A team of scientists and program managers, led by the National Institutes of Health, has been studying a variety of implementation science approaches to prevent mother-to-child transmission (PMTCT) and has published the results in a 16-article open-access supplement to the Journal of Acquired Immune Deficiency Syndromes (http://journals.lww.com/jaids/toc/2016/08011).
These researchers and policymakers from the United States and Africa are part of the PMTCT Implementation Science Alliance, which aims to support effective implementation of evidence-based interventions to prevent mother-to-child transmission, led by the Center for Global Health Studies (CGHS) at FIC.
The investigation found that PMTCT involves a cascade of factors, crossing multiple biological phases for women and their infants - during pregnancy and after delivery - and requires deployment of multiple health services. Some studies used systems engineering approaches to examine treatment workflow, identify bottlenecks and gaps, task shifting options and other issues. Facility-level problems were considered, including drug shortages, overburdened staff, lack of service integration, insufficient mentoring, and poor patient-provider interactions. The scientists also identified domestic violence, abandonment and stigma as key barriers.
For more information: https://www.fic.nih.gov/News/Pages/2016-pmtct-hiv-implementation-science.aspx
Link leads to: http://journals.lww.com/jaids/toc/2016/08011
Link leads to: https://www.fic.nih.gov/News/Pages/2016-pmtct-hiv-implementation-science.aspx