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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We simulated the impact of their interventions on the probability of HIV transmission during pregnancy and breastfeeding.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28498194</PMID><DateCreated><Year>2017</Year><Month>05</Month><Day>12</Day></DateCreated><DateCompleted><Year>2017</Year><Month>08</Month><Day>14</Day></DateCompleted><DateRevised><Year>2017</Year><Month>08</Month><Day>14</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1944-7884</ISSN><JournalIssue CitedMedium="Internet"><Volume>75 Suppl 2</Volume><PubDate><Year>2017</Year><Month>Jun</Month><Day>01</Day></PubDate></JournalIssue><Title>Journal of acquired immune deficiency syndromes (1999)</Title><ISOAbbreviation>J. Acquir. Immune Defic. Syndr.</ISOAbbreviation></Journal><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></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/QAI.0000000000001364</ELocationID><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><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>McCarthy</LastName><ForeName>Elizabeth</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>*Applied Analytics Team, Clinton Health Access Initiative, Lusaka, Zambia; †Applied Analytics Team, Clinton Health Access Initiative, Boston, MA; ‡Ministry of Health and Child Care, Mutare, Zimbabwe; §Family AIDS Caring Trust, Mutare, Zimbabwe; ‖Clinton Health Access Initiative, Harare, Zimbabwe; ¶Department of Public Health, College of Medicine, University of Malawi, Blantyre, Malawi; #Centre for Integrated Health Programs, Abuja, Nigeria; **Lighthouse Trust, Lilongwe, Malawi; ††Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC; ‡‡Department of Public Health, School of Public Health and Family Medicine, College of Medicine, University of Malawi, Lilongwe, Malawi; §§International Research Center of Excellence, Institute of Human Virology Nigeria, Abuja, Nigeria; ‖‖Division of Epidemiology and Prevention, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD; and ¶¶World Health Organization, Geneva, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Joseph</LastName><ForeName>Jessica</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Foster</LastName><ForeName>Geoff</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Mangwiro</LastName><ForeName>Alexio-Zambezio</ForeName><Initials>AZ</Initials></Author><Author ValidYN="Y"><LastName>Mwapasa</LastName><ForeName>Victor</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>Oyeledun</LastName><ForeName>Bolanle</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Phiri</LastName><ForeName>Sam</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Sam-Agudu</LastName><ForeName>Nadia A</ForeName><Initials>NA</Initials></Author><Author ValidYN="Y"><LastName>Essajee</LastName><ForeName>Shaffiq</ForeName><Initials>S</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Acquir Immune Defic Syndr</MedlineTA><NlmUniqueID>100892005</NlmUniqueID><ISSNLinking>1525-4135</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D019380">Anti-HIV Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CitationSubset>X</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>BMC Health Serv Res. 2017 Jan 18;17 (1):48</RefSource><PMID Version="1">28100207</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>BMC Public Health. 2017 Feb 17;17 (1):207</RefSource><PMID Version="1">28212643</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Acquir Immune Defic Syndr. 2014 Nov 1;67 Suppl 2:S114-9</RefSource><PMID Version="1">25310116</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Bull World Health Organ. 2014 Aug 1;92(8):582-92</RefSource><PMID Version="1">25177073</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Acquir Immune Defic Syndr. 2014 Nov 1;67 Suppl 2:S145-9</RefSource><PMID Version="1">25310121</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Acquir Immune Defic Syndr. 2014 Nov 1;67 Suppl 2:S139-44</RefSource><PMID Version="1">25310120</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Acquir Immune Defic Syndr. 2016 Dec 15;73(5):572-580</RefSource><PMID 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2:S132-8</RefSource><PMID Version="1">25310119</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Microbiol Infect. 2013 Nov;19(11):999-1005</RefSource><PMID Version="1">24266045</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS. 2017 Apr;31 Suppl 1:S13-S22</RefSource><PMID Version="1">28301337</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019380" MajorTopicYN="N">Anti-HIV Agents</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001942" MajorTopicYN="Y">Breast Feeding</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV 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