scholarly journals A quality improvement model for the rapid scale-up of a program to prevent mother-to-child HIV transmission in South Africa

2013 ◽  
Vol 25 (4) ◽  
pp. 373-380 ◽  
Author(s):  
Kedar S. Mate ◽  
Gugu Ngubane ◽  
Pierre M. Barker
Keyword(s):  
South Africa ◽  
Quality Improvement ◽  
Hiv Transmission ◽  
Scale Up ◽  
Mother To Child

scholarly journals Elimination of mother-to-child transmission of HIV in South Africa: Rapid scale-up using quality improvement

2014 ◽  
Vol 104 (3) ◽  
pp. 239 ◽  
Author(s):  
S Bhardwaj ◽  
P Barron ◽  
Y Pillay ◽  
L Treger-Slavin ◽  
P Robinson ◽  
...  
Keyword(s):  
South Africa ◽  
Quality Improvement ◽  
Scale Up ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Mother To Child

scholarly journals An audit of mother to child HIV transmission rates and neonatal outcomes at a tertiary hospital in South Africa

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Ghad Benali ◽  
Tanusha Ramdin ◽  
Daynia Ballot
Keyword(s):  
South Africa ◽  
Birth Weight ◽  
Hiv Transmission ◽  
Tertiary Hospital ◽  
Academic Hospital ◽  
Child Transmission ◽  
Transmission Rates ◽  
Hiv Exposure ◽  
Hiv Exposed ◽  
Mother To Child

Abstract Objective The aim of this study was to explore the prevalence of congenital HIV infection of neonates at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH) between 2015 and 2017, as well as compare the HIV PCR positive and HIV PCR negative neonates. Results A total number of 1443 HIV exposed neonates was examined for the study period out of a total of 5029 admissions (HIV exposure 28.6%) The study found that the rate of HIV transmission at birth was 2.52%. The majority of infants had low birth weight and were also born prematurely. These results show that, despite the introduction of the extended mother to child transmission programme, HIV transmission is high.

Conversations With Mothers: Exploring Reasons for Prevention of Mother-to-Child Transmission (PMTCT) Failures in the Era of Programmatic Scale-Up in Soweto, South Africa

2011 ◽  
Vol 16 (1) ◽  
pp. 91-98 ◽  
Author(s):  
Fatima Laher ◽  
Angela Cescon ◽  
Erica Lazarus ◽  
Angela Kaida ◽  
Matamela Makongoza ◽  
...  
Keyword(s):  
South Africa ◽  
Scale Up ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Mother To Child

scholarly journals Applying Quality Improvement Approaches to Reduce Mother-to-Child HIV Transmission and Improve Health and Nutrition Care in Five Countries: Lessons from the Partnership for HIV-Free Survival

2019 ◽  
Vol 18 ◽  
pp. 232595821984745
Author(s):  
Amy F. Stern ◽  
Anisa Ismail ◽  
Esther Karamagi ◽  
Tamara Nsubuga-Nyombi ◽  
Stella Kasindi Mwita ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Hiv Transmission ◽  
Retention In Care ◽  
Complex Problem ◽  
World Health ◽  
Free Survival ◽  
Hiv Positive Women ◽  
Vertical Transmission Of Hiv ◽  
Health Organization ◽  
Mother To Child

The World Health Organization guidelines for treating pregnant HIV-positive women and preventing HIV transmission to infants now recommend lifelong antiretroviral treatment for pregnant and breastfeeding women. We applied quality improvement (QI) methods to support governments and facility staff to address service gaps in 5 countries under the Partnership for HIV-Free Survival (PHFS). We used 3 key strategies: break the complex problem of improving HIV-free survival into more easily implementable phases, support a national management team to oversee the project, and support facility-level staff to learn and apply QI methods to reducing mother-to-child transmission. The key results in each country were increases in data completeness and accuracy, increases in retention in care of mother–baby pairs (MBPs), increase in coverage of MBPs with appropriate services, and reduction in vertical transmission of HIV. The PHFS experience offers a model that other multicountry networks can adopt to improve service delivery and quality of care.

scholarly journals Reducing Mother-to-Child Transmission of HIV Using Quality Improvement Approaches

2019 ◽  
Vol 18 ◽  
pp. 232595821985563
Author(s):  
Nigel Livesley ◽  
Astou Coly ◽  
Esther Karamagi ◽  
Tamara Nsubuga-Nyombi ◽  
Stella Kasindi Mwita ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Control Charts ◽  
Hiv Transmission ◽  
Health Workers ◽  
Care Delivery ◽  
Care Quality ◽  
Data Systems ◽  
Statistical Process ◽  
Statistical Process Control Charts ◽  
Mother To Child

Over half of mother-to-child HIV transmission (MTCT) occurs postdelivery. Keeping mother–infant pairs in care remains challenging. Health workers in 3 countries used quality improvement (QI) approaches to improve data systems, mother–infant retention, and facility-based care delivery. The number and proportion of infants with known HIV status at time of discharge from early infant diagnosis programs increased in Tanzania and Uganda. We analyzed data using statistical process control charts. Mother-to-child HIV transmission did not decrease in 15 Kenyan sites, decreased from 12.7% to 3.8% in 28 Tanzanian sites, and decreased from 17.2% to 1.5% in 10 Ugandan sites with baseline data. This improvement is likely due to the combination of option B+, service delivery improvements, and retention through QI approaches. Reaching the global MTCT elimination target and maximizing infant survival will require health systems to support mother–infant pairs to remain in care and support health workers to deliver care. Quality improvement approaches can support these changes.

scholarly journals The impact of the program for medical male circumcision on HIV in South Africa: analysis using three epidemiological models

2021 ◽  
Vol 5 ◽  
pp. 15
Author(s):  
Eline L. Korenromp ◽  
Anna Bershteyn ◽  
Edina Mudimu ◽  
Renay Weiner ◽  
Collen Bonecwe ◽  
...  
Keyword(s):  
South Africa ◽  
Male Circumcision ◽  
Hiv Transmission ◽  
Scale Up ◽  
Household Survey ◽  
Hiv Infections ◽  
Treatment Needs ◽  
Medical Male Circumcision ◽  
Hiv Epidemic ◽  
The Impact

Background: South Africa began offering medical male circumcision (MMC) in 2010. We evaluated the current and future impact of this program to see if it is effective in preventing new HIV infections. Methods: The Thembisa, Goals and Epidemiological Modeling Software (EMOD) HIV transmission models were calibrated to South Africa’s HIV epidemic, fitting to household survey data on HIV prevalence, risk behaviors, and proportions of men circumcised, and to programmatic data on intervention roll-out including program-reported MMCs over 2009-2017. We compared the actual program accomplishments through 2017 and program targets through 2021 with a counterfactual scenario of no MMC program. Results: The MMC program averted 71,000-83,000 new HIV infections from 2010 to 2017. The future benefit of the circumcision already conducted will grow to 496,000-518,000 infections (6-7% of all new infections) by 2030. If program targets are met by 2021 the benefits will increase to 723,000-760,000 infections averted by 2030. The cost would be $1,070-1,220 per infection averted relative to no MMC. The savings from averted treatment needs would become larger than the costs of the MMC program around 2034-2039. In the Thembisa model, when modelling South Africa’s 9 provinces individually, the 9-provinces-aggregate results were similar to those of the single national model. Across provinces, projected long-term impacts were largest in Free State, KwaZulu-Natal and Mpumalanga (23-27% reduction over 2017-2030), reflecting these provinces’ greater MMC scale-up. Conclusions: MMC has already had a modest impact on HIV incidence in South Africa and can substantially impact South Africa’s HIV epidemic in the coming years.

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