Evidence map›Paper›PMID 25329169›Full record

ArticlePloS one2014

Antiretroviral therapy program expansion in Zambézia Province, Mozambique: geospatial mapping of community-based and health facility data for integrated health planning.

Troy D Moon, Ezequiel B Ossemane, Ann F Green, Elisée Ndatimana, Eurico José, Charlotte P Buehler, C William Wester, Sten H Vermund, Omo Olupona

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact, top 94% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Troy D MoonVanderbilt Institute for Global Health, Nashville, Tennessee, United States of America; Friends in Global Health, LLC, Maputo, Mozambique.
Ezequiel B OssemaneFriends in Global Health, LLC, Maputo, Mozambique.
Ann F GreenVanderbilt Institute for Global Health, Nashville, Tennessee, United States of America; Friends in Global Health, LLC, Maputo, Mozambique.
Elisée NdatimanaFriends in Global Health, LLC, Maputo, Mozambique.
Eurico JoséFriends in Global Health, LLC, Maputo, Mozambique.
Charlotte P BuehlerVanderbilt Institute for Global Health, Nashville, Tennessee, United States of America.
C William WesterVanderbilt Institute for Global Health, Nashville, Tennessee, United States of America; Friends in Global Health, LLC, Maputo, Mozambique.
Sten H VermundVanderbilt Institute for Global Health, Nashville, Tennessee, United States of America; Friends in Global Health, LLC, Maputo, Mozambique.
Omo OluponaWorld Vision, Maputo, Mozambique.
One World University · MZVanderbilt Health · US

Funding

Vanderbilt University-CIDRZ AIDS International Training and Research ProgramD43TW001035 · FIC · VANDERBILT UNIVERSITY · PI VERMUND, STEN H. · 1998 to 2014
$10.9M
CGH CDC HHS U2G GH000812FIC NIH HHS D43 TW001035NCHHSTP CDC HHS U2G PS000631
6 · The paper itself

Abstract

objectiveTo generate maps reflecting the intersection of community-based Voluntary Counseling and Testing (VCT) delivery points with facility-based HIV program demographic information collected at the district level in three districts (Ile, Maganja da Costa and Chinde) of Zambézia Province, Mozambique; in order to guide planning decisions about antiretroviral therapy (ART) program expansion.

methodsProgram information was harvested from two separate open source databases maintained for community-based VCT and facility-based HIV care and treatment monitoring from October 2011 to September 2012. Maps were created using ArcGIS 10.1. Travel distance by foot within a 10 km radius is generally considered a tolerable distance in Mozambique for purposes of adherence and retention planning.

resultsCommunity-based VCT activities in each of three districts were clustered within geographic proximity to clinics providing ART, within communities with easier transportation access, and/or near the homes of VCT volunteers. Community HIV testing results yielded HIV seropositivity rates in some regions that were incongruent with the Ministry of Health's estimates for the entire district (2-13% vs. 2% in Ile, 2-54% vs. 11.5% in Maganja da Costa, and 23-43% vs. 14.4% in Chinde). All 3 districts revealed gaps in regional disbursement of community-based VCT activities as well as access to clinics offering ART.

conclusionsUse of geospatial mapping in the context of program planning and monitoring allowed for characterizing the location and size of each district's HIV population. In extremely resource limited and logistically challenging settings, maps are valuable tools for informing evidence-based decisions in planning program expansion, including ART.

Indexed as

Anti-HIV AgentsCommunity Health PlanningCommunity Health ServicesHIV InfectionsHumansMass ScreeningMozambiqueVoluntary ProgramsAnti-HIV Agents

Identifiers

PMID25329169
PMCPMC4201452
OpenAlexW1982303745

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.