The Impact of Structured Mentor Mother Programs on 6-Month Postpartum Retention and Viral Suppression among HIV-Positive Women in Rural Nigeria: A Prospective Paired Cohort Study

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Nadia A Sam-AguduManhattan E Charurat

Abstract

Peer support (PS) has reportedly improved Prevention of mother-to-child transmission (PMTCT) outcomes in high HIV-burden settings; however, evidence of impact on retention in care is limited. Retention in care implies consistent engagement and treatment adherence. The MoMent study evaluated the impact of structured vs unstructured PS on postpartum retention and viral load suppression among rural Nigerian women. A total of 497 HIV-positive pregnant women were consecutively enrolled at 10 primary health care centers with structured mentor mother (MM) support, and at 10 pair-matched primary health care centers with routine, ad hoc PS. The structured MM intervention comprised an outcome-specific scope of work, close MM supervision, standardized documentation, performance evaluations, and retraining as appropriate. Retention was defined by clinic attendance during the first 6-month postpartum. Participants with ≥3 of 6 expected monthly visits were considered retained. Women with a 6-month postpartum plasma viral load of <20 copies/mL were considered suppressed. A logistic regression model with generalized estimating equation was used to assess the effect of MMs on retention and viral suppression. Exposure to structured MM support wa...Continue Reading

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References

Aug 19, 2007·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Cynthia R PearsonStephen S Gloyd
Aug 5, 2008·AIDS Research and Therapy·Avinash K ShettyYvonne Maldonado
Aug 7, 2012·Tropical Medicine & International Health : TM & IH·Matthew P FoxSydney Rosen
Sep 14, 2013·Journal of the International AIDS Society·Grace W MwaiJanet Seeley
Oct 14, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Nigel C RollinsUNKNOWN INSPIRE Team
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Citations

May 13, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Nigel C RollinsGottfried O Hirnschall
Jan 13, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jean B NachegaJohn W Mellors
Dec 30, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Brandon A KnettelMelissa H Watt
Sep 21, 2020·European Journal of Public Health·Elizabeth J KingJulia Godunova
Aug 21, 2020·Journal of the International AIDS Society·Benjamin H ChiChewe Luo
Oct 9, 2020·Journal of the International AIDS Society·Helene FontUNKNOWN INSPIRE group

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