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RED for PMTCT: An adaptation of immunization's Reaching Every District approach increases coverage, access, and utilization of PMTCT care in Bondo District, Kenya
Author(s) -
Kanyuuru Lynn,
Kabue Mark,
Ashengo Tigistu A.,
Ruparelia Chandrakant,
Mokaya Evans,
Malonza Isaac
Publication year - 2015
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2015.04.002
Subject(s) - medicine , context (archaeology) , human immunodeficiency virus (hiv) , transmission (telecommunications) , immunization , service delivery framework , family medicine , environmental health , service (business) , immunology , economy , antigen , economics , electrical engineering , engineering , paleontology , biology
Gaps exist in coverage, early access, and utilization of prevention of mother‐to‐child transmission of HIV (PMTCT) services in Kenya. The Maternal and Child Health Integrated Program, led by Jhpiego, piloted an adaptation of immunization's Reaching Every District (RED) approach in Bondo District as a way of improving PMTCT care. Routine district‐level monthly summary service delivery pre‐ and post‐implementation data were analyzed. Marked improvements resulted in the proportion of HIV‐infected and non‐infected pregnant women completing four focused prenatal care visits, from 25% to 41%, and the proportion of HIV‐exposed infants (HEIs) tested at six weeks, from 27% to 78% ( P < 0.001). The proportion of HEIs tested for HIV infection at 12 months was 52%, while 77% of HEIs were issued antiretroviral prophylaxis by the end of the pilot. Implementation of RED for PMTCT demonstrated that PMTCT services can be delivered effectively in the context of the existing community strategy and resulted in increased coverage, access, and utilization of care for HIV‐positive pregnant women and their children.