Evidence map›Paper›PMID 35294386›Full record

ArticleGlobal health, science and practice2022

Implementation of HIV Retesting During Pregnancy and Postpartum in Kenya: A Cross-Sectional Study.

Monalisa Penumetsa, Jillian Neary, Shiza Farid, Peninah Kithao, Barbra A Richardson, Daniel Matemo, Grace John-Stewart, John Kinuthia, Alison L Drake

Open access · diamondAbstract read
In one paragraph

Article in Global health, science and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 16 citations in OpenAlex.

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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

9 authors at 2 institutions in 2 countries.

Monalisa PenumetsaDepartment of Epidemiology, University of Washington, Seattle, WA, USA.
Jillian NearyDepartment of Epidemiology, University of Washington, Seattle, WA, USA.
Shiza FaridDepartment of Epidemiology, University of Washington, Seattle, WA, USA.
Peninah KithaoResearch and Programs, Kenyatta National Hospital, Nairobi, Kenya.
Barbra A RichardsonDepartment of Global Health, University of Washington, Seattle, WA, USA.
Daniel MatemoResearch and Programs, Kenyatta National Hospital, Nairobi, Kenya.
Grace John-StewartDepartment of Epidemiology, University of Washington, Seattle, WA, USA.
John KinuthiaResearch and Programs, Kenyatta National Hospital, Nairobi, Kenya.
Alison L DrakeDepartment of Global Health, University of Washington, Seattle, WA, USA. adrake2@uw.edu.
University of Washington · USKenyatta National Hospital · KE

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Kenneth Sherr · 1988 to 2026
$104.9M
Methods and Data CoreR24HD042828 · NICHD · UNIVERSITY OF WASHINGTON · PI CURRAN, SARA R. · 2002 to 2016
$9.3M
Scientific/Technical CoreP2CHD042828 · NICHD · UNIVERSITY OF WASHINGTON · PI SARA R. CURRAN · 2017 to 2026
$6.3M
Optimizing repeat HIV testing during pregnancy and postpartum for PMTCTK01AI116298 · NIAID · UNIVERSITY OF WASHINGTON · PI DRAKE, ALISON L · 2015 to 2019
$632k
NIAID NIH HHS K01 AI116298NIAID NIH HHS P30 AI027757NICHD NIH HHS P2C HD042828
6 · The paper itself

Abstract

introductionHIV retesting during pregnancy/postpartum can identify incident maternal HIV infection and prevent mother-to-child HIV transmission (MTCT). Guidelines recommend retesting HIV-negative peripartum women, but data on implementation are limited. We conducted a cross-sectional study in Kenya to measure the prevalence of maternal HIV retesting in programs and HIV incidence.

methodsProgrammatic HIV retesting data was abstracted from maternal and child health booklets among women enrolled in a cross-sectional and/or seeking services during pregnancy, delivery, or 9 months postpartum in Kenya between January 2017 and July 2019. Retesting was defined as any HIV test conducted by MTCT programs after the initial antenatal care test or conducted as part of retesting policies at/after delivery for women not tested during pregnancy. Poisson generalized linear regression was used to identify correlates of programmatic retesting among women enrolled at 9 months postpartum.

resultsAmong 5,894 women included in the analysis, 3,124 only had data abstracted and 2,770 were enrolled in a cross-sectional study. Overall prevalence of programmatic HIV retesting was higher at 6 weeks (65%) and 9 months postpartum (72%) than in pregnancy (32%), at delivery (23%) and 6 months postpartum (28%) (

conclusionMaternal retest coverage was high at 6 weeks and 9 months postpartum but low during pregnancy. Strategies to ensure high retesting coverage and detect women with incident maternal HIV infection are needed.

Indexed as

HIV InfectionsPregnancy Complications, InfectiousCross-Sectional StudiesFemaleHumansInfectious Disease Transmission, VerticalKenyaPostpartum PeriodPregnancy

Identifiers

PMID35294386
PMCPMC8885347
OpenAlexW4214519422

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.