دورية أكاديمية
HIV surveillance in Rwanda: readiness assessment to transition from antenatal care-based to prevention of mother-to-child transmission program-based HIV surveillance.
| العنوان: | HIV surveillance in Rwanda: readiness assessment to transition from antenatal care-based to prevention of mother-to-child transmission program-based HIV surveillance. |
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| المؤلفون: | Balisanga H; Rwanda Biomedical Center, Ministry of Health, PO Box 7162, Kigali, Rwanda. Electronic address: bahelene@gmail.com., Mutagoma M; Rwanda Biomedical Center, Ministry of Health, PO Box 7162, Kigali, Rwanda., Remera E; Rwanda Biomedical Center, Ministry of Health, PO Box 7162, Kigali, Rwanda., Kayitesi C; Rwanda Biomedical Center, Ministry of Health, PO Box 7162, Kigali, Rwanda., Kayirangwa E; US Centers for Disease Control and Prevention (CDC), Center for Global Health (CGH), Division of Global HIV/AIDS (DGHA), Atlanta, Georgia, USA., Dee J; US Centers for Disease Control and Prevention (CDC), Center for Global Health (CGH), Division of Global HIV/AIDS (DGHA), Atlanta, Georgia, USA., Malamba S; US Centers for Disease Control and Prevention (CDC), Center for Global Health (CGH), Division of Global HIV/AIDS (DGHA), Atlanta, Georgia, USA., Boer KR; US Centers for Disease Control and Prevention (CDC), Center for Global Health (CGH), Division of Global HIV/AIDS (DGHA), Atlanta, Georgia, USA., Hedt-Gauthier B; Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA., Umugwaneza P; Rwanda Biomedical Center, Ministry of Health, PO Box 7162, Kigali, Rwanda., Nsanzimana S; Rwanda Biomedical Center, Ministry of Health, PO Box 7162, Kigali, Rwanda. |
| المصدر: | International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases [Int J Infect Dis] 2016 Nov; Vol. 52, pp. 62-67. Date of Electronic Publication: 2016 Sep 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Canada NLM ID: 9610933 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-3511 (Electronic) Linking ISSN: 12019712 NLM ISO Abbreviation: Int J Infect Dis Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hamilton, ON : Elsevier Original Publication: Hamilton, ON : Decker, c1996- |
| مواضيع طبية MeSH: | HIV Infections/*epidemiology , Infectious Disease Transmission, Vertical/*prevention & control, Adolescent ; Adult ; Ambulatory Care Facilities ; Female ; HIV Infections/transmission ; Humans ; Mothers ; Pregnancy ; Pregnancy Complications, Infectious/epidemiology ; Pregnancy Complications, Infectious/prevention & control ; Prenatal Care ; Rwanda ; World Health Organization ; Young Adult |
| مستخلص: | Background: In 2013, the World Health Organization (WHO) recommended that for efficiency and ethical considerations, transitioning from antenatal clinic-based surveillance to prevention of mother-to-child transmission (PMTCT)-based routine data should be investigated. An assessment of the readiness for this transition was carried out in Rwanda in 2011 and 2013. Methods: This assessment applied the WHO recommended method. Individual HIV rapid testing at site was compared to antenatal surveillance results at all existing 30 sites, involving 13 292 women. In addition, PMTCT HIV testing quality assurance and PMTCT routine data quality were assessed at 27 out of the 30 sites. Results: All sentinel sites provided PMTCT services and had a high uptake of HIV testing (more than 90%). At all sites, PMTCT data were recorded in longitudinal and standardized antenatal clinic registers. Twenty-six out of 27 sites had HIV result completeness above 90%. A positive percentage agreement of 97.5% and negative percentage agreement of 99.9% were observed between routine PMTCT and sero-surveillance HIV test results. Of 27 sites, 25 scored more than 80% in all phases of HIV testing quality assurance. Conclusions: According to WHO standards, Rwanda antenatal care HIV sero-surveillance is ready to transition to PMTCT-based sero-surveillance. (Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.) |
| فهرسة مساهمة: | Keywords: HIV diagnostic tests; HIV prevalence; Prevention of mother-to-child transmission; Routine data; Sentinel surveillance |
| تواريخ الأحداث: | Date Created: 20160913 Date Completed: 20170130 Latest Revision: 20181202 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.ijid.2016.08.029 |
| PMID: | 27616035 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1878-3511 |
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| DOI: | 10.1016/j.ijid.2016.08.029 |