Implementing family-focused HIV care and treatment: the first 2 years' experience of the mother-to-child transmission -plus program in Abidjan, Cote d'Ivoire
Implementing family-focused HIV care and treatment: the first 2 years' experience of the mother-to-child transmission -plus program in Abidjan, Cote d'Ivoire
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DOI：
10.1111/j.1365-3156.2008.02182.x
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发表时间：
2009-02-01
影响因子：
3.3
通讯作者：
Abrams, E. J.
中科院分区：
文献类型：
--
作者：
Tonwe-Gold, B.;Ekouevi, D. K.;Abrams, E. J.
描述以家庭为中心的艾滋病毒护理和治疗方法，并报告在科特迪瓦阿比让实施母婴传播（MTCT）+计划的头两年经验。MTCT+计划旨在让感染艾滋病毒的孕妇和产后妇女为自己及其家人接受全面的艾滋病毒护理和治疗。2003年8月至2005年8月期间，有605名感染艾滋病毒的孕妇或产后妇女妇女和 582 名感染艾滋病毒的婴儿参加了研究。据报告，他们的 568 名男性伴侣还活着，其中 52% 的人知道妻子感染艾滋病毒，30% 的人接受了艾滋病毒检测；这些接受测试的伴侣中有 53% 被发现感染了艾滋病毒，78% 的伴侣参加了该计划。总体而言，只有 10% 的女性与其受感染的伴侣一起参加。另一方面，该计划涉及一半血清阴性男性，他们在家人的照顾下前来参加自愿咨询和检测（VCT）。在母亲报告的 1624 名存活的 15 岁以下儿童中（不包括最近一次怀孕系统进行 HIV 筛查的最后一个新生儿），只有 10.8% 被带去进行 HIV 检测，其中 12.3% 被发现感染 HIV。以家庭为中心的 HIV 护理模式注重家庭和家庭成员的需求。该计划成功地招募了感染艾滋病毒的妇女、她们的伴侣和婴儿进行持续随访。然而，让新登记妇女的伴侣和家庭成员接受护理涉及许多挑战，例如妇女向其伴侣和家庭成员披露艾滋病毒状况。需要进一步努力了解家庭获得艾滋病毒服务的障碍，因为在西非城市环境中需要改善合作伙伴参与并为家庭中其他儿童提供护理机会的战略。
To describe a family-focused approach to HIV care and treatment and report on the first 2 years experience of implementing the mother-to-child transmission (MTCT)-plus program in Abidjan, Cote d'Ivoire.The MTCT-plus initiative aims to enrol HIV-infected pregnant and postpartum women in comprehensive HIV care and treatment for themselves and their families.Between August 2003 and August 2005, 605 HIV-infected pregnant or postpartum women and 582 HIV-exposed infants enrolled. Of their 568 male partners reported alive, 52% were aware of their wife's HIV status and 30% were tested for HIV; 53% of these tested partners were found to be HIV-infected and 78% enrolled into the program. Overall only 10% of the women enrolled together with their infected partner. On the other hand, the program involved half of the seronegative men who came for voluntary counselling and testing (VCT) in the care of their families. Of 1624 children < 15 years reported alive by their mothers (excluding the last newborn infants of the most recent pregnancy systematically screened for HIV), only 10.8% were brought in for HIV testing, of whom 12.3% were found to be HIV-infected.The family-focused model of HIV care pays attention to the needs of families and household members. The program was successful in enrolling HIV women, their partners and infants in continuous follow-up. However engaging partners and family members of newly enrolled women into care involves numerous challenges such as disclosure of HIV status by women to their partners and family members. Further efforts are required to understand barriers for families accessing HIV services as strategies to improve partner involvement and provide access to care for other children in the households are needed in this West African urban setting.