Division of Epidemiology and Biostatistics, School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa.
Mailman School of Public Health, ICAP-Columbia University, New York, New York, United States of America.
PLoS One. 2021 Dec 2;16(12):e0260530. doi: 10.1371/journal.pone.0260530. eCollection 2021.
Transitions between services for continued antiretroviral treatment (ART) during and after pregnancy are a commonly overlooked aspect of the HIV care cascade, but ineffective transitions can lead to poor health outcomes for women and their children. In this qualitative study, we conducted interviews with 15 key stakeholders from Ministries of Health along with PEPFAR-supported and other in-country non-governmental organizations actively engaged in national programming for adult HIV care and prevention of mother-to-child-transmission of HIV (PMTCT) services in Côte d'Ivoire, Lesotho and Malawi. We aimed to understand perspectives regarding transitions into and out of PMTCT services for continued ART. Thematic analysis revealed that, although transitions of care are necessary and a potential point of loss from ART care in all three countries, there is a lack of clear guidance on transition approach and no formal way of monitoring transition between services. Several opportunities were identified to monitor and strengthen transitions of care for continued ART along the PMTCT cascade.
在怀孕期间和之后，继续接受抗逆转录病毒治疗（ART）的服务之间的转换是 HIV 护理链中一个经常被忽视的方面，但无效的转换可能导致妇女及其子女的健康状况不佳。在这项定性研究中，我们采访了来自科特迪瓦、莱索托和马拉维卫生部的 15 名主要利益攸关方，以及美国国际开发署支持的和其他在国内从事成人 HIV 护理和预防母婴传播艾滋病毒（PMTCT）服务的非政府组织。我们旨在了解有关进入和退出 PMTCT 服务以继续接受 ART 的观点。主题分析显示，尽管在所有三个国家，护理的过渡都是必要的，并且是从 ART 护理中流失的潜在因素，但在过渡方法上缺乏明确的指导，也没有正式的方法来监测服务之间的过渡。确定了一些机会来监测和加强继续进行 PMTCT 护理链的 ART 护理的过渡。
