ArticleBMC public health2018
Pathways of care for HIV infected children in Beira, Mozambique: pre-post intervention study to assess impact of task shifting.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Knowledge, attitudes, and perceived barriers to tuberculosis care among patients and household contacts in Wolisso District, Oromia Region, Ethiopia.Journal of clinical tuberculosis and other mycobacterial diseases · 2026Article
- Medication Patterns as a Lens on Health Needs Among Migrant Agricultural Workers in Informal Settlements in Apulia: A Descriptive Outreach Study.Infectious disease reports · 2026Article
- Antimicrobial Resistance in Sub-Saharan Africa: A Comprehensive Landscape Review.The American journal of tropical medicine and hygiene · 2025Review
- Advancing Sustainable HIV Services Through Integration in Primary Healthcare in Sub-Saharan Africa: A Perspective on Practical Recommendations.Healthcare (Basel, Switzerland) · 2025Article
- Bridging Gaps in Migrant Healthcare: CUAMM's Experience from 13,103 Visits in Southern Italy.Annals of global health · 2025Article
- Optimizing the roles of health workers to improve access to health services in Africa: an implementation framework for task shifting and sharing for policy and practice.BMC health services research · 2023Article
- Task Shifting and Task Sharing Implementation in Africa: A Scoping Review on Rationale and Scope.Healthcare (Basel, Switzerland) · 2023Article
- Article
- Leveraging HIV Care Infrastructures for Integrated Chronic Disease and Pandemic Management in Sub-Saharan Africa.International journal of environmental research and public health · 2021Article
- Mozambican Adolescents and Youths during the COVID-19 Pandemic: Knowledge and Awareness Gaps in the Provinces of Sofala and Tete.Healthcare (Basel, Switzerland) · 2021Article
- Article
- Mother-to-child transmission of HIV infection and its associated factors in the district of Bilene, Gaza Province-Mozambique.PloS one · 2021Article
- Epidemiology, Outcomes, and Risk Factors for Mortality in Critically Ill Women Admitted to an Obstetric High-Dependency Unit in Sierra Leone.The American journal of tropical medicine and hygiene · 2020Article
- Lung Ultrasound Findings Compared with Chest X-Ray Findings in Known Pulmonary Tuberculosis Patients: A Cross-Sectional Study in Lima, Peru.The American journal of tropical medicine and hygiene · 2020Article
- Malaria and COVID-19: Common and Different Findings.Tropical medicine and infectious disease · 2020Article
- Capacity assessment for provision of quality sexual reproductive health and HIV-integrated services in Karamoja, Uganda.African health sciences · 2020Article
- Cost-Utility of Intermediate Obstetric Critical Care in a Resource-Limited Setting: A Value-Based Analysis.Annals of global health · 2020Article
- Article
- Uncommon testicular localization of Disseminated TB: a case report from Mozambique.The new microbiologica · 2019Article
- Observational
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2013, Mozambique implemented task-shifting (TS) from clinical officers to maternal and child nurses to improve care for HIV positive children < 5 years old. A retrospective, pre-post intervention study was designed to evaluate effectiveness of a new pathway of care in a sample of Beira District Local Health Facilities (LHFs), the primary, local, community healthcare services.
methodsThe study was conducted by accessing registries of At Risk Children Clinics (ARCCs) and HIV Health Services. Two time periods, pre- and post-intervention, were compared using a set of endpoints. Variables distribution was explored using descriptive statistics. T-student, Mann Whitney and Chi-square tests were used for comparisons.
resultsOverall, 588 HIV infected children (F = 51.4%) were recruited, 330 belonging to the post intervention period. The mean time from referral to ARCC until initiation of ART decreased from 2.3 (± 4.4) to 1.1 (± 5.0) months after the intervention implementation (p-value: 0.000). A significant increase of Isoniazid prophylaxis (O.R.: 2.69; 95%CI: 1.7-4.15) and a decrease of both regular nutritional assessment (O.R. = 0.45; 95%CI: 0.31-0.64) and CD4 count at the beginning of ART (O.R. = 0.46; 95%CI: 0.32-0.65) were documented after the intervention.
conclusionsDespite several limitations and controversial results on nutrition assessment and CD4 count at the initiation of ART reported after the intervention, it could be assumed that TS alone may play a role in the improvement of the global effectiveness of care for HIV infected children only if integrated into a wider range of public health measures.
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