Addressing Early Retention in Antenatal Care Among HIV-Positive Women Through a Simple Intervention in Kinshasa, DRC: The Elombe “Champion” Standard Operating Procedure

  • Michelle M. Gill
  • John Ditekemena
  • Aimé Loando
  • Nana Mbonze
  • Jo Bakualufu
  • Rhoderick Machekano
  • Cady Nyombe
  • Marleen Temmerman
  • Franck Fwamba
Brief Report

Abstract

This cluster-randomized study aimed to assess the Elombe (“Champion”) standard operating procedure (SOP), implemented by providers and Mentor Mothers, on HIV-positive pregnant women’s retention between first and second antenatal visits. Sixteen facilities in Kinshasa were randomly assigned to intervention (SOP) or comparison (no SOP). Effect of the SOP was estimated using relative risk. Women in comparison facilities were more likely to miss second visits (RR 2.5, 95% CI 1.05–5.98) than women in intervention facilities (30.0%, n = 27 vs. 12.0%, n = 9, p < 0.002). Findings demonstrate that a simple intervention can reduce critical early loss to care in PMTCT programs providing universal, lifelong treatment.

Keywords

PMTCT DRC Antenatal care Retention Option B+ 

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Michelle M. Gill
    • 1
    • 2
  • John Ditekemena
    • 3
  • Aimé Loando
    • 3
  • Nana Mbonze
    • 3
  • Jo Bakualufu
    • 4
  • Rhoderick Machekano
    • 1
  • Cady Nyombe
    • 5
  • Marleen Temmerman
    • 2
    • 6
  • Franck Fwamba
    • 7
  1. 1.Elizabeth Glaser Pediatric AIDS FoundationWashingtonUSA
  2. 2.Faculty of Medicine and Health SciencesGhent UniversityGhentBelgium
  3. 3.Elizabeth Glaser Pediatric AIDS Foundation-DRCKinshasaDemocratic Republic of the Congo
  4. 4.Education Development CenterLubumbashiDemocratic Republic of the Congo
  5. 5.Kinshasa School of Public HealthUniversity of KinshasaKinshasaDemocratic Republic of the Congo
  6. 6.Faculty of Health SciencesAga Khan UniversityNairobiKenya
  7. 7.National AIDS Control ProgrammeKinshasaDemocratic Republic of the Congo

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