Evidence map›Paper›PMID 32284888›Full record

ArticleSouthern African journal of HIV medicine2020

Implementation of a PMTCT programme in a high HIV prevalence setting in Johannesburg, South Africa: 2002-2015.

Coceka N Mnyani, Carol L Tait, Remco P H Peters, Helen Struthers, Avy Violari, Glenda Gray, Eckhart J Buchmann, Matthew F Chersich, James A McIntyre

Open access · goldAbstract read
In one paragraph

Article in Southern African journal of HIV medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 34% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Factors affecting antenatal care attendance in Soweto, Johannesburg: The three-delay model.African journal of primary health care & family medicine · 2024
    Article
  7. Article
  8. Article
  9. SAHCS 2021 Conference Summary.Southern African journal of HIV medicine · 2022
    Article
  10. Article
  11. Article
  12. Editorial.Southern African journal of HIV medicine · 2020
    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 4 institutions in 2 countries.

Coceka N MnyaniDepartment of Obstetrics and Gynaecology, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0001-5711-7902
Carol L TaitAnova Health Institute, Johannesburg, South Africa.ORCID https://orcid.org/0000-0002-7521-1836
Remco P H PetersAnova Health Institute, Johannesburg, South Africa.ORCID https://orcid.org/0000-0003-2124-7275
Helen StruthersAnova Health Institute, Johannesburg, South Africa.ORCID https://orcid.org/0000-0001-7468-3148
Avy ViolariPerinatal HIV Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0002-9437-776X
Glenda GrayPerinatal HIV Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0003-4649-1477
Eckhart J BuchmannDepartment of Obstetrics and Gynaecology, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0002-8083-2469
Matthew F ChersichWits Reproductive Health and HIV Institute, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID 0000-0002-4320-9168
James A McIntyreAnova Health Institute, Johannesburg, South Africa.ORCID https://orcid.org/0000-0002-9150-1059
University of the Witwatersrand · ZAAnova Health Institute · ZAUniversity of Cape Town · ZAPerinatal HIV Research Unit · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGreat strides have been made in decreasing paediatric human immunodeficiency virus (HIV) infections, especially in sub-Saharan Africa. In South Africa, new paediatric HIV infections decreased by 84% between 2009 and 2015. This achievement is a result of a strong political will and the rapid evolution of the country's prevention of mother-to-child transmission (PMTCT) guidelines.

objectivesIn this paper we report on the implementation of a large PMTCT programme in Soweto, South Africa.

methodsWe reviewed routinely collected PMTCT data from 13 healthcare facilities, for the period 2002-2015. Antiretroviral therapy (ART) coverage among pregnant women living with HIV (PWLHIV) and the mother-to-child transmission (MTCT) rate at early infant diagnosis were evaluated.

resultsIn total, 360 751 pregnant women attended the facilities during the review period, and the HIV prevalence remained high throughout at around 30%. The proportion of PWLHIV presenting with a known HIV status increased from 14.3% in 2009 when the indicator was first collected to 45% in 2015,

conclusionThe achievements in decreasing paediatric HIV infections have been hailed as one of the greatest public health achievements of our times. While there are inherent limitations with using routinely collected aggregate data, the Soweto data reflect progress made in the implementation of PMTCT programmes in South Africa. Progress with PMTCT has, however, not been accompanied by a decline in HIV prevalence among pregnant women.

Indexed as

health systemspaediatric HIV infectionPMTCTpregnant women living with HIV (PWLHIV)South Africa

Identifiers

PMID32284888
PMCPMC7136691
OpenAlexW3012883223

What OpenQuestion holds

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LicenceCC BY
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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.