Implementing primary health care-based PMTCT interventions: operational perspectives from Muhima cohort analysis (Rwanda)
Identifieur interne : 000240 ( Pmc/Curation ); précédent : 000239; suivant : 000241Implementing primary health care-based PMTCT interventions: operational perspectives from Muhima cohort analysis (Rwanda)
Auteurs : Maurice Bucagu [Suisse] ; John Muganda [Rwanda]Source :
- The Pan African Medical Journal [ 1937-8688 ] ; 2014.
Abstract
In countries with high burden of HIV, major programmatic challenges have been identified to preventing new infections among children and scaling up of treatment for pregnant mothers. We initiated this study to examine operational approaches that were used to enhance implementation of PMTCT interventions in Muhima health Centre (Kigali/Rwanda) from 2007 to 2010.
The prospective cohort study was conducted at Muhima health centre. A sample size of 656 was the minimum number required for the study. The main outcome was cumulative incidence of mother - to - child transmission of HIV-1 measured at 6 weeks of life among live born children.
Among the 679 live born babies and followed up in this study, the overall cumulative rate of HIV-1 mother - to - child transmission observed was 3.2% at 6 weeks of age after birth. Disclosure of HIV status to partner was significantly associated with HIV-1 status of infants at 6 weeks of age (non-disclosure of HIV status adjusted odds ratio [AOR] 4.68, CI 1.39 to 15.77, p.
The Muhima type of decentralized health facility offered an appropriate platform for implementation of PMTCT interventions, with the following operational features: family - centered approach; integrated service delivery for PMTCT/MCH interventions, task shifting; subsidized membership fees for people living with HIV, allowing for access to the community-based health insurance benefits.
Url:
DOI: 10.11604/pamj.2014.18.59.3895
PubMed: 26113893
PubMed Central: 4473790
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000240
Links to Exploration step
PMC:4473790Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Implementing primary health care-based PMTCT interventions: operational perspectives from Muhima cohort analysis (Rwanda)</title>
<author><name sortKey="Bucagu, Maurice" sort="Bucagu, Maurice" uniqKey="Bucagu M" first="Maurice" last="Bucagu">Maurice Bucagu</name>
<affiliation wicri:level="1"><nlm:aff id="AF0001">World Health Organization Department of Maternal, Newborn, Child and Adolescent Health, Geneva, Switzerland</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>World Health Organization Department of Maternal, Newborn, Child and Adolescent Health, Geneva</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Muganda, John" sort="Muganda, John" uniqKey="Muganda J" first="John" last="Muganda">John Muganda</name>
<affiliation wicri:level="1"><nlm:aff id="AF0002">King Faisal Hospital, Department of Obstetrics & Gynecology, Kigali, Rwanda</nlm:aff>
<country xml:lang="fr">Rwanda</country>
<wicri:regionArea>King Faisal Hospital, Department of Obstetrics & Gynecology, Kigali</wicri:regionArea>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">26113893</idno>
<idno type="pmc">4473790</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4473790</idno>
<idno type="RBID">PMC:4473790</idno>
<idno type="doi">10.11604/pamj.2014.18.59.3895</idno>
<date when="2014">2014</date>
<idno type="wicri:Area/Pmc/Corpus">000240</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000240</idno>
<idno type="wicri:Area/Pmc/Curation">000240</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000240</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Implementing primary health care-based PMTCT interventions: operational perspectives from Muhima cohort analysis (Rwanda)</title>
<author><name sortKey="Bucagu, Maurice" sort="Bucagu, Maurice" uniqKey="Bucagu M" first="Maurice" last="Bucagu">Maurice Bucagu</name>
<affiliation wicri:level="1"><nlm:aff id="AF0001">World Health Organization Department of Maternal, Newborn, Child and Adolescent Health, Geneva, Switzerland</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>World Health Organization Department of Maternal, Newborn, Child and Adolescent Health, Geneva</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Muganda, John" sort="Muganda, John" uniqKey="Muganda J" first="John" last="Muganda">John Muganda</name>
<affiliation wicri:level="1"><nlm:aff id="AF0002">King Faisal Hospital, Department of Obstetrics & Gynecology, Kigali, Rwanda</nlm:aff>
<country xml:lang="fr">Rwanda</country>
<wicri:regionArea>King Faisal Hospital, Department of Obstetrics & Gynecology, Kigali</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series><title level="j">The Pan African Medical Journal</title>
<idno type="eISSN">1937-8688</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="st1"><title>Introduction</title>
<p>In countries with high burden of HIV, major programmatic challenges have been identified to preventing new infections among children and scaling up of treatment for pregnant mothers. We initiated this study to examine operational approaches that were used to enhance implementation of PMTCT interventions in Muhima health Centre (Kigali/Rwanda) from 2007 to 2010.</p>
</sec>
<sec id="st2"><title>Methods</title>
<p>The prospective cohort study was conducted at Muhima health centre. A sample size of 656 was the minimum number required for the study. The main outcome was cumulative incidence of mother - to - child transmission of HIV-1 measured at 6 weeks of life among live born children.</p>
</sec>
<sec id="st3"><title>Results</title>
<p>Among the 679 live born babies and followed up in this study, the overall cumulative rate of HIV-1 mother - to - child transmission observed was 3.2% at 6 weeks of age after birth. Disclosure of HIV status to partner was significantly associated with HIV-1 status of infants at 6 weeks of age (non-disclosure of HIV status adjusted odds ratio [AOR] 4.68, CI 1.39 to 15.77, p.</p>
</sec>
<sec id="st4"><title>Conclusion</title>
<p>The Muhima type of decentralized health facility offered an appropriate platform for implementation of PMTCT interventions, with the following operational features: family - centered approach; integrated service delivery for PMTCT/MCH interventions, task shifting; subsidized membership fees for people living with HIV, allowing for access to the community-based health insurance benefits.</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Hong, R" uniqKey="Hong R">R Hong</name>
</author>
<author><name sortKey="Bizimana, Jdd" uniqKey="Bizimana J">JDD Bizimana</name>
</author>
<author><name sortKey="Condo, Ju" uniqKey="Condo J">JU Condo</name>
</author>
<author><name sortKey="Ribakare, M" uniqKey="Ribakare M">M Ribakare</name>
</author>
<author><name sortKey="Murekatete, E" uniqKey="Murekatete E">E Murekatete</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Lyons, C" uniqKey="Lyons C">C Lyons</name>
</author>
<author><name sortKey="Mushavi, A" uniqKey="Mushavi A">A Mushavi</name>
</author>
<author><name sortKey="Ngobeni Allen, F" uniqKey="Ngobeni Allen F">F Ngobeni-Allen</name>
</author>
<author><name sortKey="Yule, R" uniqKey="Yule R">R Yule</name>
</author>
<author><name sortKey="Abrams, E" uniqKey="Abrams E">E Abrams</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Hennekens, Ch" uniqKey="Hennekens C">CH Hennekens</name>
</author>
<author><name sortKey="Buring, Ej" uniqKey="Buring E">EJ Buring</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Bucagu, M" uniqKey="Bucagu M">M Bucagu</name>
</author>
<author><name sortKey="Bizimana, Jdd" uniqKey="Bizimana J">JDD Bizimana</name>
</author>
<author><name sortKey="Muganda, J" uniqKey="Muganda J">J Muganda</name>
</author>
<author><name sortKey="Humblet, Cp" uniqKey="Humblet C">CP Humblet</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Bucagu, M" uniqKey="Bucagu M">M Bucagu</name>
</author>
<author><name sortKey="Kagubare, Jm" uniqKey="Kagubare J">JM Kagubare</name>
</author>
<author><name sortKey="Basinga, P" uniqKey="Basinga P">P Basinga</name>
</author>
<author><name sortKey="Ngabo, F" uniqKey="Ngabo F">F Ngabo</name>
</author>
<author><name sortKey="Timmons, Bk" uniqKey="Timmons B">BK Timmons</name>
</author>
<author><name sortKey="Lee, Ac" uniqKey="Lee A">AC Lee</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Logie, De" uniqKey="Logie D">DE Logie</name>
</author>
<author><name sortKey="Rowson, M" uniqKey="Rowson M">M Rowson</name>
</author>
<author><name sortKey="Ngamije, F" uniqKey="Ngamije F">F Ngamije</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Lepage, P" uniqKey="Lepage P">P Lepage</name>
</author>
<author><name sortKey="Van De Perre, P" uniqKey="Van De Perre P">P Van de Perre</name>
</author>
<author><name sortKey="Msellati, P" uniqKey="Msellati P">P Msellati</name>
</author>
<author><name sortKey="Hitimana, D" uniqKey="Hitimana D">D Hitimana</name>
</author>
<author><name sortKey="Simonon, A" uniqKey="Simonon A">A Simonon</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Ruton, H" uniqKey="Ruton H">H Ruton</name>
</author>
<author><name sortKey="Mugwaneza, P" uniqKey="Mugwaneza P">P Mugwaneza</name>
</author>
<author><name sortKey="Shema, N" uniqKey="Shema N">N Shema</name>
</author>
<author><name sortKey="Lyambabaje, A" uniqKey="Lyambabaje A">A Lyambabaje</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Mugwaneza, P" uniqKey="Mugwaneza P">P Mugwaneza</name>
</author>
<author><name sortKey="Umutoni, Nw" uniqKey="Umutoni N">NW Umutoni</name>
</author>
<author><name sortKey="Ruton, H" uniqKey="Ruton H">H Ruton</name>
</author>
<author><name sortKey="Rukundo, A" uniqKey="Rukundo A">A Rukundo</name>
</author>
<author><name sortKey="Lyambabaje, A" uniqKey="Lyambabaje A">A Lyambabaje</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="De Vincenzi, I" uniqKey="De Vincenzi I">I de Vincenzi</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Anoje, C" uniqKey="Anoje C">C Anoje</name>
</author>
<author><name sortKey="Aiyenigba, B" uniqKey="Aiyenigba B">B Aiyenigba</name>
</author>
<author><name sortKey="Suzuki, C" uniqKey="Suzuki C">C Suzuki</name>
</author>
<author><name sortKey="Badru, T" uniqKey="Badru T">T Badru</name>
</author>
<author><name sortKey="Akpoigbe, K" uniqKey="Akpoigbe K">K Akpoigbe</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Torpey, K" uniqKey="Torpey K">K Torpey</name>
</author>
<author><name sortKey="Kasonde, P" uniqKey="Kasonde P">P Kasonde</name>
</author>
<author><name sortKey="Kabaso, M" uniqKey="Kabaso M">M Kabaso</name>
</author>
<author><name sortKey="Weaver, Ma" uniqKey="Weaver M">MA Weaver</name>
</author>
<author><name sortKey="Bryan, G" uniqKey="Bryan G">G Bryan</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Irakoze, Aa" uniqKey="Irakoze A">AA Irakoze</name>
</author>
<author><name sortKey="Nsanzimana, S" uniqKey="Nsanzimana S">S Nsanzimana</name>
</author>
<author><name sortKey="Jennifer, M" uniqKey="Jennifer M">M Jennifer</name>
</author>
<author><name sortKey="Remera, E" uniqKey="Remera E">E Remera</name>
</author>
<author><name sortKey="Karangwa, C" uniqKey="Karangwa C">C Karangwa</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Tsague, L" uniqKey="Tsague L">L Tsague</name>
</author>
<author><name sortKey="Tsiouris, Fo" uniqKey="Tsiouris F">FO Tsiouris</name>
</author>
<author><name sortKey="Carter, Rj" uniqKey="Carter R">RJ Carter</name>
</author>
<author><name sortKey="Mugisha, V" uniqKey="Mugisha V">V Mugisha</name>
</author>
<author><name sortKey="Tene, G" uniqKey="Tene G">G Tene</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Kayibanda, Jf" uniqKey="Kayibanda J">JF Kayibanda</name>
</author>
<author><name sortKey="Alary, M" uniqKey="Alary M">M Alary</name>
</author>
<author><name sortKey="Bitera, R" uniqKey="Bitera R">R Bitera</name>
</author>
<author><name sortKey="Mutagoma, M" uniqKey="Mutagoma M">M Mutagoma</name>
</author>
<author><name sortKey="Kabeja, A" uniqKey="Kabeja A">A Kabeja</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Cavallaro, Fl" uniqKey="Cavallaro F">FL Cavallaro</name>
</author>
<author><name sortKey="Cresswell, Ja" uniqKey="Cresswell J">JA Cresswell</name>
</author>
<author><name sortKey="Franca, Gva" uniqKey="Franca G">GVA França</name>
</author>
<author><name sortKey="Victora, Cg" uniqKey="Victora C">CG Victora</name>
</author>
<author><name sortKey="Barros, Ajd" uniqKey="Barros A">AJD Barros</name>
</author>
<author><name sortKey="Ronsmans, C" uniqKey="Ronsmans C">C Ronsmans</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Shah, I" uniqKey="Shah I">I Shah</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Suthar, Ab" uniqKey="Suthar A">AB Suthar</name>
</author>
<author><name sortKey="Hoos, D" uniqKey="Hoos D">D Hoos</name>
</author>
<author><name sortKey="Beqiri, A" uniqKey="Beqiri A">A Beqiri</name>
</author>
<author><name sortKey="Lorenz Dehne, K" uniqKey="Lorenz Dehne K">K Lorenz-Dehne</name>
</author>
<author><name sortKey="Mcclure, C" uniqKey="Mcclure C">C McClure</name>
</author>
<author><name sortKey="Duncombe, C" uniqKey="Duncombe C">C Duncombe</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Shumbusho, F" uniqKey="Shumbusho F">F Shumbusho</name>
</author>
<author><name sortKey="Van Griensven, J" uniqKey="Van Griensven J">J van Griensven</name>
</author>
<author><name sortKey="Lowrance, D" uniqKey="Lowrance D">D Lowrance</name>
</author>
<author><name sortKey="Turate, I" uniqKey="Turate I">I Turate</name>
</author>
<author><name sortKey="Weaver, Ma" uniqKey="Weaver M">MA Weaver</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Franke, Mf" uniqKey="Franke M">MF Franke</name>
</author>
<author><name sortKey="Kaigamba, F" uniqKey="Kaigamba F">F Kaigamba</name>
</author>
<author><name sortKey="Socci, Ar" uniqKey="Socci A">AR Socci</name>
</author>
<author><name sortKey="Hakizamungu, M" uniqKey="Hakizamungu M">M Hakizamungu</name>
</author>
<author><name sortKey="Patel, A" uniqKey="Patel A">A Patel</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gourlay, A" uniqKey="Gourlay A">A Gourlay</name>
</author>
<author><name sortKey="Birdthistle, I" uniqKey="Birdthistle I">I Birdthistle</name>
</author>
<author><name sortKey="Mburu, G" uniqKey="Mburu G">G Mburu</name>
</author>
<author><name sortKey="Iorpenda, K" uniqKey="Iorpenda K">K Iorpenda</name>
</author>
<author><name sortKey="Wringe, A" uniqKey="Wringe A">A Wringe</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Harding, R" uniqKey="Harding R">R Harding</name>
</author>
<author><name sortKey="Simms, V" uniqKey="Simms V">V Simms</name>
</author>
<author><name sortKey="Penfold, S" uniqKey="Penfold S">S Penfold</name>
</author>
<author><name sortKey="Downing, J" uniqKey="Downing J">J Downing</name>
</author>
<author><name sortKey="Powell, Ra" uniqKey="Powell R">RA Powell</name>
</author>
<author><name sortKey="Mwangi Powell, F" uniqKey="Mwangi Powell F">F Mwangi-Powell</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Senise, J" uniqKey="Senise J">J Senise</name>
</author>
<author><name sortKey="Bonafe, S" uniqKey="Bonafe S">S Bonafé</name>
</author>
<author><name sortKey="Castelo, A" uniqKey="Castelo A">A Castelo</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Binagwaho, A" uniqKey="Binagwaho A">A Binagwaho</name>
</author>
<author><name sortKey="Pegurri, E" uniqKey="Pegurri E">E Pegurri</name>
</author>
<author><name sortKey="Drobac, Pc" uniqKey="Drobac P">PC Drobac</name>
</author>
<author><name sortKey="Mugwaneza, P" uniqKey="Mugwaneza P">P Mugwaneza</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Teasdale, Ca" uniqKey="Teasdale C">CA Teasdale</name>
</author>
<author><name sortKey="Marais, Bj" uniqKey="Marais B">BJ Marais</name>
</author>
<author><name sortKey="Abrams, Ej" uniqKey="Abrams E">EJ Abrams</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Aizire, J" uniqKey="Aizire J">J Aizire</name>
</author>
<author><name sortKey="Fowler, Mg" uniqKey="Fowler M">MG Fowler</name>
</author>
<author><name sortKey="Coovadia, Hm" uniqKey="Coovadia H">HM Coovadia</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Pan Afr Med J</journal-id>
<journal-id journal-id-type="iso-abbrev">Pan Afr Med J</journal-id>
<journal-id journal-id-type="publisher-id">PAMJ</journal-id>
<journal-title-group><journal-title>The Pan African Medical Journal</journal-title>
</journal-title-group>
<issn pub-type="epub">1937-8688</issn>
<publisher><publisher-name>The African Field Epidemiology Network</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26113893</article-id>
<article-id pub-id-type="pmc">4473790</article-id>
<article-id pub-id-type="publisher-id">PAMJ-18-59</article-id>
<article-id pub-id-type="doi">10.11604/pamj.2014.18.59.3895</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Implementing primary health care-based PMTCT interventions: operational perspectives from Muhima cohort analysis (Rwanda)</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Bucagu</surname>
<given-names>Maurice</given-names>
</name>
<xref ref-type="aff" rid="AF0001">1</xref>
<xref ref-type="corresp" rid="cor1">&</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Muganda</surname>
<given-names>John</given-names>
</name>
<xref ref-type="aff" rid="AF0002">2</xref>
</contrib>
</contrib-group>
<aff id="AF0001"><label>1</label>
World Health Organization Department of Maternal, Newborn, Child and Adolescent Health, Geneva, Switzerland</aff>
<aff id="AF0002"><label>2</label>
King Faisal Hospital, Department of Obstetrics & Gynecology, Kigali, Rwanda</aff>
<author-notes><corresp id="cor1"><label>&</label>
Corresponding author: Maurice Bucagu, World Health Organization Department of Maternal, Newborn, Child and Adolescent Health, Geneva Switzerland</corresp>
</author-notes>
<pub-date pub-type="epub"><day>17</day>
<month>5</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="collection"><year>2014</year>
</pub-date>
<volume>18</volume>
<elocation-id>59</elocation-id>
<history><date date-type="received"><day>20</day>
<month>1</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>24</day>
<month>4</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>© Maurice Bucagu et al.</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/"><license-p>The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><sec id="st1"><title>Introduction</title>
<p>In countries with high burden of HIV, major programmatic challenges have been identified to preventing new infections among children and scaling up of treatment for pregnant mothers. We initiated this study to examine operational approaches that were used to enhance implementation of PMTCT interventions in Muhima health Centre (Kigali/Rwanda) from 2007 to 2010.</p>
</sec>
<sec id="st2"><title>Methods</title>
<p>The prospective cohort study was conducted at Muhima health centre. A sample size of 656 was the minimum number required for the study. The main outcome was cumulative incidence of mother - to - child transmission of HIV-1 measured at 6 weeks of life among live born children.</p>
</sec>
<sec id="st3"><title>Results</title>
<p>Among the 679 live born babies and followed up in this study, the overall cumulative rate of HIV-1 mother - to - child transmission observed was 3.2% at 6 weeks of age after birth. Disclosure of HIV status to partner was significantly associated with HIV-1 status of infants at 6 weeks of age (non-disclosure of HIV status adjusted odds ratio [AOR] 4.68, CI 1.39 to 15.77, p.</p>
</sec>
<sec id="st4"><title>Conclusion</title>
<p>The Muhima type of decentralized health facility offered an appropriate platform for implementation of PMTCT interventions, with the following operational features: family - centered approach; integrated service delivery for PMTCT/MCH interventions, task shifting; subsidized membership fees for people living with HIV, allowing for access to the community-based health insurance benefits.</p>
</sec>
</abstract>
<kwd-group><kwd>PMTCT implementation</kwd>
<kwd>primary health care</kwd>
<kwd>operational considerations</kwd>
<kwd>integrated service delivery</kwd>
<kwd>task shifting</kwd>
<kwd>community-based health insurance</kwd>
<kwd>cohort</kwd>
<kwd>Rwanda</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Pmc/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000240 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd -nk 000240 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= SidaSubSaharaV1 |flux= Pmc |étape= Curation |type= RBID |clé= PMC:4473790 |texte= Implementing primary health care-based PMTCT interventions: operational perspectives from Muhima cohort analysis (Rwanda) }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Curation/RBID.i -Sk "pubmed:26113893" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd \ | NlmPubMed2Wicri -a SidaSubSaharaV1
![]() | This area was generated with Dilib version V0.6.32. | ![]() |