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Building a national direction for research in the prevention of mother to child transmission of HIV: results from a national prioritization initiative in Malawi
BACKGROUND: In 2011, Malawi initiated an ambitious program for the prevention of maternal to child transmission (PMTCT) of HIV, called 'Option B+,’ which employs a universal test and life-long treatment strategy for all pregnant women. Priority setting should take place in defining a national r...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4231351/ https://www.ncbi.nlm.nih.gov/pubmed/24161044 http://dx.doi.org/10.1186/1478-4505-11-40 |
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author | Landes, Megan Lettow, Monique van Cataldo, Fabian Chan, Adrienne K Barr, Beth Tippett Harries, Anthony D Bedell, Richard |
author_facet | Landes, Megan Lettow, Monique van Cataldo, Fabian Chan, Adrienne K Barr, Beth Tippett Harries, Anthony D Bedell, Richard |
author_sort | Landes, Megan |
collection | PubMed |
description | BACKGROUND: In 2011, Malawi initiated an ambitious program for the prevention of maternal to child transmission (PMTCT) of HIV, called 'Option B+,’ which employs a universal test and life-long treatment strategy for all pregnant women. Priority setting should take place in defining a national research agenda for evaluating Option B + rollout in Malawi. METHODS: In April 2011, a three-day workshop took place for all major stakeholders in PMTCT aiming to provide an update on current PMTCT operational research in Malawi, find consensus on key questions not yet being addressed, identify opportunities for collaboration, and develop multi-partner research proposals. RESULTS: Overall, 24 participants attended the workshop including representatives from the Ministry of Health, the National AIDS Commission and 12 multilateral, non-governmental organizations and academic partners. Three interrelated clusters emerged as priorities for research: i) pregnancy intentions and family planning needs; ii) evaluation of models of care; and iii) determinants of uptake, adherence, and retention of women for Option B+. In addition, two cross-cutting themes arose: partner involvement in PMTCT services and cost-effectiveness as a guide to priority setting. Within each cluster a coordinator was designated and a proposed plan for research and potential collaborators were discussed. The results of the workshop were presented to the national technical working groups and the National AIDS Commission. Several large-scale, collaborative proposals have been developed and funded to address the research areas defined. CONCLUSIONS: Option B + represents a significant change in PMTCT policy in Malawi and the process for evaluation of the Malawi PMTCT strategy is outlined. This workshop contributed to defining and coordinating the national agenda for research priorities. |
format | Online Article Text |
id | pubmed-4231351 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-42313512014-11-15 Building a national direction for research in the prevention of mother to child transmission of HIV: results from a national prioritization initiative in Malawi Landes, Megan Lettow, Monique van Cataldo, Fabian Chan, Adrienne K Barr, Beth Tippett Harries, Anthony D Bedell, Richard Health Res Policy Syst Commentary BACKGROUND: In 2011, Malawi initiated an ambitious program for the prevention of maternal to child transmission (PMTCT) of HIV, called 'Option B+,’ which employs a universal test and life-long treatment strategy for all pregnant women. Priority setting should take place in defining a national research agenda for evaluating Option B + rollout in Malawi. METHODS: In April 2011, a three-day workshop took place for all major stakeholders in PMTCT aiming to provide an update on current PMTCT operational research in Malawi, find consensus on key questions not yet being addressed, identify opportunities for collaboration, and develop multi-partner research proposals. RESULTS: Overall, 24 participants attended the workshop including representatives from the Ministry of Health, the National AIDS Commission and 12 multilateral, non-governmental organizations and academic partners. Three interrelated clusters emerged as priorities for research: i) pregnancy intentions and family planning needs; ii) evaluation of models of care; and iii) determinants of uptake, adherence, and retention of women for Option B+. In addition, two cross-cutting themes arose: partner involvement in PMTCT services and cost-effectiveness as a guide to priority setting. Within each cluster a coordinator was designated and a proposed plan for research and potential collaborators were discussed. The results of the workshop were presented to the national technical working groups and the National AIDS Commission. Several large-scale, collaborative proposals have been developed and funded to address the research areas defined. CONCLUSIONS: Option B + represents a significant change in PMTCT policy in Malawi and the process for evaluation of the Malawi PMTCT strategy is outlined. This workshop contributed to defining and coordinating the national agenda for research priorities. BioMed Central 2013-10-26 /pmc/articles/PMC4231351/ /pubmed/24161044 http://dx.doi.org/10.1186/1478-4505-11-40 Text en Copyright © 2013 Landes 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 | Commentary Landes, Megan Lettow, Monique van Cataldo, Fabian Chan, Adrienne K Barr, Beth Tippett Harries, Anthony D Bedell, Richard Building a national direction for research in the prevention of mother to child transmission of HIV: results from a national prioritization initiative in Malawi |
title | Building a national direction for research in the prevention of mother to child transmission of HIV: results from a national prioritization initiative in Malawi |
title_full | Building a national direction for research in the prevention of mother to child transmission of HIV: results from a national prioritization initiative in Malawi |
title_fullStr | Building a national direction for research in the prevention of mother to child transmission of HIV: results from a national prioritization initiative in Malawi |
title_full_unstemmed | Building a national direction for research in the prevention of mother to child transmission of HIV: results from a national prioritization initiative in Malawi |
title_short | Building a national direction for research in the prevention of mother to child transmission of HIV: results from a national prioritization initiative in Malawi |
title_sort | building a national direction for research in the prevention of mother to child transmission of hiv: results from a national prioritization initiative in malawi |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4231351/ https://www.ncbi.nlm.nih.gov/pubmed/24161044 http://dx.doi.org/10.1186/1478-4505-11-40 |
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