Evolution of antiretroviral therapy services for HIV-infected pregnant women in Cape Town, South Africa.

ABSTRACT:

Background

Approaches to antiretroviral therapy (ART) in HIV-infected pregnant women have changed considerably in recent years, but there are few comparative data on the implementation of different models of service delivery.

Methods

Using routine clinic records we examined ART initiation in pregnant women attending a large antenatal care (ANC) facility between January 2010 and December 2013 in Cape Town, South Africa. Over this time six different service delivery models were implemented sequentially to provide ART in pregnancy, including the integration of ART into ANC, use of point-of-care CD4 cell count testing, and universal ART initiation for all HIV-infected pregnant women.

Results

During the study period 19,432 women sought ANC, levels of HIV testing were high

SUBMITTER: Myer L 

PROVIDER: S-EPMC4550573 | biostudies-literature | 2015 Jun

REPOSITORIES: biostudies-literature