Comparison of the Effects of Quality Improvement Strategies on Prevention of Mother-to-Child HIV Transmission in a Public and a Private Hospital in Lesotho.

Autor: Lerotholi, Kelello L. M., Rantekoa, Manone, Mahlalefa, Khotso G., Hlehlisi, Lerato, Amoah, Aurora O.
Zdroj: Journal of the International Association of Providers of AIDS Care; 9/20/2019, Vol. 18, p1-11, 11p
Abstrakt: We compared quality improvement (QI) interventions for prevention of mother-to-child transmission in a private hospital and a government hospital (GH). From November 2013 to October 2016, data were extracted retrospectively for HIV-positive mothers and HIV-exposed infants. The overall number of mother–baby pairs (MBPs) was significantly (P <.001) higher at the GH (mean = 294, standard deviation [SD] = 180) than the private hospital (mean = 72, SD = 27). There was a significantly higher number of MBPs receiving care (P <.001) and routine services (P <.001) at the GH. The proportion of MBPs retained in care (P <.001) and receiving the routine service package (P <.001) was significantly higher at the private hospital. Overtime, indicators at the private hospital peaked significantly in year 2 and reduced moderately in the final year. The trend for the GH showed gradual but nonsignificant improvement in 2 indicators. QI showed positive results in the private hospital. If systematically applied in GHs, QI can support improved services for larger patient volumes. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index