Retired Nurses Can Improve Retention in Prevention of Mother-to-Child Transmission Programmes.
Journal
The East African health research journal
ISSN: 2520-5285
Titre abrégé: East Afr Health Res J
Pays: Burundi
ID NLM: 101713200
Informations de publication
Date de publication:
2019
2019
Historique:
received:
18
12
2018
accepted:
06
09
2019
entrez:
26
7
2021
pubmed:
1
1
2019
medline:
1
1
2019
Statut:
ppublish
Résumé
The success of prevention of mother-to-child transmission (PMTCT) programmes depends on retention of mothers throughout the PMTCT cascade. In a clinical trial of short-course combination antiretroviral therapy (cART) for PMTCT in Tanzania, senior nurses were employed to reduce the substantial loss-to-follow up (LTFU) rate. Following intervention, the relative risk (RR) of receiving a CD4 count result and antiretroviral therapy was 1.16 (95% confidence interval [CI], 1.05 to 1.27), the RR of delivery at clinic was 2.51 (95% CI, 2.06 to 3.06), the RR for reporting for follow-up at 6 to 8 weeks postpartum was 4.63 (95% CI, 3.41 to 6.27), and the RR for being retained until 9 months postpartum was 28.19 (95% CI, 11.81 to 67.28). No significant impact on transmission was found. Significantly higher retention was found after senior nurses were employed. No impact on transmission was found. Relatively low transmission was found in both study arms.
Sections du résumé
BACKGROUND
BACKGROUND
The success of prevention of mother-to-child transmission (PMTCT) programmes depends on retention of mothers throughout the PMTCT cascade.
METHODS
METHODS
In a clinical trial of short-course combination antiretroviral therapy (cART) for PMTCT in Tanzania, senior nurses were employed to reduce the substantial loss-to-follow up (LTFU) rate.
RESULTS
RESULTS
Following intervention, the relative risk (RR) of receiving a CD4 count result and antiretroviral therapy was 1.16 (95% confidence interval [CI], 1.05 to 1.27), the RR of delivery at clinic was 2.51 (95% CI, 2.06 to 3.06), the RR for reporting for follow-up at 6 to 8 weeks postpartum was 4.63 (95% CI, 3.41 to 6.27), and the RR for being retained until 9 months postpartum was 28.19 (95% CI, 11.81 to 67.28). No significant impact on transmission was found.
CONCLUSION
CONCLUSIONS
Significantly higher retention was found after senior nurses were employed. No impact on transmission was found. Relatively low transmission was found in both study arms.
Identifiants
pubmed: 34308201
doi: 10.24248/EAHRJ-D-19-00011
pii: EAHRJ-D-19-00011
pmc: PMC8279289
doi:
Types de publication
Journal Article
Langues
eng
Pagination
88-95Informations de copyright
© The East African Health Research Commission 2019.
Déclaration de conflit d'intérêts
Competing Interests: None declared.
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