Prevention of mother-to-child transmission activities after one-off clinical mentorship training in selected health facilities, Zimbabwe: 2014-2018

Pan Afr Med J. 2020 Jul 1:36:146. doi: 10.11604/pamj.2020.36.146.19542. eCollection 2020.

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.

MeSH terms

  • Adult
  • Anti-HIV Agents / therapeutic use
  • Cross-Sectional Studies
  • Education, Nursing, Continuing / methods*
  • Female
  • HIV Infections / diagnosis
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control
  • HIV Infections / transmission
  • Health Facilities / statistics & numerical data
  • Humans
  • Implementation Science
  • Infant, Newborn
  • Infant, Newborn, Diseases / diagnosis
  • Infant, Newborn, Diseases / epidemiology
  • Infant, Newborn, Diseases / prevention & control
  • Infectious Disease Transmission, Vertical / prevention & control*
  • Mass Screening / methods
  • Mass Screening / organization & administration
  • Mass Screening / statistics & numerical data
  • Mentoring / methods*
  • Neonatal Screening / methods
  • Neonatal Screening / standards
  • Nurse's Role
  • Patient Participation
  • Pregnancy
  • Pregnancy Complications, Infectious / diagnosis*
  • Pregnancy Complications, Infectious / epidemiology
  • Pregnancy Complications, Infectious / therapy*
  • Prenatal Care / methods
  • Prenatal Care / organization & administration
  • Prenatal Care / standards
  • Preventive Medicine / methods
  • Preventive Medicine / organization & administration
  • Preventive Medicine / standards
  • Program Evaluation
  • Zimbabwe / epidemiology

Substances

  • Anti-HIV Agents