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A 6-Country Collaborative Quality Improvement Initiative to Improve Nutrition and Decrease Mother-to-Child Transmission of HIV in Mother–Infant Pairs

Despite advances in coverage and quality of prevention of mother-to-child transmission (PMTCT) programs, infant protection from postnatal HIV infection remains an issue in high HIV-burdened countries. We designed a quality improvement (QI) intervention—the Partnership for HIV-Free Survival (PHFS)—to...

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Autores principales: Barker, Pierre, Quick, Timothy, Agins, Bruce, Rollins, Nigel, Sint, Tin Tin, Stern, Amy F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748542/
https://www.ncbi.nlm.nih.gov/pubmed/31242800
http://dx.doi.org/10.1177/2325958219855625
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author Barker, Pierre
Quick, Timothy
Agins, Bruce
Rollins, Nigel
Sint, Tin Tin
Stern, Amy F.
author_facet Barker, Pierre
Quick, Timothy
Agins, Bruce
Rollins, Nigel
Sint, Tin Tin
Stern, Amy F.
author_sort Barker, Pierre
collection PubMed
description Despite advances in coverage and quality of prevention of mother-to-child transmission (PMTCT) programs, infant protection from postnatal HIV infection remains an issue in high HIV-burdened countries. We designed a quality improvement (QI) intervention—the Partnership for HIV-Free Survival (PHFS)—to improve infant survival. PHFS convened leaders in 6 sub-Saharan African nations to discover together the best strategies for implementing and scaling up existing PMTCT protocols to ensure optimal health of mother–baby pairs and HIV-free infant survival. We used 3 core technical components—rapid adaptive design, collaborative learning, and scale-up/sustainability designs—to test strategies for accelerating effective PMTCT programming in complex, resource-poor settings. Learning generated included the need for increased ownership and codesign of improvement initiatives with Ministries of Health, better integration of initiatives into existing programs, and the need to sustain QI capability throughout the system. PHFS can serve as a design prototype for future global networks aiming to accelerate improvement, learning, and results.
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spelling pubmed-67485422019-11-04 A 6-Country Collaborative Quality Improvement Initiative to Improve Nutrition and Decrease Mother-to-Child Transmission of HIV in Mother–Infant Pairs Barker, Pierre Quick, Timothy Agins, Bruce Rollins, Nigel Sint, Tin Tin Stern, Amy F. J Int Assoc Provid AIDS Care Partnership for HIV-free Survival (PHFS) Despite advances in coverage and quality of prevention of mother-to-child transmission (PMTCT) programs, infant protection from postnatal HIV infection remains an issue in high HIV-burdened countries. We designed a quality improvement (QI) intervention—the Partnership for HIV-Free Survival (PHFS)—to improve infant survival. PHFS convened leaders in 6 sub-Saharan African nations to discover together the best strategies for implementing and scaling up existing PMTCT protocols to ensure optimal health of mother–baby pairs and HIV-free infant survival. We used 3 core technical components—rapid adaptive design, collaborative learning, and scale-up/sustainability designs—to test strategies for accelerating effective PMTCT programming in complex, resource-poor settings. Learning generated included the need for increased ownership and codesign of improvement initiatives with Ministries of Health, better integration of initiatives into existing programs, and the need to sustain QI capability throughout the system. PHFS can serve as a design prototype for future global networks aiming to accelerate improvement, learning, and results. SAGE Publications 2019-06-27 /pmc/articles/PMC6748542/ /pubmed/31242800 http://dx.doi.org/10.1177/2325958219855625 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Partnership for HIV-free Survival (PHFS)
Barker, Pierre
Quick, Timothy
Agins, Bruce
Rollins, Nigel
Sint, Tin Tin
Stern, Amy F.
A 6-Country Collaborative Quality Improvement Initiative to Improve Nutrition and Decrease Mother-to-Child Transmission of HIV in Mother–Infant Pairs
title A 6-Country Collaborative Quality Improvement Initiative to Improve Nutrition and Decrease Mother-to-Child Transmission of HIV in Mother–Infant Pairs
title_full A 6-Country Collaborative Quality Improvement Initiative to Improve Nutrition and Decrease Mother-to-Child Transmission of HIV in Mother–Infant Pairs
title_fullStr A 6-Country Collaborative Quality Improvement Initiative to Improve Nutrition and Decrease Mother-to-Child Transmission of HIV in Mother–Infant Pairs
title_full_unstemmed A 6-Country Collaborative Quality Improvement Initiative to Improve Nutrition and Decrease Mother-to-Child Transmission of HIV in Mother–Infant Pairs
title_short A 6-Country Collaborative Quality Improvement Initiative to Improve Nutrition and Decrease Mother-to-Child Transmission of HIV in Mother–Infant Pairs
title_sort 6-country collaborative quality improvement initiative to improve nutrition and decrease mother-to-child transmission of hiv in mother–infant pairs
topic Partnership for HIV-free Survival (PHFS)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748542/
https://www.ncbi.nlm.nih.gov/pubmed/31242800
http://dx.doi.org/10.1177/2325958219855625
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