Addressing Early Retention in Antenatal Care Among HIV-Positive Women Through a Simple Intervention in Kinshasa, DRC: The Elombe “Champion” Standard Operating Procedure

Michelle M. Gill, John Ditekemena, Aimé Loando, Nana Mbonze, Jo Bakualufu, Rhoderick Machekano, Cady Nyombe, Marleen Temmerman, Franck Fwamba

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

This cluster-randomized study aimed to assess the Elombe (“Champion”) standard operating procedure (SOP), implemented by providers and Mentor Mothers, on HIV-positive pregnant women’s retention between first and second antenatal visits. Sixteen facilities in Kinshasa were randomly assigned to intervention (SOP) or comparison (no SOP). Effect of the SOP was estimated using relative risk. Women in comparison facilities were more likely to miss second visits (RR 2.5, 95% CI 1.05–5.98) than women in intervention facilities (30.0%, n = 27 vs. 12.0%, n = 9, p < 0.002). Findings demonstrate that a simple intervention can reduce critical early loss to care in PMTCT programs providing universal, lifelong treatment.

Original languageEnglish
Pages (from-to)860-866
Number of pages7
JournalAIDS and Behavior
Volume22
Issue number3
DOIs
Publication statusPublished - 1 Mar 2018

Keywords

  • Antenatal care
  • DRC
  • Option B+
  • PMTCT
  • Retention

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