Impact of Facility-Based Mother Support Groups on Retention in Care and PMTCT Outcomes in Rural Zimbabwe: The EPAZ Cluster-Randomized Controlled Trial

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Geoff FosterTalent Maphosa

Abstract

Prevention of mother-to-child transmission elimination goals are hampered by low rates of retention in care. The Eliminating Paediatric AIDS in Zimbabwe project assessed whether mother support groups (MSGs) improve rates of retention in care of HIV-exposed infants and their HIV-positive mothers, and maternal and infant outcomes. The study involved 27 rural clinics in eastern Zimbabwe. MSGs were established in 14 randomly selected clinics and met every 2 weeks coordinated by volunteer HIV-positive mothers. MSG coordinators provided health education and reminded mothers of MSG meetings by cell phone. Infant retention in care was defined as "12 months postpartum point attendance" at health care visits of HIV-exposed infants at 12 months of age. We also measured regularity of attendance and other program indicators of HIV-positive mothers and their HIV-exposed infants. Among 507 HIV-positive pregnant women assessed as eligible, 348 were enrolled and analyzed (69%) with mothers who had disclosed their HIV status being overrepresented. In the intervention arm, 69% of infants were retained in care at 12 months versus 61% in the control arm, with no statistically significant difference. Retention and other program outcomes were systema...Continue Reading

References

May 15, 2012·Preventive Medicine·Anthony DeFulio, Kenneth Silverman
Jul 14, 2012·Journal of the International AIDS Society·Yabsera MarcosGretchen Bachman
Sep 16, 2015·Current Opinion in HIV and AIDS·Ingrid V BassettKenneth A Freedberg
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May 13, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Joanna Orne-GliemannUNKNOWN EPAZ trial study group

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Citations

May 13, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Joanna Orne-GliemannUNKNOWN EPAZ trial study group
Sep 28, 2017·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Genevieve Marion FordsAnita S van der Merwe
May 13, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Nigel C RollinsGottfried O Hirnschall
Dec 30, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Brandon A KnettelMelissa H Watt
Oct 9, 2020·Journal of the International AIDS Society·Helene FontUNKNOWN INSPIRE group
Feb 20, 2021·Southern African Journal of HIV Medicine·Mildred Lusaka, Talitha Crowley

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