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Improving retention in the early infant diagnosis of HIV program in rural Mozambique by better service integration

Philip J Ciampa1, Janeen R Burlison, Meridith Blevins

  • 1Vanderbilt Institute for Global Health, Nashville, TN 37203, USA. philip.ciampa@vanderbilt.edu

Journal of Acquired Immune Deficiency Syndromes (1999)
|May 7, 2011
PubMed

Low mother/infant retention has impeded early infant diagnosis of HIV in rural Mozambique. We enhanced the referral process for postpartum HIV-infected women by offering direct accompaniment to the location of exposed infant testing before discharge. Retrospective record review for 395 women/infants (September 2009 to June 2010) found enhanced referral was associated with higher odds of follow-up (adjusted odds ratio = 3.18, 95% confidence interval: 1.76 to 5.73, P < 0.001); and among those followed-up, earlier infant testing (median follow-up: 33 days vs. 59 days, P = 0.01) compared with women receiving standard referral. This simple intervention demonstrates benefits gleaned from attention to system improvement through service integration without increasing staff.

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