Amélioration de la qualité de la prévention de la transmission du VIH de la mère à l'enfant en Côte d'Ivoire

Tiembré, I.; Bi, Joseph Vroh Benié; Attoh-Touré, H.; Alla, Kouadio Jules; N’Guessan, Hervé; Tagliante-Saracino, J.

doi:10.3917/spub.134.0499

Cited by 2 publications

(5 citation statements)

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“…As in this study, not all the collection tools needed to improve quality were available at all sites, or even some sites had none [13].These are the basic aspects that can report when implementing of activities.…”

Section: Discussionmentioning

confidence: 87%

“…Mother-to-child transmission of HIV infection remains a major public health problem, particularly in developing countries, particularly in sub-Saharan Africa, where transmission remains high due to lack of access to basic PMTCT services (HIV testing and counselling, family planning, infant feeding counselling and support, and ARV prophylaxis) for the majority of women and children 13,14 . This contributes to preventing the achievement of the elimination of mother-to-child transmission of HIV (eMCT) [14].…”

Section: Discussionmentioning

confidence: 99%

“…A collaborative approach to improving PMTCT quality can help to improve quality indicators [13]. It is a structured approach of mutual learning between several teams organized in a network.…”

Section: Discussionmentioning

confidence: 99%

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Determinants of the Health Services Limited the Supply of Care Related to the Second Pillar of the Prevention of Mother-Child Transmission of HIV in the Region of Hauts Bassins, Burkina Faso

Mèda¹,

Somé²,

Hien³

et al. 2020

JWHCI

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Intoduction This research assessed the determinants of the health services limited the supply of care related to the second pillar of the prevention of mother-child transmission of HIV (PMTCT) involving workers from the maternity units and the HIV active queues in the district hospitals and the Department of gynaecology, obstetrics and reproductive medicine (DGORM) of the National teaching hospital Souro Sanou (NTHSS) in the Region of Hauts Bassinsin the Region of Hauts Bassins, Burkina Faso. Materials and methods This was a cross-sectional study conducted from January 15 January to 30 July 2017. The study method used individual interview and the literature review (content analysis of national documents and activity reports on PMTCT). Results The main results included insufficient organization of services and low levels of the workers knowledge and activities related to the second pillar of PMTCT in the all health districts concerned. The second pillar of PMTCT has not been mentioned in any structure supervised. The definition of dual/double protection was only known by 9 (9.4%) participants. The knowledge of the strategies about the double protection was limited to a single strategy. The knowledge and activities on medically assisted procreation among people living with HIV were amost nil. The knowledge and practices on FP appropriate for People living wih HIV were poor. Conclusion For a successful PMTCT, it is important to implement its all four (04) pillars, taking into account the double/dual protection and the medically-assisted procreation.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

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Determinants of the Health Services Limited the Supply of Care Related to the Second Pillar of the Prevention of Mother-Child Transmission of HIV in the Region of Hauts Bassins, Burkina Faso

Mèda¹,

Somé²,

Hien³

et al. 2020

JWHCI

View full text Add to dashboard Cite

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“…This is consistent with the results of use of continuous QI to merge content and process to improve performance. 7-9 The percentage of MBPs receiving the standard care package improved from 0% to 100% by period 4 (mean = 98.6%, SD = 22.6) (see Figure 2, graph C). The percentage of HIV-positive pregnant women and lactating mothers who received IYCF counseling at each visit improved from 45% to 100% by period 3 (mean = 93.1%, SD = 15.5) (Figure 2, Graph A).…”

Section: Discussionmentioning

confidence: 99%

“…6 Studies have suggested that QI can improve PMTCT processes and outcomes in resource-challenged health systems in sub-Saharan Africa. 7-9…”

Section: Introductionmentioning

confidence: 99%

Increasing HIV-Free Survival of Infants: Reorganizing Care Using Quality Improvement for the Optimal Health and Nutrition of HIV-Positive Women and Their Exposed Infants in Uganda

Nsubuga-Nyombi

Karamagi

Nabitaka

et al. 2019

J Int Assoc Provid AIDS Care

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Reorganizing service delivery to integrate nutrition and infant and young child feeding (IYCF) with prevention of mother-to-child transmission (PMTCT) is important for improving outcomes of HIV-positive mothers and HIV-exposed infants (HEIs). Quality improvement (QI) strategies were implemented at 22 health facilities. The percentage of HIV-positive pregnant women and lactating mothers who received IYCF counseling at each visit improved (45%-100%; mean = 93.1%, standard deviation [SD] = 15.5). Adherence to IYCF practices improved (70%-96%; mean = 92.4%, SD = 8.5). Mother–baby pairs receiving the standard care package improved (0%-100%; mean = 98.6%, SD = 22.6). The HEIs alive at 18 months and infected decreased (mean = 6.2%, SD = 4.8). Statistical significance of change was estimated using Fisher exact test and magnitude of change over time by calculating the odds ratio. For all indicators, improvement was rapid and significant ( P < .001), especially in the first 6 months of QI implementation. Using QI to integrate nutrition and ensure consistent and comprehensive PMTCT service delivery improved IYCF adherence and decreased transmission.

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Amélioration de la qualité de la prévention de la transmission du VIH de la mère à l'enfant en Côte d'Ivoire

Cited by 2 publications

References 0 publications

Determinants of the Health Services Limited the Supply of Care Related to the Second Pillar of the Prevention of Mother-Child Transmission of HIV in the Region of Hauts Bassins, Burkina Faso

Determinants of the Health Services Limited the Supply of Care Related to the Second Pillar of the Prevention of Mother-Child Transmission of HIV in the Region of Hauts Bassins, Burkina Faso

Increasing HIV-Free Survival of Infants: Reorganizing Care Using Quality Improvement for the Optimal Health and Nutrition of HIV-Positive Women and Their Exposed Infants in Uganda

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