Modeling the Impact of Retention Interventions on Mother-to-Child Transmission of HIV: Results From INSPIRE Studies in Malawi, Nigeria, and Zimbabwe.
Identifieur interne : 000C23 ( PubMed/Curation ); précédent : 000C22; suivant : 000C24Modeling the Impact of Retention Interventions on Mother-to-Child Transmission of HIV: Results From INSPIRE Studies in Malawi, Nigeria, and Zimbabwe.
Auteurs : Elizabeth Mccarthy [Suisse] ; Jessica Joseph ; Geoff Foster ; Alexio-Zambezio Mangwiro ; Victor Mwapasa ; Bolanle Oyeledun ; Sam Phiri ; Nadia A. Sam-Agudu ; Shaffiq EssajeeSource :
- Journal of acquired immune deficiency syndromes (1999) [ 1944-7884 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte, Agents antiVIH (usage thérapeutique), Allaitement maternel, Complications de la grossesse et maladies infectieuses (épidémiologie), Femelle, Grossesse, Humains, Infections à VIH (), Infections à VIH (transmission), Malawi (épidémiologie), Modèles théoriques, Mères, Nigeria (épidémiologie), Nourrisson, Nouveau-né, Observance thérapeutique (), Observance thérapeutique (psychologie), Transmission verticale de maladie infectieuse (), Zimbabwe (épidémiologie), Évaluation de résultat (soins).
- MESH :
- psychologie : Observance thérapeutique.
- usage thérapeutique : Agents antiVIH, Infections à VIH.
- épidémiologie : Complications de la grossesse et maladies infectieuses, Malawi, Nigeria, Zimbabwe.
- Adulte, Allaitement maternel, Femelle, Grossesse, Humains, Infections à VIH, Modèles théoriques, Mères, Nourrisson, Nouveau-né, Observance thérapeutique, Transmission verticale de maladie infectieuse, Évaluation de résultat (soins).
English descriptors
- KwdEn :
- Adult, Anti-HIV Agents (therapeutic use), Breast Feeding, Female, HIV Infections (prevention & control), HIV Infections (transmission), Humans, Infant, Infant, Newborn, Infectious Disease Transmission, Vertical (prevention & control), Malawi (epidemiology), Models, Theoretical, Mothers, Nigeria (epidemiology), Outcome Assessment (Health Care), Patient Compliance (psychology), Patient Compliance (statistics & numerical data), Pregnancy, Pregnancy Complications, Infectious (epidemiology), Zimbabwe (epidemiology).
- MESH :
- chemical , therapeutic use : Anti-HIV Agents.
- epidemiology : Malawi, Nigeria, Pregnancy Complications, Infectious, Zimbabwe.
- prevention & control : HIV Infections, Infectious Disease Transmission, Vertical.
- psychology : Patient Compliance.
- statistics & numerical data : Patient Compliance.
- transmission : HIV Infections.
- Adult, Breast Feeding, Female, Humans, Infant, Infant, Newborn, Models, Theoretical, Mothers, Outcome Assessment (Health Care), Pregnancy.
Abstract
Six implementation research studies in Malawi, Nigeria, and Zimbabwe tested approaches for improving retention in care among women living with HIV. We simulated the impact of their interventions on the probability of HIV transmission during pregnancy and breastfeeding.
DOI: 10.1097/QAI.0000000000001364
PubMed: 28498194
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pubmed:28498194Le document en format XML
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<term>Infectious Disease Transmission, Vertical</term>
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<term>Zimbabwe</term>
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<front><div type="abstract" xml:lang="en">Six implementation research studies in Malawi, Nigeria, and Zimbabwe tested approaches for improving retention in care among women living with HIV. We simulated the impact of their interventions on the probability of HIV transmission during pregnancy and breastfeeding.</div>
</front>
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<Month>05</Month>
<Day>12</Day>
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<DateCompleted><Year>2017</Year>
<Month>08</Month>
<Day>14</Day>
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<Month>08</Month>
<Day>14</Day>
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<PubDate><Year>2017</Year>
<Month>Jun</Month>
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<Title>Journal of acquired immune deficiency syndromes (1999)</Title>
<ISOAbbreviation>J. Acquir. Immune Defic. Syndr.</ISOAbbreviation>
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<ArticleTitle>Modeling the Impact of Retention Interventions on Mother-to-Child Transmission of HIV: Results From INSPIRE Studies in Malawi, Nigeria, and Zimbabwe.</ArticleTitle>
<Pagination><MedlinePgn>S233-S239</MedlinePgn>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Six implementation research studies in Malawi, Nigeria, and Zimbabwe tested approaches for improving retention in care among women living with HIV. We simulated the impact of their interventions on the probability of HIV transmission during pregnancy and breastfeeding.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A computer-based state-transition model was developed to estimate the impact of the retention interventions. Patient-level data from the 6 studies were aggregated and analyzed, and weighted averages of mother-to-child transmission (MTCT) of HIV probabilities were presented. The average MTCT probability of the more successful interventions was applied to national estimates to calculate potential infections averted if these interventions were taken to scale.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Among the total cohort of 5742 HIV-positive women, almost 80% of all infant infections are attributed to the roughly 20% of HIV-positive pregnant and breastfeeding women not retained on antiretroviral therapy. Higher retention in the arms receiving interventions resulted in an overall lower estimated MTCT probability of 9.9% compared with 12.3% in the control arms. In the 2 studies that showed a statistically significant effect, Prevention of MTCT Uptake and Retention (PURE) and Mother Mentor (MoMent), the difference in transmission rates between intervention and control arms was 4.1% and 7.3%, respectively. Scaling up retention interventions nationally in the 3 countries could avert an average of almost 3000 infant infections annually.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Linking HIV-positive pregnant women to antiretroviral therapy and retaining them is essential for addressing the remaining gaps and challenges in HIV/AIDS care and the elimination of MTCT. At national level, even modest improvements in retention translates into large numbers of infant infections averted.</AbstractText>
</Abstract>
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<ForeName>Elizabeth</ForeName>
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