Abstract
Low mother/infant retention has impeded early infant diagnosis of HIV in rural Mozambique. We enhanced the referral process for postpartum HIV-infected women by offering direct accompaniment to the location of exposed infant testing before discharge. Retrospective record review for 395 women/infants (September 2009 to June 2010) found enhanced referral was associated with higher odds of follow-up (adjusted odds ratio = 3.18, 95% confidence interval: 1.76 to 5.73, P < 0.001); and among those followed-up, earlier infant testing (median follow-up: 33 days vs. 59 days, P = 0.01) compared with women receiving standard referral. This simple intervention demonstrates benefits gleaned from attention to system improvement through service integration without increasing staff.
Publication types
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Adult
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Anti-HIV Agents / therapeutic use
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Delivery of Health Care / methods*
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Delivery of Health Care / organization & administration*
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Drug Therapy, Combination
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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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Humans
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Infant, Newborn
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Infectious Disease Transmission, Vertical / prevention & control*
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Lamivudine / administration & dosage
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Lamivudine / therapeutic use
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Mozambique / epidemiology
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Nevirapine / administration & dosage
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Nevirapine / therapeutic use
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Pregnancy
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Retrospective Studies
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Rural Population
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Young Adult
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Zidovudine / administration & dosage
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Zidovudine / therapeutic use
Substances
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Anti-HIV Agents
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Lamivudine
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Zidovudine
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Nevirapine