Retest and treat: a review of national HIV retesting guidelines to inform elimination of mother-to-child HIV transmission (EMTCT) efforts

Autor: Drake, Alison L, Thomson, Kerry A, Quinn, Caitlin, Newman Owiredu, Morkor, Nuwagira, Innocent B, Chitembo, Lastone, Essajee, Shaffiq, Baggaley, Rachel, Johnson, Cheryl C
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of the International AIDS Society
Popis: INTRODUCTION: High maternal HIV incidence contributes substantially to mother-to-child HIV transmission (MTCT) in some settings. Since 2006, HIV retesting during the third trimester and breastfeeding has been recommended by the World Health Organization in higher prevalence (≥5%) settings to reduce MTCT. However, many countries lack clarity on when and how often to retest pregnant and postpartum women to optimize resources and service delivery. We reviewed and characterized national guidelines on maternal retesting based on timing and frequency. METHODS: We identified 52 countries to represent variations in HIV prevalence, geography, and MTCT priority and searched available national MTCT, HIV testing and HIV treatment policies published between 2007 and 2017 for recommendations on retesting during pregnancy, labour/delivery and postpartum. Recommended retesting frequency and timing was extracted. Country HIV prevalence was classified as: very low (5 to
Databáze: OpenAIRE