Pilot programme for the rapid initiation of antiretroviral therapy in pregnancy in Cape Town, South Africa
Pilot programme for the rapid initiation of antiretroviral therapy in pregnancy in Cape Town, South Africa
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DOI：
10.1080/09540121.2012.668173
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发表时间：
2012-01-01
影响因子：
1.7
通讯作者：
Bekker, Linda-Gail
中科院分区：
文献类型：
--
作者：
Myer, Landon;Zulliger, Rose;Bekker, Linda-Gail
Initiation of antiretroviral therapy (ART) in pregnancy is an important intervention to prevent the mother-to-child transmission (MTCT) of HIV and to promote maternal health. Early initiation of ART is particularly important to achieve viral suppression rapidly before delivery. However, current approaches to start ART in pregnancy may be problematic in many settings, with referrals between antenatal care (ANC) and ART services, and delays for patient preparation before ART initiation. These steps contribute to a sizable proportion of women failing to receive adequate duration of ART before delivery, increasing the risk of MTCT. To address these limitations, we developed the rapid initiation of antiretroviral therapy in pregnancy (RAP) programme. The programme featured the use of point-of-care CD4 testing to identify ART-eligible women with CD4 cell counts
