| Autor: |
Mwita SK; 1 US Agency for International Development (USAID) Applying Science to Strengthen and Improve Systems (ASSIST) Project, University Research Co, LLC (URC), Tanzania, United Republic of Tanzania., Ngonyani MM; 1 US Agency for International Development (USAID) Applying Science to Strengthen and Improve Systems (ASSIST) Project, University Research Co, LLC (URC), Tanzania, United Republic of Tanzania., Mvungi J; 1 US Agency for International Development (USAID) Applying Science to Strengthen and Improve Systems (ASSIST) Project, University Research Co, LLC (URC), Tanzania, United Republic of Tanzania., de Ven RAMV; 2 Elizabeth Glaser Pediatric AIDS Foundation, Washington, DC, USA., Masenge TJ; 3 Baylor College of Medicine Children's Foundation, Mbeya, Tanzania, United Republic of Tanzania., Rumisha D; 1 US Agency for International Development (USAID) Applying Science to Strengthen and Improve Systems (ASSIST) Project, University Research Co, LLC (URC), Tanzania, United Republic of Tanzania., Kajoka D; 4 Ministry of Health, Community Development, Gender, Elderly and Children, Tanzania, United Republic of Tanzania., Dennis G; 4 Ministry of Health, Community Development, Gender, Elderly and Children, Tanzania, United Republic of Tanzania., Amoah AO; 5 Research and Evaluation Consultant, USAID ASSIST Project, URC, MD, USA.; 6 Data Analytics Research and Evaluation Group, Washington, DC, USA. |
| Abstrakt: |
The Partnership for HIV-Free Survival initiative in Tanzania integrated postnatal nutrition and mother-to-child transmission (MTCT) cascades to reduce vertical HIV transmission. Quality improvement (QI) was implemented in 30 health facilities. Net positive gain resulted in overall improvement in all indicators (above 80%) by the end of the reporting period. Retention in postnatal care (mean = 49.8, standard deviation [SD] = 27.6) and in monthly HIV services (mean = 65.4, SD = 29.5) had the lowest average but showed consecutive and significant ( P ≤ .001) gains except for significant decreases in 1 of 6 periods assessed. Average antiretroviral therapy uptake among women (mean = 81.7, SD = 29.5) was highest, with an initial positive gain of 78.9% ( P ≤ .001). DNA/polymerase chain reaction for HIV-exposed infants (mean = 71.8, SD = 20.9) and nutrition counseling (mean = 71.2, SD = 26.3) showed similar average performance, with the latter being the only indicator with significant equal periods of gain and decreases. The collaborative QI approach improved process indicators for reducing MTCT in resource-constrained health systems. |
