Is Zimbabwe ready to transition from anonymous unlinked sero-surveillance to using prevention of mother to child transmission of HIV (PMTCT) program data for HIV surveillance? : results of PMTCT utility study, 2012

Simple item page
dc.contributor.authorGonese, E.en_ZA
dc.contributor.authorMushavi, A.en_ZA
dc.contributor.authorMungati, M.en_ZA
dc.contributor.authorMhangara, M.en_ZA
dc.contributor.authorDzangare, J.en_ZA
dc.contributor.authorMugurungi, O.en_ZA
dc.contributor.authorDee, J.en_ZA
dc.contributor.authorKilmarx, P. H.en_ZA
dc.contributor.authorShambira, G.en_ZA
dc.contributor.authorTshimanga, M. T.en_ZA
dc.contributor.authorHargrove, J.en_ZA
dc.date.accessioned2017-01-25T12:56:40Z
dc.date.available2017-01-25T12:56:40Z
dc.date.issued2016-02-29
dc.date.updated2016-12-09T11:59:54Z
dc.descriptionCITATION: Gonese, E., et al. 2016. Is Zimbabwe ready to transition from anonymous unlinked sero-surveillance to using prevention of mother to child transmission of HIV (PMTCT) program data for HIV surveillance? : results of PMTCT utility study, 2012. BMC Infectious Diseases, 16:97, doi:10.1186/s12879-016-1425-2.
dc.descriptionThe original publication is available at https://bmcinfectdis.biomedcentral.com
dc.description.abstractBackground: Prevention of mother-to-child transmission of HIV (PMTCT) programs collect socio-demographic and HIV testing information similar to that collected by unlinked anonymous testing sero-surveillance (UAT) in antenatal settings. Zimbabwe evaluated the utility of PMTCT data in replacing UAT. Methods: A UAT dataset was created by capturing socio-demographic, testing practices from the woman’s booking-card and testing remnant blood at a laboratory from 1 June to 30 September 2012. PMTCT data were collected retrospectively from ANC registers. UAT and PMTCT data were linked by bar-code labels that were temporarily affixed to the ANC register. A questionnaire was used to obtain facility-level data at 53 sites. Results: Pooled HIV prevalence was 15.8 % (95 % CI 15.3–16.4) among 17,349 women sampled by UAT, and 16.3 % (95 % CI 15.8 %–16.9 %) among 17,150 women in PMTCT datasets for 53 sites. Pooled national percent-positive agreement (PPA) was 91.2 %, and percent-negative agreement (PNA) was 98.7 % for 16,782 women with matched UAT and PMTCT data. Based on UAT methods, overall median prevalence was 12.9 % (Range 4.0 %–19.4 %) among acceptors and refusers of HIV test in PMTCT compared to 12.5 % ((Range 3.4 %–19.5 %) among acceptors in ANC registers. There were variations in prevalence by site. Conclusion: Although, there is no statistical difference between pooled HIV prevalence in UAT compared to PMTCT program, the overall PPA of 91.2 % and PNA of 98.7 % fall below World Health Organisation (WHO) benchmarks of 97.6 % and 99.6 % respectively. Zimbabwe will need to strengthen quality assurance (QA) of rapid HIV testing and data collection practices. Sites with good performance should be prioritised for transitioning.
dc.description.urihttps://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-016-1425-2
dc.description.versionPublisher's version
dc.format.extent13 pages
dc.identifier.citationGonese, E., et al. 2016. Is Zimbabwe ready to transition from anonymous unlinked sero-surveillance to using prevention of mother to child transmission of HIV (PMTCT) program data for HIV surveillance? : results of PMTCT utility study, 2012. BMC Infectious Diseases, 16:97, doi:10.1186/s12879-016-1425-2
dc.identifier.issn1471-2334 (Online)
dc.identifier.otherdoi:10.1186/s12879-016-1425-2
dc.identifier.urihttp://hdl.handle.net/10019.1/100537
dc.language.isoen_ZAen_ZA
dc.publisherBioMed Central
dc.rights.holderAuthor retains copyright
dc.subjectHIV-positive persons -- Zimbabween_ZA
dc.subjectHIV infections -- Transmission -- Zimbabween_ZA
dc.titleIs Zimbabwe ready to transition from anonymous unlinked sero-surveillance to using prevention of mother to child transmission of HIV (PMTCT) program data for HIV surveillance? : results of PMTCT utility study, 2012en_ZA
dc.typeArticle
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
gonese_zimbabwe_2016.pdf
Size:
509.33 KB
Format:
Adobe Portable Document Format
Description:
Download article
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.95 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Research Articles ((SACEMA) South African Centre for Epidemiological Modelling and Analysis )