'The baby will have the right beginning': a qualitative study on mother and health worker views on point-of-care HIV birth testing across 10 sites in Zimbabwe.
'The baby will have the right beginning': a qualitative study on mother and health worker views on point-of-care HIV birth testing across 10 sites in Zimbabwe.
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DOI：
10.1186/s12887-022-03601-x
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发表时间：
2022-09-14
期刊：
影响因子：
2.4
通讯作者：
中科院分区：
文献类型：
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感染艾滋病毒的婴儿的存活取决于早期发现和开始有效治疗。暴露于艾滋病毒的婴儿在6周龄时进行检测;然而，更早检测艾滋病毒（例如，出生后不久）可以识别子宫内感染，这与快速进展有关。婴儿早期诊断病毒学检测通常有很长的周转时间，降低了早期检测的实用性。床旁（POC）检测允许在卫生机构出生的新生儿在出院前获得结果。本研究旨在了解母亲和卫生工作者对POC出生检测的使用和可接受性的看法。从2018年开始，津巴布韦为高风险艾滋病毒暴露的婴儿提供标准的出生时艾滋病毒检测;作为试点计划的一部分，在10家选定的医院，为每个艾滋病毒暴露的婴儿提供POC出生检测（BT）。为了了解选定地点的经验，进行了48次访谈：23次与母亲，25次与保健工作者，包括6名主管护士。参与者是在参与地点有目的地抽样。访谈以英语、绍纳语或恩德贝莱语进行，并以英语转录。进行了逐行编码，并采用了不断比较的分析方法，以确定每一类答复者的关键主题。调查结果被组织在四个主题：挑战与BT，BT的可接受性，BT的好处，并建议BT程序。总的来说，BT被母亲和卫生工作者很好地接受，因为它鼓励母亲更好地照顾未感染的新生儿或更快地开始治疗感染的婴儿。虽然这些益处已得到充分理解，但母亲们感到存在一些挑战，即应提前告知她们检测程序，并在更私密的环境中进行检测。母亲和卫生保健工作者还建议提高卫生保健工作者和社区对BT的认识，并确保设施备有充足的用品，并能在扩大方案之前及时提供结果。母亲和卫生工作者强烈支持实施和扩大出生检测方案，因为这对新生儿有好处。注意到的挑战应作为计划指导，而不是推迟或停止出生测试计划的理由。在线版本包含补充材料，可通过10.1186/s12887-022-03601-x获得。
The survival of HIV-infected infants depends on early identification and initiation on effective treatment. HIV-exposed infants are tested at 6 weeks of age; however, testing for HIV sooner (e.g., shortly after birth) can identify in utero infection, which is associated with rapid progression. Infant early diagnostic virologic tests often have long turnaround times, reducing the utility of early testing. Point-of-care (POC) testing allows neonates born in health facilities to get results prior to discharge. This study aimed to understand the views of mothers and health workers regarding the use and acceptability of POC birth testing. Beginning in 2018, Zimbabwe offered standard HIV testing at birth to high-risk HIV-exposed infants; as part of a pilot program, at 10 selected hospitals, POC birth testing (BT) was offered to every HIV-exposed infant. In order to understand experiences at the selected sites, 48 interviews were held: 23 with mothers and 25 with health workers, including 6 nurses-in-charge. Participants were purposively sampled across the participating sites. Interviews were held in English, Shona, or Ndebele, and transcribed in English. Line-by-line coding was carried out, and the constant comparison method of analysis was used to identify key themes for each respondent type. Findings were organized under four themes: challenges with BT, acceptability of BT, benefits of BT, and recommendations for BT programs. Overall, BT was well accepted by mothers and health workers because it encouraged mothers to better care for their uninfected newborns or initiate treatment more rapidly for infected infants. While the benefits were well understood, mothers felt there were some challenges, namely that they should be informed in advance about testing procedures and tested in a more private setting. Mothers and HCWs also recommended improving awareness of BT, both among health care workers and in the community in general, as well as ensuring that facilities are well-stocked with supplies and can deliver results in a timely way before scaling up programs. Mothers and health workers strongly support implementation and expansion of birth testing programs due to the benefits for newborns. The challenges noted should be taken as planning guidance, rather than reasons to delay or discontinue birth testing programs. The online version contains supplementary material available at 10.1186/s12887-022-03601-x.
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DOI：
10.1097/qai.0000000000002380
发表时间：
2020-07-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Khumalo, Philisiwe Ntombenhle;Sacks, Emma;Cohn, Jennifer
通讯作者：
Cohn, Jennifer
DOI：
10.1097/qai.0000000000001804
发表时间：
2018-11-01
影响因子：
3.6
作者：
Moucheraud, Corrina;Chasweka, Dennis;Hoffman, Risa M.
通讯作者：
Hoffman, Risa M.
影响因子：
--
作者：
Wexler C;Kamau Y;Muchoki E;Babu S;Maosa N;Maloba M;Brown M;Goggin K;Mabachi N;Gautney B;Finocchario-Kessler S
通讯作者：
Finocchario-Kessler S
影响因子：
3.7
作者：
Sutcliffe, Catherine G.;Mutanga, Jane N.;Moss, William J.
通讯作者：
Moss, William J.
影响因子：
3.7
作者：
Wexler, Catherine;Maloba, May;Finocchario-Kessler, Sarah
通讯作者：
Finocchario-Kessler, Sarah