ArticleBulletin of the World Health Organization2007
Routine offer of antenatal HIV testing ("opt-out" approach) to prevent mother-to-child transmission of HIV in urban Zimbabwe.
Article in Bulletin of the World Health Organization, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 6 of them syntheses that pooled it.
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Who cites it
81 citing papers in PubMed, 6 syntheses or guidelines pooled it, 179 citations in OpenAlex.
- Can Policy Interventions Affect HIV-Related Behaviors? A Systematic Review of the Evidence from Low- and Middle-Income Countries.AIDS and behavior · 2017Pooled it
- Provider-initiated HIV testing and counseling in low- and middle-income countries: a systematic review.AIDS and behavior · 2013Pooled it
- Pooled it
- Missed opportunities to prevent mother-to-child-transmission: systematic review and meta-analysis.AIDS (London, England) · 2012Pooled it
- A systematic review of African studies on intimate partner violence against pregnant women: prevalence and risk factors.PloS one · 2011Pooled it
- Linking sexual and reproductive health and HIV interventions: a systematic review.Journal of the International AIDS Society · 2010Pooled it
- The cost of implementing the Systems Analysis and Improvement Approach for a cluster randomized trial integrating HIV testing into family planning services in Mombasa County, Kenya.BMC health services research · 2022Trial
- Male partner antenatal attendance and HIV testing in eastern Uganda: a randomized facility-based intervention trial.Journal of the International AIDS Society · 2011Trial
- Systematic review and meta-analysis of seroprevalence of human immunodeficiency virus serological markers among pregnant women in Africa, 1984-2020.World journal of critical care medicine · 2023Article
- Are prevention of mother-to-child HIV transmission service providers acquainted with national guideline recommendations? A cross-sectional study of primary health care centers in Lagos, Nigeria.BMC health services research · 2022Article
- Behavioral economics of substance use: Understanding and reducing harmful use during the COVID-19 pandemic.Experimental and clinical psychopharmacology · 2021Article
- Article
- Understanding the role of interpersonal violence in assisted partner notification for HIV: a mixed-methods study in refugee settlements in West Nile Uganda.Journal of global health · 2020Article
- The declining trend of HIV-Infection among pregnant women in Cameroon infers an epidemic decline in the general population.Heliyon · 2020Article
- Factors Affecting Voluntary HIV Testing Among General Adult Population: A Cross-Sectional Study in Sarawak, Malaysia.Journal of family & reproductive health · 2020Article
- Predictors of postpartum HIV care engagement for women enrolled in prevention of mother-to-child transmission (PMTCT) programs in Tanzania.AIDS care · 2019Article
- Antenatal care presentation and engagement in the context of sex work: exploring barriers to care for sex worker mothers in South Africa.Reproductive health · 2019Article
- Uptake and determinants for HIV postpartum re-testing among mothers with prenatal negative status in Njombe region, Tanzania.BMC infectious diseases · 2019Article
- Utilization of Provider-Initiated HIV Testing and Counseling as an Intervention for PMTCT Services Among Pregnant Women Attending Antenatal Clinic in a Teaching Hospital in Ethiopia.Frontiers in public health · 2019Article
- Effect of default menus on food selection and consumption in a college dining hall simulation study.Public health nutrition · 2018Article
21 more citing papers are in PubMed but not listed here.
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Authors and funding
8 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the impact of routine antenatal HIV testing for preventing mother-to-child transmission of HIV (PMTCT) in urban Zimbabwe.
methodsCommunity counsellors were trained in routine HIV testing policy using a specific training module from June 2005 through November 2005. Key outcomes during the first 6 months of routine testing were compared with the prior 6-month "opt-in" period, and clients were interviewed.
findingsOf the 4551 women presenting for antenatal care during the first 6 months of routine HIV testing, 4547 (99.9%) were tested for HIV compared with 3058 (65%) of 4700 women during the last 6 months of the opt-in testing (P < 0.001), with a corresponding increase in the numbers of HIV-infected women identified antenatally (926 compared with 513, P < 0.001). During routine testing, more HIV-infected women collected results compared to the opt-in testing (908 compared with 487, P < 0.001) resulting in a significant increase in deliveries by HIV-infected women (256 compared with 186, P = 0.001); more mother/infant pairs received antiretroviral prophylaxis (n = 256) compared to the opt-in testing (n = 185); and more mother/infant pairs followed up at clinics (105 compared with 49, P = 0.002). Women were satisfied with counselling services and most (89%) stated that offering routine testing is helpful. HIV-infected women reported low levels of spousal abuse and other adverse social consequences.
conclusionRoutine antenatal HIV testing should be implemented at all sites in Zimbabwe to maximize the public health impact of PMTCT.
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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.