Evidence map›Paper›PMID 26113893›Full record

ArticleThe Pan African medical journal2014

Implementing primary health care-based PMTCT interventions: operational perspectives from Muhima cohort analysis (Rwanda).

Maurice Bucagu, John Muganda

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Article in The Pan African medical journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Maurice BucaguWorld Health Organization Department of Maternal, Newborn, Child and Adolescent Health, Geneva, Switzerland.
John MugandaKing Faisal Hospital, Department of Obstetrics & Gynecology, Kigali, Rwanda.

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionIn countries with high burden of HIV, major programmatic challenges have been identified to preventing new infections among children and scaling up of treatment for pregnant mothers. We initiated this study to examine operational approaches that were used to enhance implementation of PMTCT interventions in Muhima health Centre (Kigali/Rwanda) from 2007 to 2010.

methodsThe prospective cohort study was conducted at Muhima health centre. A sample size of 656 was the minimum number required for the study. The main outcome was cumulative incidence of mother - to - child transmission of HIV-1 measured at 6 weeks of life among live born children.

resultsAmong the 679 live born babies and followed up in this study, the overall cumulative rate of HIV-1 mother - to - child transmission observed was 3.2% at 6 weeks of age after birth. Disclosure of HIV status to partner was significantly associated with HIV-1 status of infants at 6 weeks of age (non-disclosure of HIV status adjusted odds ratio [AOR] 4.68, CI 1.39 to 15.77, p.

conclusionThe Muhima type of decentralized health facility offered an appropriate platform for implementation of PMTCT interventions, with the following operational features: family - centered approach; integrated service delivery for PMTCT/MCH interventions, task shifting; subsidized membership fees for people living with HIV, allowing for access to the community-based health insurance benefits.

Indexed as

AdolescentAdultAnti-HIV AgentsCohort StudiesFemaleHIV-1HIV InfectionsHumansInfectious Disease Transmission, VerticalMaleMiddle AgedPregnancyPregnancy Complications, InfectiousPrimary Health CareProspective StudiesRwandaAnti-HIV Agentscohortcommunity-based health insuranceintegrated service deliveryoperational considerationsPMTCT implementationprimary health careRwandatask shifting

Identifiers

PMID26113893
PMCPMC4473790

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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.