positive+women%22">HIV-positive women</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infection+transmission%22">HIV infection transmission</searchLink><br /><searchLink fieldCode="DE" term="%22Vertical+transmission+%28Communicable+diseases%29%22">Vertical transmission (Communicable diseases)</searchLink><br /><searchLink fieldCode="DE" term="%22Maternal-fetal+exchange%22">Maternal-fetal exchange</searchLink><br /><searchLink fieldCode="DE" term="%22HIV%22">HIV</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Kinshasa+%28Congo%29%22">Kinshasa (Congo)</searchLink><br /><searchLink fieldCode="DE" term="%22Congo+%28Democratic+Republic%29%22">Congo (Democratic Republic)</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Scale-up of vertical HIV transmission prevention has been too slow in sub-Saharan Africa. We describe approaches, challenges, and results obtained in Kinshasa. Staff members of 21 clinics managed by public servants or non-governmental organizations were trained in improved basic antenatal care (ANC) including nevirapine (NVP)-based HIV transmission prevention. Program initiation was supported on-site logistically and technically. Aggregate implementation data were collected and used for program monitoring. Contextual information was obtained through a survey. Among 45,262 women seeking ANC from June 2003 through July 2005, 90% accepted testing; 792 (1.9%) had HIV of whom 599 (76%) returned for their result. Among 414 HIV+ women who delivered in participating maternities, NVP coverage was 79%; 92% of newborns received NVP. Differences were noted by clinic management in program implementation and HIV prevalence (1.2 to 3.0%). Initiating vertical HIV transmission prevention embedded in improved antenatal services in a fragile, fragmented, severely resource-deprived health care system was possible and improved over time. Scope and quality of service coverage should further increase; strategies to decrease loss to follow-up of HIV+ women should be identified to improve program effectiveness. The observed differences in HIV prevalence highlight the importance of selecting representative sentinel surveillance centers. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=39566769
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        Value: 10.1080/09540120802385595
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 8
        StartPage: 583
    Subjects:
      – SubjectFull: HIV-positive women
        Type: general
      – SubjectFull: HIV infection transmission
        Type: general
      – SubjectFull: Vertical transmission (Communicable diseases)
        Type: general
      – SubjectFull: Maternal-fetal exchange
        Type: general
      – SubjectFull: HIV
        Type: general
      – SubjectFull: Disease prevalence
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      – SubjectFull: Medical care
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      – SubjectFull: Kinshasa (Congo)
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      – SubjectFull: Congo (Democratic Republic)
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      – TitleFull: Reducing vertical HIV transmission in Kinshasa, Democratic Republic of Congo: trends in HIV prevalence and service delivery.
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              Text: May2009
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