Effect of peer-mother interactive programme on prevention of mother-to-child HIV transmission outcomes among pregnant women on anti-retroviral treatment in routine healthcare in Dar es Salaam, Tanzania.

Autor: Goodluck Willey Lyatuu, Helga Naburi, Shally Mwashemele, Peter Lyaruu, Roseline Urrio, Brenda Simba, Emmanuel Philipo, Ayoub Kibao, Deborah Kajoka, David Sando, Nicola Orsini, Gunnel Biberfeld, Charles Kilewo, Anna Mia Ekström
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: PLOS Global Public Health, Vol 2, Iss 3, p e0000256 (2022)
Druh dokumentu: article
ISSN: 2767-3375
DOI: 10.1371/journal.pgph.0000256
Popis: Peer support services are increasingly being integrated in programmes for the prevention of mother-to-child HIV transmission (PMTCT). We aimed to evaluate the effect of a peer-mother interactive programme on PMTCT outcomes among pregnant women on anti-retroviral treatment (ART) in routine healthcare in Dar es Salaam, Tanzania. Twenty-three health facilities were cluster-randomized to a peer-mother intervention and 24 to a control arm. We trained 92 ART experienced women with HIV to offer peer education, adherence and psychosocial support to women enrolling in PMTCT care at the intervention facilities. All pregnant women who enrolled in PMTCT care at the 47 facilities from 1st January 2018 to 31st December 2019 were identified and followed up to 31st July 2021. The primary outcome was time to ART attrition (no show >90 days since the scheduled appointment, excluding transfers) and any difference in one-year retention in PMTCT and ART care between intervention and control facilities. Secondary outcomes were maternal viral suppression (
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