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The feasibility of preventing mother-to-child transmission of HIV using peer counselors in Zimbabwe
BACKGROUND: Prevention of mother-to-child transmission of HIV (PMTCT) is a major public health challenge in Zimbabwe. METHODS: Using trained peer counselors, a nevirapine (NVP)-based PMTCT program was implemented as part of routine care in urban antenatal clinics. RESULTS: Between October 2002 and D...
Autores principales: | , , , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2008
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2517064/ https://www.ncbi.nlm.nih.gov/pubmed/18673571 http://dx.doi.org/10.1186/1742-6405-5-17 |
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author | Shetty, Avinash K Marangwanda, Caroline Stranix-Chibanda, Lynda Chandisarewa, Winfreda Chirapa, Elizabeth Mahomva, Agnes Miller, Anna Simoyi, Micah Maldonado, Yvonne |
author_facet | Shetty, Avinash K Marangwanda, Caroline Stranix-Chibanda, Lynda Chandisarewa, Winfreda Chirapa, Elizabeth Mahomva, Agnes Miller, Anna Simoyi, Micah Maldonado, Yvonne |
author_sort | Shetty, Avinash K |
collection | PubMed |
description | BACKGROUND: Prevention of mother-to-child transmission of HIV (PMTCT) is a major public health challenge in Zimbabwe. METHODS: Using trained peer counselors, a nevirapine (NVP)-based PMTCT program was implemented as part of routine care in urban antenatal clinics. RESULTS: Between October 2002 and December 2004, a total of 19,279 women presented for antenatal care. Of these, 18,817 (98%) underwent pre-test counseling; 10,513 (56%) accepted HIV testing, of whom 1986 (19%) were HIV-infected. Overall, 9696 (92%) of women collected results and received individual post-test counseling. Only 288 men opted for HIV testing. Of the 1807 HIV-infected women who received posttest counseling, 1387 (77%) collected NVP tablet and 727 (40%) delivered at the clinics. Of the 1986 HIV-infected women, 691 (35%) received NVPsd at onset of labor, and 615 (31%) infants received NVPsd. Of the 727 HIV-infected women who delivered in the clinics, only 396 women returned to the clinic with their infants for the 6-week follow-up visit; of these mothers, 258 (59%) joined support groups and 234 (53%) opted for contraception. By the end of the study period, 209 (53%) of mother-infant pairs (n = 396) came to the clinic for at least 3 follow-up visits. CONCLUSION: Despite considerable challenges and limited resources, it was feasible to implement a PMTCT program using peer counselors in urban clinics in Zimbabwe. |
format | Text |
id | pubmed-2517064 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-25170642008-08-16 The feasibility of preventing mother-to-child transmission of HIV using peer counselors in Zimbabwe Shetty, Avinash K Marangwanda, Caroline Stranix-Chibanda, Lynda Chandisarewa, Winfreda Chirapa, Elizabeth Mahomva, Agnes Miller, Anna Simoyi, Micah Maldonado, Yvonne AIDS Res Ther Research BACKGROUND: Prevention of mother-to-child transmission of HIV (PMTCT) is a major public health challenge in Zimbabwe. METHODS: Using trained peer counselors, a nevirapine (NVP)-based PMTCT program was implemented as part of routine care in urban antenatal clinics. RESULTS: Between October 2002 and December 2004, a total of 19,279 women presented for antenatal care. Of these, 18,817 (98%) underwent pre-test counseling; 10,513 (56%) accepted HIV testing, of whom 1986 (19%) were HIV-infected. Overall, 9696 (92%) of women collected results and received individual post-test counseling. Only 288 men opted for HIV testing. Of the 1807 HIV-infected women who received posttest counseling, 1387 (77%) collected NVP tablet and 727 (40%) delivered at the clinics. Of the 1986 HIV-infected women, 691 (35%) received NVPsd at onset of labor, and 615 (31%) infants received NVPsd. Of the 727 HIV-infected women who delivered in the clinics, only 396 women returned to the clinic with their infants for the 6-week follow-up visit; of these mothers, 258 (59%) joined support groups and 234 (53%) opted for contraception. By the end of the study period, 209 (53%) of mother-infant pairs (n = 396) came to the clinic for at least 3 follow-up visits. CONCLUSION: Despite considerable challenges and limited resources, it was feasible to implement a PMTCT program using peer counselors in urban clinics in Zimbabwe. BioMed Central 2008-08-01 /pmc/articles/PMC2517064/ /pubmed/18673571 http://dx.doi.org/10.1186/1742-6405-5-17 Text en Copyright © 2008 Shetty et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Shetty, Avinash K Marangwanda, Caroline Stranix-Chibanda, Lynda Chandisarewa, Winfreda Chirapa, Elizabeth Mahomva, Agnes Miller, Anna Simoyi, Micah Maldonado, Yvonne The feasibility of preventing mother-to-child transmission of HIV using peer counselors in Zimbabwe |
title | The feasibility of preventing mother-to-child transmission of HIV using peer counselors in Zimbabwe |
title_full | The feasibility of preventing mother-to-child transmission of HIV using peer counselors in Zimbabwe |
title_fullStr | The feasibility of preventing mother-to-child transmission of HIV using peer counselors in Zimbabwe |
title_full_unstemmed | The feasibility of preventing mother-to-child transmission of HIV using peer counselors in Zimbabwe |
title_short | The feasibility of preventing mother-to-child transmission of HIV using peer counselors in Zimbabwe |
title_sort | feasibility of preventing mother-to-child transmission of hiv using peer counselors in zimbabwe |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2517064/ https://www.ncbi.nlm.nih.gov/pubmed/18673571 http://dx.doi.org/10.1186/1742-6405-5-17 |
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