Evidence map›Paper›PMID 30836827›Full record

ArticleJournal of the International Association of Providers of AIDS Care

Health Provider Perspectives of Health Facility Preparedness and Organization in Implementation of Option B+ among Pregnant and Lactating Women in Central Uganda: A Qualitative Study.

Aggrey David Mukose, Hilde Bastiaens, Esther Buregyeya, Rose Naigino, Fredrick Makumbi, Joshua Musinguzi, Jean-Pierre Van Geertruyden, Rhoda K Wanyenze

Open access · goldAbstract read
In one paragraph

Article in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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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

8 authors at 3 institutions in 2 countries.

Aggrey David Mukose1 Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID 0000-0002-0309-8926
Hilde Bastiaens3 Department of Primary and Interdisciplinary Care, University of Antwerp, Antwerp, Belgium.
Esther Buregyeya4 Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Rose Naigino5 School of Public Health, College of Health Sciences, Makerere University Kampala, Uganda.
Fredrick Makumbi1 Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Joshua Musinguzi6 Ministry of Health, STD/AIDS Control Program, Kampala, Uganda.
Jean-Pierre Van Geertruyden2 Global Health Institute, Department of Epidemiology and Social Medicine, University of Antwerp, Antwerp, Belgium.
Rhoda K Wanyenze4 Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Makerere University · UGUniversity of Antwerp · BEMinistry of Health · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUganda adopted Option B+ for prevention of mother-to-child transmission (PMTCT) of HIV in 2012. However, there is limited data on preparedness and organization of Option B+ services. These data are critical in informing PMTCT programs and provision of universal antiretroviral therapy (ART) for all populations. This study explored health providers' experiences of preparedness and organization of Option B+ services in Central Uganda.

methodsKey informant interviews with 54 health providers from 6 health facilities in 3 districts were conducted. Thematic approach was employed to analyze data.

resultsThemes identified on preparedness were training of frontline health providers and provision of Option B+ guidelines, supervision and mentorship, and provision of essential medicines and medical health supplies, whereas those concerning organization were HIV counseling and testing, ART initiation, follow-up, and patient support mechanisms. Innovations like use of expert clients, assessing women's readiness to start Option B+, and retaining women in antenatal care clinic depending on the need are important in provision of Option B+.

conclusionThis study provides insights into preparedness and organization of Option B+ services which are important in provision of Option B+ and universal ART for all populations. Research around models of follow-up is recommended.

Indexed as

Patient Acceptance of Health CarePregnant PeopleFemaleFocus GroupsHealth FacilitiesHealth PersonnelHealth Plan ImplementationHumansInfectious Disease Transmission, VerticalLactationMalePregnancyPregnancy Complications, InfectiousQualitative ResearchUgandahealth providersOption B+organizationPMTCTpreparedness

Identifiers

PMID30836827
PMCPMC6748525
OpenAlexW2922375788

What OpenQuestion holds

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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.