Abstract:
:Background Prevention of mother to child transmission of HIV (PMTCT) services are critical to achieve national and global targets of 90% antiretroviral therapy (ART) coverage in PMTCT, and mother to child transmission rates less than 5%. In 2012, Kenya adopted WHO's recommended ART regimen for PMTCT "Option B+". Aims This study assesses progress made in adopting these new guidelines and associated outcomes. Methods We analysed programmatic data of 2604 mother-infant pairs enrolled in the HIV Infant Tracking System (HITSystem) at four government hospitals in Kenya between January, 2013 and December, 2016. We then compared PMTCT trends between 2010 and 2012 and 2013-2016 for the same four government hospitals. Results A total of 2,371 (91.1%) received some ART regimen, however; only 911 (56.2%) mothers received ART regimens compliant with WHO Option B+. From 2013 to 2016, the percent of mothers on WHO Option B + doubled from 42 to 84% (p < 0.001), the mean week of ART initiation decreased from 19.0 to 9.7 weeks (p < 0.001), the percent of pregnant women who were already on ART at the time of PMTCT enrolment increased from 5.8 to 31.7% (p < 0.001), and the paediatric transmission rate decreased from 5.9 to 2.5% (p = 0.002). Conclusion Comparing data at these four Kenyan hospitals indicates significant progress has been made from 2010 to 2016. To continue these positive gains, concerted focus will be needed to target and improve the integration of new guidelines into clinical practice at the facility level, adherence to treatment and retention in care.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Pricilla RA,Brown M,Wexler C,Maloba M,Gautney BJ,Finocchario-Kessler Sdoi
10.1007/s10995-018-2612-0subject
Has Abstractpub_date
2018-12-01 00:00:00pages
1685-1692issue
12eissn
1092-7875issn
1573-6628pii
10.1007/s10995-018-2612-0journal_volume
22pub_type
杂志文章abstract:OBJECTIVES:The purpose of the current study was to describe anxious pregnant women's concerns about using pharmacotherapy to treat anxiety symptoms, and the relationship of such concerns to women's willingness to use pharmacotherapy during pregnancy. METHODS:Between April 2011 and May 2012, 148 women who were pregnant...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02873-7
更新日期:2020-04-01 00:00:00
abstract::Background Vaccine preventable diseases are making a comeback in the US. However, research is lacking on illness representations of vaccine preventable diseases and their application in improving childhood immunization. Objective We utilized the common sense model of self-regulation to examine illness representations ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2363-3
更新日期:2018-01-01 00:00:00
abstract::Objective To assess differences in the rates of preeclampsia among a multiethnic population in Hawaii. Methods We performed a retrospective study on statewide inpatient data for delivery hospitalizations in Hawaii between January 1995 and December 2013. Multivariable logistic regression was used to assess the impact o...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-1984-2
更新日期:2016-09-01 00:00:00
abstract::We aimed to investigate the association of recreational physical activity before pregnancy with gestational diabetes mellitus (GDM). A cross-sectional study was performed using self-reported data from the Pregnancy Risk Assessment and Monitoring System. The study population included 1,052 self-reported GDM cases and 1...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0586-7
更新日期:2011-05-01 00:00:00
abstract::This study investigated the mediating roles of sleep and depression on the relationships between stress, fat intake, and fruit and vegetable intake among low-income overweight and obese pregnant women by trimesters. Participants (N = 213) completed a self-administered survey including stress (exogenous variable), depr...
journal_title:Maternal and child health journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s10995-014-1604-y
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVE:To investigate the confidence women feel about child rearing in Japan and Vietnam. METHODS:We conducted a prospective study of 210 Japanese mothers who registered as pregnant in Sukagawa City, Fukushima, and 132 Vietnamese mothers who attended a university hospital in Ho Chi Minh City. Follow-up surveys were...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0267-3
更新日期:2008-09-01 00:00:00
abstract:INTRODUCTION:Though interest is growing for trials comparing planned delivery mode (vaginal delivery [VD]; cesarean section [CS]) in low-risk nulliparous women, appropriate study design is unclear. Our objective was to assess feasibility of three designs (preference trial [PCT], randomized controlled trial [RCT], parti...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-03073-4
更新日期:2021-01-01 00:00:00
abstract::To examine experiences of perinatal (in pregnancy or post-partum) abuse from in-laws and to assess associations between such experiences and perinatal intimate partner violence (IPV) from husbands, as reported by Indian women residing in low-income communities in Mumbai. The present study includes both qualitative and...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0651-2
更新日期:2011-08-01 00:00:00
abstract::Background Childhood obesity is a major public health concern and families play an important role. Improving strategies to reach parents and directing tailored nutrition education to them is needed. Purpose To investigate the challenges and facilitators to promoting a healthy environment at home and to identify commun...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2472-7
更新日期:2018-07-01 00:00:00
abstract::A lower bodyweight may be associated with adverse birth outcomes, such as low birth weight and being small for a given gestational age. In Japan, the rate of low birth weight has been increasing over the last two decades, such that both low pre-pregnancy weight and inadequate weight gain during pregnancy are viewed as...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1213-6
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVES:In order to prospectively identify psychosocial predictors of infants being underweight, we followed 3,302 low-income infants. These infants received well-baby care in health departments and were enrolled in the Women, Infants, and Children (WIC) Supplemental Food Program from the newborn period to 12 months...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-006-0129-4
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:To explore women's attitudes and practices related to douching. METHODS:We conducted focus groups between July and December 1999 with 34 black and 27 white women enrolled in a managed care plan in Memphis, Tennessee. Participants were at least 18 years of age and had douched at some time in their lives. Fiv...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1011391700314
更新日期:2001-09-01 00:00:00
abstract::Objectives Previous studies have identified racial/ethnic disparities in infertility care, but patterns among American Indian/Alaska Natives (AI/AN) have not been reported. Our objective was to evaluate infertility services use in the US by race/ethnicity using data from the National Survey of Family Growth (NSFG). Me...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2586-y
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:The postpartum period is a window of opportunity for diabetes prevention in women with recent gestational diabetes (GDM), but recruitment for clinical trials during this period of life is a major challenge. METHODS:We adapted a social-ecologic model to develop a multi-level recruitment strategy at the macro ...
journal_title:Maternal and child health journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s10995-015-1825-8
更新日期:2016-02-01 00:00:00
abstract::The purpose of our research is to compare sexual violence prevalence rates from three sources of state level data. Public health officials, legislators and other policymakers often require state-level sexual assault prevalence estimates to justify funding and rationalize both new and ongoing sexual violence prevention...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0565-z
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVES:Examine the association of acculturation and cesarean section after adjusting for clinical and non-clinical factors that could influence clinical discretion in performing the surgery. METHODS:A sample of 2102 low-risk, low-income primarily Mexican Latinas in San Diego County was divided into two groups: pri...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-005-2447-3
更新日期:2005-03-01 00:00:00
abstract::MCH professionals play an invaluable role by serving as peer-reviewers for their professional journal. The peer-review process is a fundamental part of maintaining the scientific rigor and professional relevance of our field's literature. The purpose of this article is to provide guidance for the review of manuscripts...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-005-2423-y
更新日期:2005-03-01 00:00:00
abstract::Turning a ship requires small but steady and deliberate efforts over time. During the past 9 years, Wisconsin's Maternal and Child Health (MCH) Program has begun to utilize the life-course perspective as its framework for guiding efforts around women's health, early childhood systems, children and youth with special h...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1225-x
更新日期:2014-02-01 00:00:00
abstract:PURPOSE:The impact of programs, policies, and practices developed by professionals in the field of maternal and child health (MCH) epidemiology is highlighted biennially by 16 national MCH agencies and organizations, or the Coalition for Excellence in MCH Epidemiology. DESCRIPTION:In September 2014, multiple leading a...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1916-6
更新日期:2016-04-01 00:00:00
abstract::While witnessing violence between parents is one of the most consistent correlates of experiencing intimate partner violence (IPV) in later life, little research exists in developing countries on the effects of witnessing interparental IPV on young adults' involvement with family violence. This study examines the rela...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-014-1544-6
更新日期:2015-03-01 00:00:00
abstract::Despite recommendations in the U.S. for routine HPV vaccination of adolescent girls since 2006, rates of vaccination continue to be low. This study reports vaccination uptake, factors associated with vaccine uptake and reasons for non-vaccination within a national sample of adolescent females during 2010. Using a comp...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1066-z
更新日期:2013-07-01 00:00:00
abstract::Objective To determine rates of vaginal delivery, emergency caesarean section, and elective caesarean section for first and second births in Australia, and to identify maternal predictors of caesarean section. Methods Data were from the Australian Longitudinal Study on Women's Health. A total of 5275 women aged 18-38 ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2216-5
更新日期:2017-05-01 00:00:00
abstract::To test the 6-month efficacy of an inclusive non-diagnosis-specific, 7-session parent education curriculum on five pre-specified outcomes. A randomized clinical trial with 100 parents having children 2-11 years with a variety of chronic conditions was conducted. The 7-session curriculum, Building on Family Strengths (...
journal_title:Maternal and child health journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s10995-013-1273-2
更新日期:2014-04-01 00:00:00
abstract::Given the unprecedented operational tempo of the Afghanistan and Iraq wars and the heavy involvement of the Reserve and National Guard, the stress that military families are exposed to is distinct from stress in earlier conflicts, with little empirical data to inform the impact on non-deployed military caregivers or "...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0772-2
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the safety and feasibility of a Family First Aid approach whereby women and their families are provided misoprostol in advance to manage postpartum hemorrhage (PPH) in home births. METHODS:A 12-month prospective, pre-post intervention study was conducted from February 2017 to February 2018. Women...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-03047-6
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVE:Previous work is conflicted regarding the relationship between motor skill development and physical activity. One potential explanation for this equivocality is the difficulty and lack of precision in physical activity measurement, particularly within preschool populations. Our exploration of plank performanc...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02753-0
更新日期:2019-08-01 00:00:00
abstract::Objective The aim of the present research was to evaluate the correlation of vertically transmitted IgG antibodies induced by T. cruzi and newborn early outcome assessment, mainly birth weight and gestational age. Methods We performed a cross-sectional study with 183 pregnant women (64 with asymptomatic Chagas disease...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2035-8
更新日期:2016-10-01 00:00:00
abstract::Objectives This study examines the associations between specific maternity care practices and breastfeeding duration for Spanish-speaking Hispanic, English-speaking Hispanic, non-Hispanic Native American, and non-Hispanic White women. Methods We analyzed data from the 2012-2014 New Mexico Pregnancy Risk Assessment Mon...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-02711-2
更新日期:2019-06-01 00:00:00
abstract::This paper discusses characteristics that are associated with enhanced maternal and child health (MCH) epidemiology functioning in state health agencies. The concept of the "MCH Epidemiology Effort" is introduced as "the epidemiologic work carried out by multiple units and agencies aimed at informing program planning ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0680-x
更新日期:2011-11-01 00:00:00
abstract:INTRODUCTION:The nutritional status in the first 5 years of life has lifelong and inter-generational impacts on individual's potential and development. This study described the trend of stunting and its risk factors in children under 5 years of age between 2001 and 2016 in Nepal. METHODS:The study used datasets from t...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02817-1
更新日期:2020-02-01 00:00:00