Structural level differences in the mother-to-child HIV transmission rate in south Africa: A multilevel assessment of individual-, health facility-, and provincial-level predictors of infant HIV transmission

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dc.contributor.authorWoldesenbet, Selamawit A.
dc.contributor.authorJackson, Debra J.
dc.contributor.authorLombard, C.J.
dc.date.accessioned2021-08-05T12:24:07Z
dc.date.available2021-08-05T12:24:07Z
dc.date.issued2017
dc.description.abstractIn 2010, South Africa reported an early mother-to-child transmission (MTCT) rate of 3.5% at 4–8 weeks postpartum. Provincial early MTCT rates ranged from 1.4% [95% confidence interval (CI): 0.1 to 3.4] to 5.9% (95% CI: 3.8 to 8.0). We sought to determine reasons for these geographic differences in MTCT rates.This study used multilevel modeling using 2010 South African prevention of mother-to-child transmission (PMTCT) evaluation (SAPMTCTE) data from 530 facilities. Interview data and blood samples of infants were collected from 3085 mother–infant pairs at 4–8 weeks postpartum. Facility-level data on human resources, referral systems, linkages to care, and record keeping were collected through facility staff interviews. Provincial level data were gathered from publicly available data (eg, health professionals per 10,000 population) or aggregated at province-level from the SAPMTCTE (PMTCT maternal-infant antiretroviral (ARV) coverage). Variance partition coefficients and odds ratios (for provincial facility- and individual-level factors influencing MTCT) from multilevel modeling are reported.en_US
dc.identifier.citationWoldesenbet, S. A. et al. (2017). Structural level differences in the mother-to-child HIV transmission rate in South Africa: A multilevel assessment of individual-, health facility-, and provincial-level predictors of infant HIV transmission. Journal of Acquired Immune Deficiency Syndromes, 74(5), 523–530. https://doi.org/10.1097/QAI.0000000000001289en_US
dc.identifier.issn1944-7884
dc.identifier.uri10.1097/QAI.0000000000001289
dc.identifier.urihttp://hdl.handle.net/10566/6487
dc.language.isoenen_US
dc.publisherLippincott, Williams & Wilkinsen_US
dc.subjectPopulation-level variationsen_US
dc.subjectMother-to-child transmissionen_US
dc.subjectHIVen_US
dc.subjectUniversal accessen_US
dc.subjectSouth Africaen_US
dc.subjectHealth facilityen_US
dc.titleStructural level differences in the mother-to-child HIV transmission rate in south Africa: A multilevel assessment of individual-, health facility-, and provincial-level predictors of infant HIV transmissionen_US
dc.typeArticleen_US

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