2010
DOI: 10.1371/journal.pone.0013891
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Improving a Mother to Child HIV Transmission Programme through Health System Redesign: Quality Improvement, Protocol Adjustment and Resource Addition

Abstract: BackgroundHealth systems that deliver prevention of mother to child transmission (PMTCT) services in low and middle income countries continue to underperform, resulting in thousands of unnecessary HIV infections of newborns each year. We used a combination of approaches to health systems strengthening to reduce transmission of HIV from mother to infant in a multi-facility public health system in South Africa.Methodology/Principal FindingsAll primary care sites and specialized birthing centers in a resource con… Show more

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Cited by 97 publications
(112 citation statements)
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References 19 publications
(16 reference statements)
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“…6 The outcome of this research demonstrates significant improvement compared with the 20.6% that was previously obtained in KwaZulu-Natal. 6 The significant progress made justifies the government's policy that led to the introduction of dual therapy for HIV-infected pregnant women.…”
Section: Marital Statusmentioning
confidence: 52%
See 3 more Smart Citations
“…6 The outcome of this research demonstrates significant improvement compared with the 20.6% that was previously obtained in KwaZulu-Natal. 6 The significant progress made justifies the government's policy that led to the introduction of dual therapy for HIV-infected pregnant women.…”
Section: Marital Statusmentioning
confidence: 52%
“…6 The outcome of this research demonstrates significant improvement compared with the 20.6% that was previously obtained in KwaZulu-Natal. 6 The significant progress made justifies the government's policy that led to the introduction of dual therapy for HIV-infected pregnant women. Looking into the future, this study supports the current policy framework of WHO Option B+, which stipulates that HAART should be made available to all HIV-positive pregnant women irrespective of CD4 count.…”
Section: Marital Statusmentioning
confidence: 52%
See 2 more Smart Citations
“…Other models of integration could also lead to increased enrolment in, and coverage with, ART and these models should be reviewed by countries considering integration. [35][36][37] For example, one model might be to offer integrated services one day of the week rather than daily as part of routine services. Another limitation is that most included studies relied on abstracting clinic data, which may have introduced measurement bias.…”
Section: Discussionmentioning
confidence: 99%