ArticleBMC infectious diseases2016
Evaluation of Kenya's readiness to transition from sentinel surveillance to routine HIV testing for antenatal clinic-based HIV surveillance.
Article in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Exploring the validity of routine individuated service data for antenatal HIV surveillance in the Western Cape.BMC infectious diseases · 2025Article
- Exploring the validity of routine individuated service data for antenatal HIV surveillance in the Western Cape.Research square · 2024Article
- Triangulation of Routine Antenatal HIV Prevalence Data and Adjusted HIV Estimates in Mozambique.Journal of acquired immune deficiency syndromes (1999) · 2024Article
- 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
- Article
- Investigating the quality of HIV rapid testing practices in public antenatal health care facilities, South Africa.PloS one · 2022Article
- Sub optimal HIV status ascertainment at antenatal clinics and the impact on HIV prevalence estimates: A cross sectional study.PloS one · 2022Article
- Feasibility of using infant testing during immunization to estimate HIV mother-to-child-transmission rates in Zambia.BMC infectious diseases · 2021Article
- Comprehensive investigation of sources of misclassification errors in routine HIV testing in Zimbabwe.Journal of the International AIDS Society · 2021Article
- Comparison of HIV prevalence among antenatal clinic attendees estimated from routine testing and unlinked anonymous testing.Statistics in biosciences · 2020Article
- Assessment of readiness to transition from antenatal HIV surveillance surveys to PMTCT programme data-based HIV surveillance in South Africa: The 2017 Antenatal Sentinel HIV Survey.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2020Article
- HIV surveillance based on routine testing data from antenatal clinics in Malawi (2011-2018): measuring and adjusting for bias from imperfect testing coverage.AIDS (London, England) · 2019Article
- Evaluation of Senegal's prevention of mother to child transmission of HIV (PMTCT) program data for HIV surveillance.BMC infectious diseases · 2018Article
- HIV Surveillance Among Pregnant Women Attending Antenatal Clinics: Evolution and Current Direction.JMIR public health and surveillance · 2017Article
- Transitioning from antenatal surveillance surveys to routine HIV testing: a turning point in the mother-to-child transmission prevention programme for HIV surveillance in Brazil.BMC infectious diseases · 2017Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundSentinel surveillance for HIV among women attending antenatal clinics using unlinked anonymous testing is a cornerstone of HIV surveillance in sub-Saharan Africa. Increased use of routine antenatal HIV testing allows consideration of using these programmatic data rather than sentinel surveillance data for HIV surveillance.
methodsTo gauge Kenya's readiness to discontinue sentinel surveillance, we evaluated whether recommended World Health Organization standards were fulfilled by conducting data and administrative reviews of antenatal clinics that offered both routine testing and sentinel surveillance in 2010.
resultsThe proportion of tests that were HIV-positive among women aged 15-49 years was 6.2% (95% confidence interval [CI] 4.6-7.7%] in sentinel surveillance and 6.5% (95% CI 5.1-8.0%) in routine testing. The agreement of HIV test results between sentinel surveillance and routine testing was 98.0%, but 24.1% of specimens that tested positive in sentinel surveillance were recorded as negative in routine testing. Data completeness was moderate, with HIV test results recorded for 87.8% of women who received routine testing.
conclusionsAdditional preparation is required before routine antenatal HIV testing data can supplant sentinel surveillance in Kenya. As the quality of program data has markedly improved since 2010 a repeat evaluation of the use of routine antenatal HIV testing data in lieu of ANC sentinel surveillance is recommended.
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