ArticleBMC public health2009
Improving the coverage of the PMTCT programme through a participatory quality improvement intervention in South Africa.
Article in BMC public health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02626351 (Optimizing the Delivery of Maternal and Child Health Services to Strengthen the Primary Health Care System in Rural South Africa), which is not on this map. Cited by 53 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Optimizing the Delivery of Maternal and Child Health Services to Strengthen the Primary Health Care System in Rural South Africa
Who cites it
53 citing papers in PubMed, 3 syntheses or guidelines pooled it, 122 citations in OpenAlex.
- Effective non-drug interventions for improving outcomes and quality of maternal health care in sub-Saharan Africa: a systematic review.Systematic reviews · 2016Pooled 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
- Missed opportunities to prevent mother-to-child-transmission: systematic review and meta-analysis.AIDS (London, England) · 2012Pooled it
- Integrated provision of topical pre-exposure prophylaxis in routine family planning services in South Africa: a non-inferiority randomized controlled trial.Journal of the International AIDS Society · 2019Trial
- Scaling-up the Systems Analysis and Improvement Approach for prevention of mother-to-child HIV transmission in Mozambique (SAIA-SCALE): a stepped-wedge cluster randomized trial.Implementation science : IS · 2019Trial
- Addressing challenges in scaling up TB and HIV treatment integration in rural primary healthcare clinics in South Africa (SUTHI): a cluster randomized controlled trial protocol.Implementation science : IS · 2017Trial
- Continuous quality improvement interventions to improve long-term outcomes of antiretroviral therapy in women who initiated therapy during pregnancy or breastfeeding in the Democratic Republic of Congo: design of an open-label, parallel, group randomized trial.BMC health services research · 2017Trial
- The prevention of mother-to-child transmission of HIV cascade analysis tool: supporting health managers to improve facility-level service delivery.BMC research notes · 2014Trial
- Systems analysis and improvement to optimize pMTCT (SAIA): a cluster randomized trial.Implementation science : IS · 2014Trial
- Effect of health-system continuous quality improvement on long-term retention in HIV care among pregnant and breastfeeding women in the Democratic Republic of Congo: A cluster-randomized trial.medRxiv : the preprint server for health sciences · 2026Article
- Decision-maker roles in healthcare quality improvement projects: a scoping review.BMJ open quality · 2024Article
- Association of comprehensiveness of antiretroviral care and detectable HIV viral load suppression among pregnant and postpartum women in the Democratic Republic of the Congo: a cross-sectional study.Frontiers in global women's health · 2024Article
- Service delivery interventions to improve maternal and newborn health in low- and middle-income countries: scoping review of quality improvement, implementation research and health system strengthening approaches.BMC health services research · 2023Article
- Direct financial assistance for improved maternal and child health data: a pilot study supporting the health management information system in Malawi.BMC health services research · 2022Article
- Improving curriculum delivery: Using a results informed quality improvement model for teen behavioral health education.Frontiers in public health · 2022Article
- Investigating the quality of HIV rapid testing practices in public antenatal health care facilities, South Africa.PloS one · 2022Article
- Health management information system (HMIS) data quality and associated factors in Massaguet district, Chad.BMC medical informatics and decision making · 2021Article
- Barriers to the management of children under five exposed to HIV in the rural areas of South Africa.Curationis · 2021Article
- Evaluation of an SMS-based mHealth intervention to enhance early infant diagnosis follow-up testing and assessment of postnatal prophylaxis.Southern African journal of HIV medicine · 2021Article
- Harnessing the health systems strengthening potential of quality improvement using realist evaluation: an example from southern Tanzania.Health policy and planning · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite several years of implementation, prevention of mother-to-child transmission (PMTCT) programmes in many resource poor settings are failing to reach the majority of HIV positive women. We report on a data driven participatory quality improvement intervention implemented in a high HIV prevalence district in South Africa.
methodsA participatory quality improvement intervention was implemented consisting of an initial assessment undertaken by a team of district supervisors, workshops to assess results, identify weaknesses and set improvement targets and continuous monitoring to support changes.
resultsThe assessment highlighted weaknesses in training and supervision. Routine data revealed poor coverage of all programme indicators except HIV testing. Monthly support to all facilities took place including an orientation to the PMTCT protocol, review of local data and identification of bottlenecks to optimal coverage using a continuous quality improvement approach. One year following the intervention large improvements in programme indicators were observed. Coverage of CD4 testing increased from 40 to 97%, uptake of maternal nevirapine from 57 to 96%, uptake of infant nevirapine from 15 to 68% and six week PCR testing from 24 to 68%.
conclusionIt is estimated that these improvements in coverage could avert 580 new infant infections per year in this district. This relatively simple participatory assessment and intervention process has enabled programme managers to use a data driven approach to improve the coverage of this important programme.
Indexed as
Identifiers
What OpenQuestion holds
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.