Impact of Mother–Infant Pair Clinics and Short-Text Messaging Service (SMS) Reminders on Retention of HIV-Infected Women and HIV-Exposed Infants in eMTCT Care in Malawi: A Cluster Randomized Trial

Mwapasa, Victor; Joseph, Jessica; Tchereni, Timothy; Jousset, Aurelie; Gunda, Andrews

doi:10.1097/qai.0000000000001340

Cited by 44 publications

(55 citation statements)

References 17 publications

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“…This study similarly reported improved ANC visit attendance . In contrast to the other studies, a study in Kenya that sent SMS reminders to CHW to facilitate tracking of mother and infant pairs who missed their scheduled clinic visits, found no improvement on maternal retention at 12 months postpartum (Mwapasa et al, 2017). Similarly, a study in South Africa that offered HIV-positive women during late pregnancy motivational text messages and phone calls through a case manager until first six weeks of delivery, also reported no difference in retention at 12 months postpartum (S R .…”

Section: Maternal Retentionmentioning

confidence: 60%

“…The studies differed in the types of outcome definitions but most interventions used SMS reminders either aimed at the patient or CHW. Six studies compared standard care with SMS and/or voice call combination interventions that included reminders, laboratory result notification or health promotion messages to improve maternal retention in the PMTCT continuum Finocchario-Kessler et al, 2014;Mushamiri, Luo, Iiams-Hauser, et al, 2015;Mwapasa et al, 2017;. One study in Kenya offered two-way text messaging and weekly calls to women during pregnancy and the postpartum period.…”

Section: Maternal Retentionmentioning

confidence: 99%

“…MaternalretentionFinocchario-Kessler et al, 2014;Mushamiri, Luo, Iiams-Hauser, & Ben Amor, 2015;Mwapasa, Joseph, Tchereni, Jousset, & Gunda, 2017;, maternal ART initiation and adherence(Dryden-Peterson et al, 2015;Kassaye et al, 2016), infant HIV testing and transmission ratesMushamiri, Luo, Iiams-Hauser, et al, 2015;, and infant ART initiation(Finocchario-Kessler et al, 2014;Sutcliffe et al, 2017).…”

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confidence: 99%

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Smartphone usage and preferences among postpartum HIV-positive women in South Africa

et al. 2018

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Departmental and ethical approval Literature review Data analysis Manuscript write up Dissertation submission Western Cape Government. (2014). New project connects expectant moms to government health services. World Health Organization (WHO). (2012). Use of antiretroviral drugs for treating pregnant women and preventing HIV infection in infants executive summary. Retrieved from http://www.who.int/hiv/PMTCT_update.pdf

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Section: Maternal Retentionmentioning

confidence: 60%

Section: Maternal Retentionmentioning

confidence: 99%

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confidence: 99%

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Smartphone usage and preferences among postpartum HIV-positive women in South Africa

et al. 2018

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“…Loss to follow-up of HIV-positive women and their children is a major problem threatening the global target of eliminating HIV mother-to-child transmission. This study was nested within a larger study assessing the effectiveness of integrating mother infant pair clinics and Short Message Service-based tracing of defaulting mothers in improving the retention of mother-infant pairs in HIV care 28,29 .…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Loss-To-Follow-Up Of Hiv-Positive Mothers And Their Infants Enrolled In Hiv Care Clinic: A Qualitative Study

Mpinganjira

Tchereni

Gunda

et al. 2020

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Background In Malawi, loss to follow-up (LTFU) of HIV-positive pregnant and postpartum women on Option B+ regimen greatly contributes to sub-optimal retention, estimated to be 74% at 12 months postpartum. This threatens Malawi’s efforts to eliminate mother-to-child transmission of HIV. We investigated factors associated with LTFU among Mother-Infant Pairs. Methods We conducted a qualitative study, nested within the “Promoting Retention Among Infants and Mothers Effectively (PRIME)” study, a 3-arm cluster randomized trial assessing the effectiveness of strategies for improving retention of mother-infant pairs in HIV care in Salima and Mangochi districts, Malawi. From July to December 2016, we traced and interviewed 19 LTFU women. In addition, we interviewed 30 healthcare workers from health facilities where the LTFU women were receiving care. Recorded interviews were transcribed, translated and then analysed using deductive content analysis. Results The following reasons were reported as contributing to LTFU: lack of support from husbands or family members; long distance to health facilities; poverty; community-level stigma; ART side effects; perceived good health after taking ART and adoption of other alternative HIV treatment options. Conclusion Our study has found multiple factors at personal, family, community and health system levels, which contribute to poor retention of mother-infant pairs in HIV care. Key words PRIME, PMTCT, loss to follow up, mother-infant pairs, retention, Option B+

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“…In addition, an SMS messaging intervention was introduced to fast-track community volunteers' responses and tracing of women who did not attend clinic appointments. 10 Neither additional clinic staff nor financial incentives were offered as part of the intervention package. Based on a very strict study definition—attendance at 12 months postpartum and also attendance at every scheduled visit before then (±14 days)—rates of maternal retention at 12 months postpartum were only between 19% and 25% in any arm.…”

Section: Health Systems' Intervention and Retention In Care And Othermentioning

confidence: 99%

Improving Retention in Care Among Pregnant Women and Mothers Living With HIV: Lessons From INSPIRE and Implications for Future WHO Guidance and Monitoring

Rollins

Essajee

Bellare

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Identifying women living with HIV, initiating them on lifelong antiretroviral treatment (ART), and retaining them in care are among the important challenges facing this generation of health care managers and public health researchers. Implementation research attempts to solve a wide range of implementation problems by trying to understand and work within real-world conditions to find solutions that have a measureable impact on the outcomes of interest. Implementation research is distinct from clinical research in many ways yet demands similar standards of conceptual thinking and discipline to generate robust evidence that can be, to some extent, generalized to inform policy and service delivery. In 2011, the World Health Organization (WHO), with funding from Global Affairs Canada, began support to 6 implementation research projects in Malawi, Nigeria, and Zimbabwe. All focused on evaluating approaches for improving rates of retention in care among pregnant women and mothers living with HIV and ensuring their continuation of ART. This reflected the priority given by ministries of health, program implementers, and researchers in each country to the importance of women living with HIV returning to health facilities for routine care, adherence to ART, and improved health outcomes. Five of the studies were cluster randomized controlled trials, and 1 adopted a matched cohort design. Here, we summarize some of the main findings and key lessons learned. We also consider some of the broader implications, remaining knowledge gaps, and how implementation research is integral to, and essential for, global guideline development and to inform HIV/AIDS strategies.

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Impact of Mother–Infant Pair Clinics and Short-Text Messaging Service (SMS) Reminders on Retention of HIV-Infected Women and HIV-Exposed Infants in eMTCT Care in Malawi: A Cluster Randomized Trial

Abstract: MIP and MIP + SMS service delivery models were ineffective in improving maternal and infant retention in rural Malawi.

Cited by 44 publications

References 17 publications

Smartphone usage and preferences among postpartum HIV-positive women in South Africa

Smartphone usage and preferences among postpartum HIV-positive women in South Africa

Factors Associated With Loss-To-Follow-Up Of Hiv-Positive Mothers And Their Infants Enrolled In Hiv Care Clinic: A Qualitative Study

Improving Retention in Care Among Pregnant Women and Mothers Living With HIV: Lessons From INSPIRE and Implications for Future WHO Guidance and Monitoring

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