The Impact of Structured Mentor Mother Programs on Presentation for Early Infant Diagnosis Testing in Rural North-Central Nigeria: A Prospective Paired Cohort Study

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

Abstract

Early infant diagnosis (EID) by 2 months of age is an important prevention of mother-to-child cascade step that serves as an early postpartum indicator of program success. Uptake and timely presentation for infant HIV diagnosis are significant challenges in resource-limited settings. Few studies on maternal peer support (PS) have demonstrated impact on EID. The MoMent study evaluated the impact of structured PS on timely presentation for EID testing in rural North-Central Nigeria. A total of 497 HIV-positive pregnant women were consecutively recruited at 10 primary health care centers with structured, closely supervised Mentor Mother (MM) support, and 10 pair-matched primary health care centers with routine but ad hoc PS. EID was assessed among HIV-exposed infants delivered to recruited women, and was defined by presentation for DNA polymerase chain reaction testing between 35 and 62 days of life. A logistic regression model with generalized estimating equation to account for clustering was used to assess the effect of MMs on EID presentation. Data from 408 live-born infants were available for analysis. Exposure to MM support was associated with higher odds of timely EID presentation among infants, compared with routine PS (adj...Continue Reading

Associated Clinical Trials

References

Feb 1, 2008·Bulletin of the World Health Organization·Elizabeth M StringerJeffrey S A Stringer
Aug 5, 2008·AIDS Research and Therapy·Avinash K ShettyYvonne Maldonado
Mar 14, 2012·BMJ : British Medical Journal·Karen McColl
May 1, 2012·The Pediatric Infectious Disease Journal·Dalton WamalwaGrace C John-Stewart
Sep 14, 2013·Journal of the International AIDS Society·Grace W MwaiJanet Seeley
Apr 25, 2016·AIDS and Behavior·Kathy GogginSarah Finocchario-Kessler

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Citations

Jul 12, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Surbhi ModiHelen Dale
Nov 6, 2018·Current Opinion in HIV and AIDS·Ilesh V Jani, Caroline De Schacht
Apr 19, 2019·Studies in Family Planning·Lauren ParmleySheree Schwartz
Sep 16, 2019·AIDS Research and Therapy·Patrick DakumNicaise Ndembi

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