Health Facility Characteristics and Their Relationship to Coverage of PMTCT of HIV Services across Four African Countries: The PEARL Study
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{"title"=>"Health facility characteristics and their relationship to coverage of PMTCT of HIV services across four African countries: The PEARL study", "type"=>"journal", "authors"=>[{"first_name"=>"Didier K.", "last_name"=>"Ekouevi", "scopus_author_id"=>"6603898420"}, {"first_name"=>"Elizabeth", "last_name"=>"Stringer", "scopus_author_id"=>"7003315822"}, {"first_name"=>"David", "last_name"=>"Coetzee", "scopus_author_id"=>"8508288500"}, {"first_name"=>"Pius", "last_name"=>"Tih", "scopus_author_id"=>"8515480100"}, {"first_name"=>"Tracy", "last_name"=>"Creek", "scopus_author_id"=>"6508344646"}, {"first_name"=>"Kathryn", "last_name"=>"Stinson", "scopus_author_id"=>"15623531500"}, {"first_name"=>"Andrew O.", "last_name"=>"Westfall", "scopus_author_id"=>"6701743831"}, {"first_name"=>"Thomas", "last_name"=>"Welty", "scopus_author_id"=>"7004639214"}, {"first_name"=>"Namwinga", "last_name"=>"Chintu", "scopus_author_id"=>"16243988500"}, {"first_name"=>"Benjamin H.", "last_name"=>"Chi", "scopus_author_id"=>"35085783200"}, {"first_name"=>"Cathy", "last_name"=>"Wilfert", "scopus_author_id"=>"7005480280"}, {"first_name"=>"Nathan", "last_name"=>"Shaffer", "scopus_author_id"=>"7006659834"}, {"first_name"=>"Jeff", "last_name"=>"Stringer", "scopus_author_id"=>"7201958893"}, {"first_name"=>"Francois", "last_name"=>"Dabis", "scopus_author_id"=>"7101905261"}], "year"=>2012, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"364122178", "issn"=>"19326203", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "doi"=>"10.1371/journal.pone.0029823", "scopus"=>"2-s2.0-84856043517", "pmid"=>"22276130", "sgr"=>"84856043517"}, "id"=>"83c38a5c-95dd-3126-805d-20858b5a2918", "abstract"=>"BACKGROUND: Health facility characteristics associated with effective prevention of mother-to-child transmission of HIV (PMTCT) coverage in sub-Saharan are poorly understood.\\n\\nMETHODOLOGY/PRINCIPAL FINDINGS: We conducted surveys in health facilities with active PMTCT services in Cameroon, Cote d'Ivoire, South Africa, and Zambia. Data was compiled via direct observation and exit interviews. We constructed composite scores to describe provision of PMTCT services across seven topical areas: antenatal quality, PMTCT quality, supplies available, patient satisfaction, patient understanding of medication, and infrastructure quality. Pearson correlations and Generalized Estimating Equations (GEE) to account for clustering of facilities within countries were used to evaluate the relationship between the composite scores, total time of visit and select individual variables with PMTCT coverage among women delivering. Between July 2008 and May 2009, we collected data from 32 facilities; 78% were managed by the government health system. An opt-out approach for HIV testing was used in 100% of facilities in Zambia, 63% in Cameroon, and none in Côte d'Ivoire or South Africa. Using Pearson correlations, PMTCT coverage (median of 55%, (IQR: 33-68) was correlated with PMTCT quality score (rho = 0.51; p = 0.003); infrastructure quality score (rho = 0.43; p = 0.017); time spent at clinic (rho = 0.47; p = 0.013); patient understanding of medications score (rho = 0.51; p = 0.006); and patient satisfaction quality score (rho = 0.38; p = 0.031). PMTCT coverage was marginally correlated with the antenatal quality score (rho = 0.304; p = 0.091). Using GEE adjustment for clustering, the, antenatal quality score became more strongly associated with PMTCT coverage (p<0.001) and the PMTCT quality score and patient understanding of medications remained marginally significant.\\n\\nCONCLUSIONS/RESULTS: We observed a positive relationship between an antenatal quality score and PMTCT coverage but did not identify a consistent set of variables that predicted PMTCT coverage.", "link"=>"http://www.mendeley.com/research/health-facility-characteristics-relationship-coverage-pmtct-hiv-services-across-four-african-countri", "reader_count"=>72, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Librarian"=>2, "Researcher"=>11, "Student > Doctoral Student"=>6, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>10, "Student > Master"=>19, "Other"=>2, "Student > Bachelor"=>4, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>4}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Librarian"=>2, "Researcher"=>11, "Student > Doctoral Student"=>6, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>10, "Student > Master"=>19, "Other"=>2, "Student > Bachelor"=>4, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Nursing and Health Professions"=>5, "Mathematics"=>1, "Medicine and Dentistry"=>37, "Agricultural and Biological Sciences"=>2, "Business, Management and Accounting"=>3, "Chemical Engineering"=>1, "Psychology"=>1, "Social Sciences"=>14, "Computer Science"=>2, "Immunology and Microbiology"=>2}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>37}, "Social Sciences"=>{"Social Sciences"=>14}, "Psychology"=>{"Psychology"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Computer Science"=>{"Computer Science"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>5}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>3}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>4}, "Chemical Engineering"=>{"Chemical Engineering"=>1}}, "reader_count_by_country"=>{"Switzerland"=>2}, "group_count"=>3}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/689480"], "description"=>"<p>Areas of the circles are proportional to the size of the cord blood sample used to estimate PMTCT coverage Line is based on the GEE model that accounts for clustering.</p>", "links"=>[], "tags"=>["composite", "pmtct", "pearl"], "article_id"=>359955, "categories"=>["Biotechnology", "Medicine", "Cell Biology", "Infectious Diseases"], "users"=>["Didier K. Ekouevi", "Elizabeth Stringer", "David Coetzee", "Pius Tih", "Tracy Creek", "Kathryn Stinson", "Andrew O. Westfall", "Thomas Welty", "Namwinga Chintu", "Benjamin H. Chi", "Cathy Wilfert", "Nathan Shaffer", "Jeff Stringer", "François Dabis"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0029823.g002", "stats"=>{"downloads"=>1, "page_views"=>15, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Relationship_of_composite_PMTCT_score_and_PMTCT_coverage_PEARL_Facility_Survey_2007_8211_2009_/359955", "title"=>"Relationship of composite PMTCT score and PMTCT coverage, PEARL Facility Survey, 2007–2009.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-01-20 02:45:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/351356", "https://ndownloader.figshare.com/files/351384"], "description"=>"<div><h3>Background</h3><p>Health facility characteristics associated with effective prevention of mother-to-child transmission of HIV (PMTCT) coverage in sub-Saharan are poorly understood.</p> <h3>Methodology/Principal Findings</h3><p>We conducted surveys in health facilities with active PMTCT services in Cameroon, Cote d'Ivoire, South Africa, and Zambia. Data was compiled via direct observation and exit interviews. We constructed composite scores to describe provision of PMTCT services across seven topical areas: antenatal quality, PMTCT quality, supplies available, patient satisfaction, patient understanding of medication, and infrastructure quality. Pearson correlations and Generalized Estimating Equations (GEE) to account for clustering of facilities within countries were used to evaluate the relationship between the composite scores, total time of visit and select individual variables with PMTCT coverage among women delivering.</p> <p>Between July 2008 and May 2009, we collected data from 32 facilities; 78% were managed by the government health system. An opt-out approach for HIV testing was used in 100% of facilities in Zambia, 63% in Cameroon, and none in Côte d'Ivoire or South Africa. Using Pearson correlations, PMTCT coverage (median of 55%, (IQR: 33–68) was correlated with PMTCT quality score (rho = 0.51; p = 0.003); infrastructure quality score (rho = 0.43; p = 0.017); time spent at clinic (rho = 0.47; p = 0.013); patient understanding of medications score (rho = 0.51; p = 0.006); and patient satisfaction quality score (rho = 0.38; p = 0.031). PMTCT coverage was marginally correlated with the antenatal quality score (rho = 0.304; p = 0.091). Using GEE adjustment for clustering, the, antenatal quality score became more strongly associated with PMTCT coverage (p<0.001) and the PMTCT quality score and patient understanding of medications remained marginally significant.</p> <h3>Conclusions/Results</h3><p>We observed a positive relationship between an antenatal quality score and PMTCT coverage but did not identify a consistent set of variables that predicted PMTCT coverage.</p> </div>", "links"=>[], "tags"=>["characteristics", "pmtct", "hiv", "services", "african", "pearl"], "article_id"=>129443, "categories"=>["Cancer", "Medicine", "Cell Biology", "Biotechnology"], "users"=>["Didier K. Ekouevi", "Elizabeth Stringer", "David Coetzee", "Pius Tih", "Tracy Creek", "Kathryn Stinson", "Andrew O. Westfall", "Thomas Welty", "Namwinga Chintu", "Benjamin H. Chi", "Cathy Wilfert", "Nathan Shaffer", "Jeff Stringer", "François Dabis"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0029823.s001", "https://dx.doi.org/10.1371/journal.pone.0029823.s002"], "stats"=>{"downloads"=>2, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Health_Facility_Characteristics_and_Their_Relationship_to_Coverage_of_PMTCT_of_HIV_Services_across_Four_African_Countries_The_PEARL_Study/129443", "title"=>"Health Facility Characteristics and Their Relationship to Coverage of PMTCT of HIV Services across Four African Countries: The PEARL Study", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2012-01-20 02:37:23"}
  • {"files"=>["https://ndownloader.figshare.com/files/689609"], "description"=>"<p>CBS: Cord blood specimens, IQR: Interquartile range, std: standard deviation.</p><p>**full coverage defined as the proportion of HIV-exposed infants in the sample with both maternal nevirapine ingestion (confirmed by cord blood chromatography) and infant nevirapine ingestion (confirmed by direct observation).</p>†<p>For the direct observation patient measures we first calculated the percent observed at each facility among the up to 6 cases and then computed <u>the mean (and standard deviation)</u> of those facility-level percents to get the overall country values shown in the table.</p>", "links"=>[], "tags"=>["observed", "pearl"], "article_id"=>360085, "categories"=>["Biotechnology", "Medicine", "Cell Biology", "Infectious Diseases"], "users"=>["Didier K. Ekouevi", "Elizabeth Stringer", "David Coetzee", "Pius Tih", "Tracy Creek", "Kathryn Stinson", "Andrew O. Westfall", "Thomas Welty", "Namwinga Chintu", "Benjamin H. Chi", "Cathy Wilfert", "Nathan Shaffer", "Jeff Stringer", "François Dabis"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0029823.t002", "stats"=>{"downloads"=>1, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Antenatal_care_service_provision_among_observed_patients_by_country_PEARL_Facility_Survey_2007_2009_8224_/360085", "title"=>"Antenatal care service provision among observed patients, by country; PEARL Facility Survey, 2007–2009<sup>†</sup>.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-01-20 00:01:25"}
  • {"files"=>["https://ndownloader.figshare.com/files/689658"], "description"=>"<p>ρ: Pearson correlation coefficient, IQR: Interquartile range.</p><p>*p-value for univariate regression models treating coverage as a continuous measure, using GEE to account for correlation due to clustering of facilities within countries.</p>", "links"=>[], "tags"=>["scores", "pmtct", "pearl"], "article_id"=>360131, "categories"=>["Biotechnology", "Medicine", "Cell Biology", "Infectious Diseases"], "users"=>["Didier K. Ekouevi", "Elizabeth Stringer", "David Coetzee", "Pius Tih", "Tracy Creek", "Kathryn Stinson", "Andrew O. Westfall", "Thomas Welty", "Namwinga Chintu", "Benjamin H. Chi", "Cathy Wilfert", "Nathan Shaffer", "Jeff Stringer", "François Dabis"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0029823.t003", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Health_facility_quality_scores_and_correlation_with_PMTCT_coverage_PEARL_Facility_Survey_2007_8211_2009_/360131", "title"=>"Health facility quality scores and correlation with PMTCT coverage, PEARL Facility Survey, 2007–2009.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-01-20 00:02:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/689559"], "description"=>"£<p>: <b>Note that this item is not related to HIV, but to maternal and infant health in general.</b></p><p>*Survey was conducted in delivery facilities where antenatal activities are implemented.</p><p>IQR: Interquartile range.</p>", "links"=>[], "tags"=>["characteristics", "pearl"], "article_id"=>360039, "categories"=>["Biotechnology", "Medicine", "Cell Biology", "Infectious Diseases"], "users"=>["Didier K. Ekouevi", "Elizabeth Stringer", "David Coetzee", "Pius Tih", "Tracy Creek", "Kathryn Stinson", "Andrew O. Westfall", "Thomas Welty", "Namwinga Chintu", "Benjamin H. Chi", "Cathy Wilfert", "Nathan Shaffer", "Jeff Stringer", "François Dabis"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0029823.t001", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Health_facility_characteristics_by_country_PEARL_Facility_Survey_2007_8211_2009_/360039", "title"=>"Health facility characteristics by country; PEARL Facility Survey, 2007–2009.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-01-20 00:00:39"}
  • {"files"=>["https://ndownloader.figshare.com/files/689382"], "description"=>"<p>PEARL Facility Survey, 2007–2009.</p>", "links"=>[], "tags"=>["composite", "anc", "pmtct"], "article_id"=>359853, "categories"=>["Biotechnology", "Medicine", "Cell Biology", "Infectious Diseases"], "users"=>["Didier K. Ekouevi", "Elizabeth Stringer", "David Coetzee", "Pius Tih", "Tracy Creek", "Kathryn Stinson", "Andrew O. Westfall", "Thomas Welty", "Namwinga Chintu", "Benjamin H. Chi", "Cathy Wilfert", "Nathan Shaffer", "Jeff Stringer", "François Dabis"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0029823.g001", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Relationship_between_composite_ANC_score_and_PMTCT_coverage_/359853", "title"=>"Relationship between composite ANC score and PMTCT coverage.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-01-20 02:44:13"}

PMC Usage Stats | Further Information

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Relative Metric

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