ArticleAIDS research and therapy2007
Missed opportunities for participation in prevention of mother to child transmission programmes: simplicity of nevirapine does not necessarily lead to optimal uptake, a qualitative study.
Article in AIDS research and therapy, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- A systematic review of missed opportunities for improving tuberculosis and HIV/AIDS control in Sub-saharan Africa: what is still missed by health experts?The Pan African medical journal · 2014Pooled it
- Barriers and facilitating factors to the uptake of antiretroviral drugs for prevention of mother-to-child transmission of HIV in sub-Saharan Africa: a systematic review.Journal of the International AIDS Society · 2013Pooled it
- Pooled it
- Integrating prevention of mother-to-child HIV transmission programs to improve uptake: a systematic review.PloS one · 2012Pooled it
- Integrating prevention of mother-to-child HIV transmission (PMTCT) programmes with other health services for preventing HIV infection and improving HIV outcomes in developing countries.The Cochrane database of systematic reviews · 2011Pooled it
- Implementation and Operational Research: Effects of Antenatal Care and HIV Treatment Integration on Elements of the PMTCT Cascade: Results From the SHAIP Cluster-Randomized Controlled Trial in Kenya.Journal of acquired immune deficiency syndromes (1999) · 2015Trial
- Prevention of mother-to-child transmission of hepatitis B virus in antenatal care and maternity services, Mozambique.Bulletin of the World Health Organization · 2022Article
- Strategies to integrate community-based traditional and complementary healthcare systems into mainstream HIV prevention programs in resource-limited settings.Globalization and health · 2018Article
- The lived experiences of rural women diagnosed with the human immunodeficiency virus in the antenatal period.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2017Article
- Commonalities and differences in infant feeding attitudes and practices in the context of HIV in sub-Saharan Africa: a metasynthesis.AIDS care · 2014Article
- Improving utilization of and retention in PMTCT services: can behavioral economics help?BMC health services research · 2013Article
- Determinants of male involvement in maternal and child health services in sub-Saharan Africa: a review.Reproductive health · 2012Review
- The contribution of maternal HIV seroconversion during late pregnancy and breastfeeding to mother-to-child transmission of HIV.Journal of acquired immune deficiency syndromes (1999) · 2012Article
- Listening to health workers: lessons from Eastern Uganda for strengthening the programme for the prevention of mother-to-child transmission of HIV.BMC health services research · 2012Article
- Uptake of prevention of mother to child transmission interventions in Kenya: health systems are more influential than stigma.Journal of the International AIDS Society · 2011Article
- Current knowledge and future research on infant feeding in the context of HIV: basic, clinical, behavioral, and programmatic perspectives.Advances in nutrition (Bethesda, Md.) · 2011Review
- Monitoring Antiretroviral Therapy in HIV-Infected Children in Resource-Limited Countries: A Tale of Two Epidemics.AIDS research and treatment · 2011Article
- Family-centred approaches to the prevention of mother to child transmission of HIV.Journal of the International AIDS Society · 2010Review
- Improving the coverage of the PMTCT programme through a participatory quality improvement intervention in South Africa.BMC public health · 2009Article
- Update on successes and challenges regarding mother-to-child transmission of HIV.Current opinion in pediatrics · 2009Review
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe objective of this study was to examine missed opportunities for participation in a prevention of mother-to-child transmission (PMTCT) programme in three sites in South Africa. A rapid anthropological assessment was used to collect in-depth data from 58 HIV-positive women who were enrolled in a larger cohort study to assess mother-to-child HIV transmission. Semi-structured interviews were conducted with the women in order to gain an understanding of their experiences of antenatal care and to identify missed opportunities for participation in PMTCT.
results15 women actually missed their nevirapine not because of stigma and ignorance but because of health systems failures. Six were not tested for HIV during antenatal care. Two were tested but did not receive their results. Seven were tested and received their results, but did not receive nevirapine. Health Systems failure for these programme leakages ranged from non-availability of counselors, supplies such as HIV test kits, consent forms, health staff giving the women incorrect instructions about when to take the tablet and health staff not supplying the women with the tablet to take.
conclusionHIV testing enables access to PMTCT interventions and should therefore be strengthened. The single dose nevirapine regimen is simple to implement but the all or nothing nature of the regimen may result in many missed opportunities. A short course dual or triple drug regimen could increase the effectiveness of PMTCT programmes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.