Low mother-to-child HIV transmission rate but high loss-to-follow-up among mothers and babies in Mandalay, Myanmar; a cohort study.
Khine Wut Yee KyawMyo Minn OoNang Thu Thu KyawKhaing Hnin PhyoThet Ko AungTheingi MyaNilar AungHtun Nyunt OoPetros IsaakidisPublished in: PloS one (2017)
Mother-to-child HIV transmission rate in this public hospital-based program was lower than the 5% national target, which indicates a successful PMTCT intervention. However, a high proportion of HIV-infected mothers and exposed babies LTFU was recorded. Lifelong ART provision to HIV-positive pregnant women was shown to reduce exposed babies' LTFU, death and transmission rate (unfavorable outcomes) in this setting. Lessons learned from this program could be used to inform policy and practice in the country, while the programmatic challenge of LTFU should be urgently addressed.
Keyphrases
- antiretroviral therapy
- hiv positive
- hiv infected
- quality improvement
- human immunodeficiency virus
- mental health
- hiv aids
- pregnant women
- healthcare
- men who have sex with men
- gestational age
- south africa
- randomized controlled trial
- hiv testing
- public health
- primary care
- type diabetes
- adipose tissue
- hepatitis c virus
- palliative care
- insulin resistance
- metabolic syndrome