Cell Phone Counseling Improves Retention of Mothers With HIV Infection in Care and Infant HIV Testing in Kisumu, Kenya: A Randomized Controlled Study
Cell Phone Counseling Improves Retention of Mothers With HIV Infection in Care and Infant HIV Testing in Kisumu, Kenya: A Randomized Controlled Study
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DOI：
10.9745/ghsp-d-18-00241
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发表时间：
2019-06-01
影响因子：
4
通讯作者：
Kalibala, Sam
中科院分区：
文献类型：
--
作者：
Sarna, Avina;Saraswati, Lopamudra Ray;Kalibala, Sam
背景资料：我们评估了手机咨询干预措施的有效性，以促进肯尼亚基苏穆接受母婴预防服务的艾滋病毒感染妇女继续接受护理和婴儿艾滋病毒检测。方法：在2013年5月至2015年9月期间，我们招募了404名妊娠14 ~ 36周的HIV感染孕妇，将她们随机分为干预组（n=207）和对照组（n=207）。197）。在分娩时以及产后6周和14周对保留进行评估。我们还测量了婴儿艾滋病毒检测的吸收情况。干预措施包括一个固定的协议，顾问提供电话，以提供一对一的基于需求的支持。打电话的次数根据参与者何时提出产前保健服务而有所不同;最多为42次。对照组给予常规护理。我们使用互补对数-对数回归模型评估了3个时间点的保留情况，并考虑了与保留和失访时间相关的因素。我们计算了婴儿之间的艾滋病病毒传播的发病率，并采用二元逻辑回归，以确定婴儿之间的艾滋病病毒感染的预测因素。结果：参加者平均63%，在研究期间所需的咨询电话。分娩时干预组的保留率高于对照组（分别为95.2%和77.7%）;产后6周（分别为93.9%和72.9%）;产后14周（分别为83.3%和66.5%）（P
Background: We evaluated the effectiveness of a cell phone counseling intervention to promote retention in care and HIV testing of infants among women with HIV accessing prevention of mother-to-child services in Kisumu, Kenya.Methods: Between May 2013 and September 2015, we recruited 404 pregnant women with HIV who were between 14 and 36 weeks of gestation and randomly assigned them to the intervention (n=207) or control arm (n=197). Retention was assessed at delivery and at 6 and 14 weeks postpartum. We also measured uptake of infant HIV testing. The intervention comprised a fixed protocol of counselor-delivered phone calls to provide one-to-one need-based support. The number of calls made varied depending on when participants presented for antenatal care services; the maximum number was 42. The control group received routine care. We evaluated retention at 3 time points using the complementary log-log regression model taking into account factors associated with retention and loss to follow-up time. We calculated the incidence rate for HIV transmission among infants and used binary logistic regression to identify predictors of HIV infection among infants.Results: Participants attended on average 63% of the required number of counseling calls during the study period. Retention was higher in the intervention arm than the control arm at delivery (95.2% vs. 77.7%, respectively); 6 weeks postpartum (93.9% vs. 72.9%, respectively); and 14 weeks postpartum (83.3% vs. 66.5%, respectively) (P