ANC-HIV INTEGRATION Countdown to zero; i s it time for a gear shift? . Dr Elizabeth Anne Bukusi, MBChB, M.Med (ObGyn), MPH, PhD PGD (Research Ethics) Deputy Director Research and Training, KEMRI Co-Director Research Care Training Program,(RCTP) Chief Research Officer.
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ANC-HIV INTEGRATIONCountdown to zero; is it time for a gear shift?
Dr Elizabeth Anne Bukusi,
MBChB, M.Med (ObGyn), MPH, PhD PGD (Research Ethics)
Deputy Director Research and Training, KEMRI
Co-Director Research Care Training Program,(RCTP)
Chief Research Officer
Integrating ANC and HIV services for pregnant women may result in….
Targets predominantly women and girls ignoring their male partners and the communities from which they hail from
Can overburden already weak health systems in resource-limited settings by increasing the work load, leading to
ANC HIV INTEGRATION
Inadequate community engagement
Inadequate male involvement
Mothers who do not attend ANC
Barriers to optimal PMTCT uptake that occur outside healthcare settings seriously hamper efforts to eliminate MTCT
The aim of the study was to test if a comprehensive integrated approach to ANC, PMTCT, and HIV care and treatment provision is an effective approach for district-wide implementation in Nyanza Province, Kenya.
Specifically we assessed the impact of integrating PMTCT and HIV care and treatment in the antenatal care setting on
HIV infection at 9 months -AOR 0.89(95 %CI 0.56-1.43)
* Turan et al., AIDS & Behav, 2011.
* Turan et al., PLoS Medicine, 2012.
Once women are enrolled in care, Facilities should be linked to community members more proactively to support adherence and retention e.g.
The promise of integration in elimination of MTCT can only be delivered if “integration efforts” deliberately involve, monitor, evaluate and strengthen community PMTCT activities