A randomised controlled trial of different approaches to universal antenatal HIV testing: uptake and acceptability and Annex: Antenatal HIV testing - assessment of a routine voluntary approach.
نویسندگان
چکیده
The authors thank Jeni Beecham, Margaret Brandeau, Miranda Mugford, Marie-Louise Newell, Angus Nicoll, Tony Oliver, Doug Owens, and Richard Smith, as well as our referees for their invaluable assistance at various stages of the study. Contributors: MJP and EJB conceived the idea for the project. MJP developed the cost effectiveness model in conjunction with EJB, SM, LS, MDSW, HH, and JCJ. EJB and SM provided the cost data that were used in the model. LS provided particular input on the social context. MDSW provided specific input on the clinical context relevant to the analyses as well as providing clinical care to many of the children who participated in the original study. MJP and EJB were primarily responsible for writing the paper; the paper was written in conjunction with SM, LS, MDSW, HH, and JCJ. MJP and EJB are guarantors of the study. Funding: European Union Concerted Action on Multinational AIDS Scenarios (contract No BMH1-CT94-1723). Competing interests: None declared.
منابع مشابه
Uptake and acceptability of antenatal HIV testing: randomised controlled trial of different methods of offering the test.
OBJECTIVE To determine the uptake and acceptability of different methods of a universal offer of voluntary HIV testing to pregnant women. DESIGN Randomised controlled trial involving four combinations of written and verbal communication, followed by the direct offer of a test. The control group received no information and no direct offer of a test, although testing was available on request. ...
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BACKGROUND Botswana has high HIV prevalence among pregnant women (37.4% in 2003) and provides free services for prevention of mother-to-child transmission (PMTCT) of HIV. Nearly all pregnant women (>95%) have antenatal care (ANC) and deliver in hospital. Uptake of antenatal HIV testing was low from 1999 through 2003. In 2004, Botswana's President declared that HIV testing should be "routine but...
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BACKGROUND Recently the Department of Health announced the introduction in England of voluntary universal HIV screening in early pregnancy to prevent vertical transmission. New data have shown the importance of HIV infection in infants born to mothers who were HIV-negative in early pregnancy and who acquired HIV later in pregnancy or during lactation. This requires consideration of repeat testi...
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BACKGROUND The burden of mother-to-child transmission of HIV in Uganda is high. The aim of this paper is to describe the experience of the first 7 years of the prevention of mother- to- child transmission of HIV (PMTCT) programme in Mbale Regional Hospital, Eastern Uganda, with particular reference to the lessons learnt in changing from voluntary counselling and testing (VCT) to routine counsel...
متن کاملAcceptability and utilisation of voluntary HIV testing and nevirapine to reduce mother-to-child transmission of HIV-1 integrated into routine clinical care.
OBJECTIVES Use of nevirapine for prevention of mother-to-child transmission (PMTCT) of HIV-1 has been routine clinical care at Coronation Women and Children's Hospital since April 2000. We assessed the effect of regular audit and targeted interventions on the utilisation of the PMTCT programme. METHODS Review of antenatal cards and hospital records of women discharged following delivery, in t...
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عنوان ژورنال:
- BMJ
دوره 318 7199 شماره
صفحات -
تاریخ انتشار 1999