Retired Nurses Can Improve Retention in Prevention of Mother-to-Child Transmission Programmes

Zahra Persson Theilgaard, Mercy G Chiduo, Leo Flamholc, Jan Gerstoft, Ib C Bygbjerg, Martha Moshi Lemnge, Terese L Katzenstein

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Abstract

Background: The success of prevention of mother-to-child transmission (PMTCT) programmes depends on retention of mothers throughout the PMTCT cascade.

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: 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: 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.

OriginalsprogEngelsk
TidsskriftThe East African health research journal
Vol/bind3
Udgave nummer2
Sider (fra-til)88-95
Antal sider8
ISSN2520-5277
DOI
StatusUdgivet - 2019

Bibliografisk note

© The East African Health Research Commission 2019.

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