Abstract
This was a cross-sectional study describing HIV testing uptake and ART initiation for pregnant women and HIV-exposed infants after one-off clinical mentorship training in 2013 for nurses in 56 peripheral health-facilities, Zimbabwe. Between 2014-2018, 92% of 106411 pregnant women were HIV tested and 98% of HIV-positive women initiated antiretroviral therapy (ART). There were 15846 HIV-exposed infants, of whom 96% had dried blood spots collected for virologic diagnosis and 51% of those diagnosed HIV-positive initiated ART. In conclusion, this one-off clinical mentorship training in 2013 was associated with consistently high HIV testing and ART initiation in pregnant women and their children.
Keywords:
Elizabeth Glaser Paediatric AIDS Foundation (EGPAF); HIV-exposed infants; HIV-infected pregnant women; antiretroviral therapy; early infant diagnosis.
Copyright: Winnie Mandewo et al.
MeSH terms
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Adult
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Anti-HIV Agents / therapeutic use
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Cross-Sectional Studies
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Education, Nursing, Continuing / methods*
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Female
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HIV Infections / diagnosis
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HIV Infections / epidemiology
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HIV Infections / prevention & control
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HIV Infections / transmission
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Health Facilities / statistics & numerical data
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Humans
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Implementation Science
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Infant, Newborn
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Infant, Newborn, Diseases / diagnosis
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Infant, Newborn, Diseases / epidemiology
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Infant, Newborn, Diseases / prevention & control
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Infectious Disease Transmission, Vertical / prevention & control*
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Mass Screening / methods
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Mass Screening / organization & administration
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Mass Screening / statistics & numerical data
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Mentoring / methods*
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Neonatal Screening / methods
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Neonatal Screening / standards
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Nurse's Role
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Patient Participation
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Pregnancy
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Pregnancy Complications, Infectious / diagnosis*
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Pregnancy Complications, Infectious / epidemiology
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Pregnancy Complications, Infectious / therapy*
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Prenatal Care / methods
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Prenatal Care / organization & administration
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Prenatal Care / standards
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Preventive Medicine / methods
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Preventive Medicine / organization & administration
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Preventive Medicine / standards
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Program Evaluation
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Zimbabwe / epidemiology