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Retention in Care among HIV-Infected Pregnant Women in Haiti with PMTCT Option B
Joint Authors
Dionne-Odom, Jodie
Renold Sénécharles, Redouin
Massaro, Courtney
Jogerst, Kristen M.
Li, Zhongze
Deschamps, Marie-Marcelle
Destine, Cleonas Junior
Aristhene, Moleine Moles
Domercant, Joseph Yves
Rouzier, Vanessa
Wright, Peter F.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-29
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Preventing mother-to-child transmission of HIV relies on engagement in care during the prenatal, peripartum, and postpartum periods.
Under PMTCT Option B, pregnant women with elevated CD4 counts are provided with antiretroviral prophylaxis until cessation of breastfeeding.
Methods.
Retrospective analysis of retention in care among HIV-infected pregnant women in Haiti was performed.
Logistic regression was used to identify risk factors associated with loss to follow-up (LFU) defined as no medical visit for at least 6 months and Kaplan-Meier curves were created to show LFU timing.
Results.
Women in the cohort had 463 pregnancies between 2009 and 2012 with retention rates of 80% at delivery, 67% at one year, and 59% at 2 years.
Among those who were LFU, the highest risk period was during pregnancy (60%) or shortly afterwards (24.4% by 12 months).
Never starting on antiretroviral therapy (aRR 2.29, 95% CI 1.4–3.8) was associated with loss to follow-up.
Conclusions.
Loss to follow-up during and after pregnancy was common in HIV-infected women in Haiti under PMTCT Option B.
Since sociodemographic factors and distance from home to facility did not predict LFU, future work should elicit and address barriers to retention at the initial prenatal care visit in all women.
Better tracking systems to capture engagement in care in the wider network are needed.
American Psychological Association (APA)
Dionne-Odom, Jodie& Massaro, Courtney& Jogerst, Kristen M.& Li, Zhongze& Deschamps, Marie-Marcelle& Destine, Cleonas Junior…[et al.]. 2016. Retention in Care among HIV-Infected Pregnant Women in Haiti with PMTCT Option B. AIDS Research and Treatment،Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1096708
Modern Language Association (MLA)
Dionne-Odom, Jodie…[et al.]. Retention in Care among HIV-Infected Pregnant Women in Haiti with PMTCT Option B. AIDS Research and Treatment No. 2016 (2016), pp.1-10.
https://search.emarefa.net/detail/BIM-1096708
American Medical Association (AMA)
Dionne-Odom, Jodie& Massaro, Courtney& Jogerst, Kristen M.& Li, Zhongze& Deschamps, Marie-Marcelle& Destine, Cleonas Junior…[et al.]. Retention in Care among HIV-Infected Pregnant Women in Haiti with PMTCT Option B. AIDS Research and Treatment. 2016. Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1096708
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1096708