Missed Opportunities for Early Access to Care of HIV-Infected Infants in Burkina Faso
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{"title"=>"Missed opportunities for early access to care of HIV-infected infants in Burkina Faso", "type"=>"journal", "authors"=>[{"first_name"=>"Malik", "last_name"=>"Coulibaly", "scopus_author_id"=>"56412543800"}, {"first_name"=>"Nicolas", "last_name"=>"Meda", "scopus_author_id"=>"7005323005"}, {"first_name"=>"Caroline", "last_name"=>"Yonaba", "scopus_author_id"=>"6505540433"}, {"first_name"=>"Sylvie", "last_name"=>"Ouedraogo", "scopus_author_id"=>"35561050100"}, {"first_name"=>"Malika", "last_name"=>"Congo", "scopus_author_id"=>"56412989000"}, {"first_name"=>"Mamoudou", "last_name"=>"Barry", "scopus_author_id"=>"57194018252"}, {"first_name"=>"Elisabeth", "last_name"=>"Thio", "scopus_author_id"=>"56412926900"}, {"first_name"=>"Issa", "last_name"=>"Siribié", "scopus_author_id"=>"55315115200"}, {"first_name"=>"Fla", "last_name"=>"Koueta", "scopus_author_id"=>"6507217440"}, {"first_name"=>"Diarra", "last_name"=>"Ye", "scopus_author_id"=>"55583294400"}, {"first_name"=>"Ludovic", "last_name"=>"Kam", "scopus_author_id"=>"7004249673"}, {"first_name"=>"Stéphane", "last_name"=>"Blanche", "scopus_author_id"=>"7101814720"}, {"first_name"=>"Phillipe", "last_name"=>"Van De Perre", "scopus_author_id"=>"35474033500"}, {"first_name"=>"Valériane", "last_name"=>"Leroy", "scopus_author_id"=>"7005119526"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"600405811", "sgr"=>"84910021262", "issn"=>"19326203", "pmid"=>"25360551", "scopus"=>"2-s2.0-84910021262", "doi"=>"10.1371/journal.pone.0111240", "isbn"=>"1932-6203"}, "id"=>"11eb0209-a718-3021-af76-091876d02ad6", "abstract"=>"OBJECTIVE The World Health Organization (WHO) has recommended a universal antiretroviral therapy (ART) for all HIV-infected children before the age of two since 2010, but this implies an early identification of these infants. We described the Prevention of Mother-to-Child HIV Transmission (PMTCT) cascade, the staffing and the quality of infrastructures in pediatric HIV care facilities, in Ouagadougou, Burkina Faso. METHODS We conducted a cross-sectional survey in 2011 in all health care facilities involved in PMTCT and pediatric HIV care in Ouagadougou. We assessed them according to their coverage in pediatric HIV care and WHO standards, through a desk review of medical registers and a semi-structured questionnaire administered to health-care workers (HCW). RESULTS In 2011, there was no offer of care in primary health care facilities for HIV-infected children in Ouagadougou. Six district hospitals and two university hospitals provided pediatric HIV care. Among the 67 592 pregnant women attending antenatal clinics in 2011, 85.9% were tested for HIV. The prevalence of HIV was 1.8% (95% Confidence Interval: 1.7%-1.9%). Among the 1 064 HIV-infected pregnant women attending antenatal clinics, 41.4% received a mother-to-child HIV transmission prevention intervention. Among the HIV-exposed infants, 313 (29.4%) had an early infant HIV test, and 306 (97.8%) of these infants tested received their result within a four-month period. Among the 40 children initially tested HIV-infected, 33 (82.5%) were referred to a health care facility, 3 (9.0%) were false positive, and 27 (90.0%) were initiated on ART. Although health care facilities were adequately supplied with HIV drugs, they were hindered by operational challenges such as shortage of infrastructures, laboratory reagents, and trained HCW. CONCLUSIONS The PMTCT cascade revealed bottle necks in PMTCT intervention and HIV early infant diagnosis. The staffing in HIV care and quality of health care infrastructures were also insufficient in 2011 in Ouagadougou.", "link"=>"http://www.mendeley.com/research/missed-opportunities-early-access-care-hivinfected-infants-burkina-faso-2", "reader_count"=>43, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Professor > Associate Professor"=>1, "Researcher"=>6, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>4, "Student > Master"=>17, "Other"=>2, "Student > Bachelor"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Professor > Associate Professor"=>1, "Researcher"=>6, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>4, "Student > Master"=>17, "Other"=>2, "Student > Bachelor"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Nursing and Health Professions"=>4, "Medicine and Dentistry"=>22, "Agricultural and Biological Sciences"=>4, "Arts and Humanities"=>2, "Social Sciences"=>7, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>22}, "Social Sciences"=>{"Social Sciences"=>7}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>4}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Unspecified"=>{"Unspecified"=>3}, "Arts and Humanities"=>{"Arts and Humanities"=>2}}, "group_count"=>6}

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  • {"files"=>["https://ndownloader.figshare.com/files/1774654"], "description"=>"<div><p>Objective</p><p>The World Health Organization (WHO) has recommended a universal antiretroviral therapy (ART) for all HIV-infected children before the age of two since 2010, but this implies an early identification of these infants. We described the Prevention of Mother-to-Child HIV Transmission (PMTCT) cascade, the staffing and the quality of infrastructures in pediatric HIV care facilities, in Ouagadougou, Burkina Faso.</p><p>Methods</p><p>We conducted a cross-sectional survey in 2011 in all health care facilities involved in PMTCT and pediatric HIV care in Ouagadougou. We assessed them according to their coverage in pediatric HIV care and WHO standards, through a desk review of medical registers and a semi-structured questionnaire administered to health-care workers (HCW).</p><p>Results</p><p>In 2011, there was no offer of care in primary health care facilities for HIV-infected children in Ouagadougou. Six district hospitals and two university hospitals provided pediatric HIV care. Among the 67 592 pregnant women attending antenatal clinics in 2011, 85.9% were tested for HIV. The prevalence of HIV was 1.8% (95% Confidence Interval: 1.7%–1.9%). Among the 1 064 HIV-infected pregnant women attending antenatal clinics, 41.4% received a mother-to-child HIV transmission prevention intervention. Among the HIV-exposed infants, 313 (29.4%) had an early infant HIV test, and 306 (97.8%) of these infants tested received their result within a four-month period. Among the 40 children initially tested HIV-infected, 33 (82.5%) were referred to a health care facility, 3 (9.0%) were false positive, and 27 (90.0%) were initiated on ART. Although health care facilities were adequately supplied with HIV drugs, they were hindered by operational challenges such as shortage of infrastructures, laboratory reagents, and trained HCW.</p><p>Conclusions</p><p>The PMTCT cascade revealed bottle necks in PMTCT intervention and HIV early infant diagnosis. The staffing in HIV care and quality of health care infrastructures were also insufficient in 2011 in Ouagadougou.</p></div>", "links"=>[], "tags"=>["health care facility", "Health care facilities", "HIV care", "infant HIV test", "HCW.ConclusionsThe PMTCT cascade", "antenatal clinics", "Burkina Faso ObjectiveThe World Health Organization", "health care infrastructures", "HIV care facilities"], "article_id"=>1225133, "categories"=>["Biological Sciences"], "users"=>["Malik Coulibaly", "Nicolas Meda", "Caroline Yonaba", "Sylvie Ouedraogo", "Malika Congo", "Mamoudou Barry", "Elisabeth Thio", "Issa Siribié", "Fla Koueta", "Diarra Ye", "Ludovic Kam", "Stéphane Blanche", "Phillipe Van De Perre", "Valériane Leroy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0111240", "stats"=>{"downloads"=>1, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Missed_Opportunities_for_Early_Access_to_Care_of_HIV_Infected_Infants_in_Burkina_Faso_/1225133", "title"=>"Missed Opportunities for Early Access to Care of HIV-Infected Infants in Burkina Faso", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-10-31 03:35:34"}
  • {"files"=>["https://ndownloader.figshare.com/files/1774652"], "description"=>"<p>*The university hospitals are located in the center region, but patients are referred from the whole country.</p><p>Conformance of Ouagadougou hospitals according to WHO standards, in 2010.</p>", "links"=>[], "tags"=>["health care facility", "Health care facilities", "HIV care", "infant HIV test", "HCW.ConclusionsThe PMTCT cascade", "antenatal clinics", "Burkina Faso ObjectiveThe World Health Organization", "health care infrastructures", "HIV care facilities"], "article_id"=>1225131, "categories"=>["Biological Sciences"], "users"=>["Malik Coulibaly", "Nicolas Meda", "Caroline Yonaba", "Sylvie Ouedraogo", "Malika Congo", "Mamoudou Barry", "Elisabeth Thio", "Issa Siribié", "Fla Koueta", "Diarra Ye", "Ludovic Kam", "Stéphane Blanche", "Phillipe Van De Perre", "Valériane Leroy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0111240.t003", "stats"=>{"downloads"=>0, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Conformance_of_Ouagadougou_hospitals_according_to_WHO_standards_in_2010_/1225131", "title"=>"Conformance of Ouagadougou hospitals according to WHO standards, in 2010.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-10-31 03:35:34"}
  • {"files"=>["https://ndownloader.figshare.com/files/1774653"], "description"=>"<p>Reasons for Ouagadougou laboratory non conformance in 2010.</p>", "links"=>[], "tags"=>["health care facility", "Health care facilities", "HIV care", "infant HIV test", "HCW.ConclusionsThe PMTCT cascade", "antenatal clinics", "Burkina Faso ObjectiveThe World Health Organization", "health care infrastructures", "HIV care facilities"], "article_id"=>1225132, "categories"=>["Biological Sciences"], "users"=>["Malik Coulibaly", "Nicolas Meda", "Caroline Yonaba", "Sylvie Ouedraogo", "Malika Congo", "Mamoudou Barry", "Elisabeth Thio", "Issa Siribié", "Fla Koueta", "Diarra Ye", "Ludovic Kam", "Stéphane Blanche", "Phillipe Van De Perre", "Valériane Leroy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0111240.t004", "stats"=>{"downloads"=>6, "page_views"=>16, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Reasons_for_Ouagadougou_laboratory_non_conformance_in_2010_/1225132", "title"=>"Reasons for Ouagadougou laboratory non conformance in 2010.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-10-31 03:35:34"}
  • {"files"=>["https://ndownloader.figshare.com/files/1774650"], "description"=>"<p>Others: pharmacy assistants and laboratory assistants.</p><p>Staff involved in HIV pediatric care per health district or university hospitals, and qualification, in Ouagadougou, in 2010.</p>", "links"=>[], "tags"=>["health care facility", "Health care facilities", "HIV care", "infant HIV test", "HCW.ConclusionsThe PMTCT cascade", "antenatal clinics", "Burkina Faso ObjectiveThe World Health Organization", "health care infrastructures", "HIV care facilities"], "article_id"=>1225129, "categories"=>["Biological Sciences"], "users"=>["Malik Coulibaly", "Nicolas Meda", "Caroline Yonaba", "Sylvie Ouedraogo", "Malika Congo", "Mamoudou Barry", "Elisabeth Thio", "Issa Siribié", "Fla Koueta", "Diarra Ye", "Ludovic Kam", "Stéphane Blanche", "Phillipe Van De Perre", "Valériane Leroy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0111240.t001", "stats"=>{"downloads"=>1, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Staff_involved_in_HIV_pediatric_care_per_health_district_or_university_hospitals_and_qualification_in_Ouagadougou_in_2010_/1225129", "title"=>"Staff involved in HIV pediatric care per health district or university hospitals, and qualification, in Ouagadougou, in 2010.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-10-31 03:35:34"}
  • {"files"=>["https://ndownloader.figshare.com/files/1774651"], "description"=>"<p>100% is the reference number.</p><p>DNA PCR  =  deoxyribonucleic acid polymerase chain reaction.</p><p>DBS  =  dried blood spot.</p><p>The PMTCT cascade until HIV pediatric care in Ouagadougou, 2011.</p>", "links"=>[], "tags"=>["health care facility", "Health care facilities", "HIV care", "infant HIV test", "HCW.ConclusionsThe PMTCT cascade", "antenatal clinics", "Burkina Faso ObjectiveThe World Health Organization", "health care infrastructures", "HIV care facilities"], "article_id"=>1225130, "categories"=>["Biological Sciences"], "users"=>["Malik Coulibaly", "Nicolas Meda", "Caroline Yonaba", "Sylvie Ouedraogo", "Malika Congo", "Mamoudou Barry", "Elisabeth Thio", "Issa Siribié", "Fla Koueta", "Diarra Ye", "Ludovic Kam", "Stéphane Blanche", "Phillipe Van De Perre", "Valériane Leroy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0111240.t002", "stats"=>{"downloads"=>3, "page_views"=>22, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_PMTCT_cascade_until_HIV_pediatric_care_in_Ouagadougou_2011_/1225130", "title"=>"The PMTCT cascade until HIV pediatric care in Ouagadougou, 2011.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-10-31 03:35:34"}

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Relative Metric

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