Barriers to successful early infant diagnosis of HIV infection at primary care level in Malawi.
HIV-infected women seeking early infant HIV diagnosis (EID) services in Malawi were asked about factors potentially associated with returning for EID results. Many (33.3%) infants failed to complete the EID process because of time and costs required for multiple visits. Infants of mothers receiving antiretroviral treatment were less likely to drop out (adjusted risk ratio 0.51), suggesting that EID completion may improve in programs providing antiretroviral treatment to all pregnant women.
From the *Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina; †Malawi-Liverpool-Wellcome Trust Clinical Research Programme, University of Malawi College of Medicine, Blantyre, Malawi; ‡Department of Pediatrics & Child Health, Queen Elizabeth Central Hospital, Blantyre, Malawi; and §School of Medicine, University of Washington, Seattle, Washington.
Elizabeth A
EA
Cromwell
Anna E
AE
Dow
Daniel
D
Low
Chawanangwa
C
Chirambo
Robert S
RS
Heyderman
Queen
Q
Dube
Annelies
A
Van Rie
D042241:Early Diagnosis; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology* / Q000635:transmission; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D018445:Infectious Disease Transmission, Vertical; D008295:Malawi / Q000453:epidemiology; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious; D011320:Primary Health Care; D011446:Prospective Studies; D062486:Public Health Surveillance; D013997:Time Factors