Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
In-Home hiv testing and nevirapine dosing by traditional birth attendants in rural Zambia: A feasibility study
Journal of Midwifery and Women's Health, Volume 59, No. 2, Year 2014
Notification
URL copied to clipboard!
Description
Introduction: Access to lifesaving prevention of mother-to-child transmission (PMTCT) services is problematic in rural Zambia. The simplest intervention used in Zambia has been 2-dose nevirapine (NVP) administration in the peripartum period, a regimen of 1 NVP tablet to the mother at the onset of labor and 1 dose in the form of syrup to the newborn within 4 to 72 hours after birth. This 2-dose regimen has been shown to reduce MTCT by nearly 50%. We set out to demonstrate that in-home HIV testing and NVP dosing by traditional birth attendants (TBAs) is feasible and acceptable by women in rural Zambia. Methods: This was a pilot program using TBAs to perform rapid saliva-based HIV testing and administer single-dose NVP in tablet form to the mother at the onset of labor and syrup to the infant after birth. Results: A total of 280 pregnant women were consented and enrolled into the program, of whom 124 (44.3%) gave birth at home with the assistance of a trained TBA. Of those, 16 (12.9%) were known to be HIV positive, and 101 of the remaining 108 (93.5%) accepted a rapid HIV test. All these women tested HIV negative. In the subset of 16 mothers who were HIV positive, 13 (81.3%) took single-dose NVP administered by a TBA between 1 and 24 hours prior to birth and 100% of exposed newborns (16 of 16) received NVP syrup within 72 hours after birth, 80% of whom were dosed in the first 24 hours of life. Discussion: With the substantial shortage of human resources in public health care throughout sub-Saharan Africa, it is extremely valuable to utilize lay health care workers to help extended services beyond the level of the facility. Given the high uptake of PMTCT services we believe that TBAs with proper training and support can successfully provide country-approved PMTCT. © 2013 by the American College of Nurse-Midwives.
Authors & Co-Authors
Brennan, Alana T.
United States, Boston
Boston University
Thea, Donald M.
United States, Boston
Tufts Medical Center
Semrau, Katherine E.A.
United States, Birmingham
The University of Alabama at Birmingham
Goggin, Caitlin
Canada, Halifax
Saint Mary's University
Scott, Nancy A.
United States, Boston
School of Public Health
Pilingana, Portipher
Zambia, Lusaka
Zambia Center for Applied Health Research and Development
Botha, Belinda
Zambia, Lusaka
Zambia Center for Applied Health Research and Development
Mazimba, Arthur
Canada, Halifax
Saint Mary's University
Hamomba, Leoda
United States, Boston
Boston University
Seidenberg, Phil D.
United States, Stanford
Stanford University School of Medicine
Statistics
Citations: 16
Authors: 10
Affiliations: 7
Identifiers
Doi:
10.1111/jmwh.12038
ISSN:
15269523
e-ISSN:
15422011
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Randomised Control Trial
Study Locations
Zambia
Participants Gender
Female