"The right time is just after birth": acceptability of point-of-care birth testing in Eswatini: qualitative results from infant caregivers, health care workers, and policymakers

BMC Pediatrics
Emma SacksCaspian Chouraya

Abstract

Testing for HIV at birth has the potential to identify infants infected in utero, and allows for the possibility of beginning treatment immediately after birth; point of care (POC) testing allows rapid return of results and faster initiation on treatment for positive infants. Eswatini piloted birth testing in three public maternities for over 2 years. In order to assess the acceptability of POC birth testing in the pilot sites in Eswatini, interviews were held with caregivers of HIV-exposed infants who were offered birth testing (N = 28), health care workers (N = 14), and policymakers (N = 10). Participants were purposively sampled. Interviews were held in English or SiSwati, and transcribed in English. Transcripts were coded by line, and content analysis and constant comparison were used to identify key themes for each respondent type. Responses were categorized into: knowledge, experience, opinions, barriers and challenges, facilitators, and suggestions to improve POC birth testing. Preliminary findings reveal that point of care birth testing has been very well received but challenges were raised. Most caregivers appreciated testing the newborns at birth and getting results quickly, since it reduced anxiety of waiting for sev...Continue Reading

References

Oct 7, 2004·Lancet·Marie-Louise NewellUNKNOWN Ghent International AIDS Society (IAS) Working Group on HIV Infection in Women and Children
Jan 24, 2016·Neonatal Network : NN·Victoria VazquezAngela DeJong
Apr 28, 2015·Southern African Journal of HIV Medicine·Aurélie NelsonVivian Cox
Jun 1, 2018·Journal of the International AIDS Society·Maryanne IbrahimRoger L Shapiro
Jul 12, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Corrina MoucheraudRisa M Hoffman
Jul 17, 2019·Southern African Journal of HIV Medicine·Chanté BisschoffGina Joubert
Jun 11, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Philisiwe Ntombenhle KhumaloJennifer Cohn

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BETA
blood draw

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