Many HIV-positive pregnant women and infants are still not receiving optimal services, preventing the goal of eliminating motherto-\r\nchild transmission (MTCT) and improving maternal child health overall. A Rapid Results Initiative (RRI) approach was utilized\r\nto address key challenges in delivery of prevention of MTCT (PMTCT) services including highly active antiretroviral therapy\r\n(HAART) uptake for women and infants. The RRI was conducted between April and June 2011 at 119 health facilities in five\r\ndistricts in Nyanza Province, Kenya. Aggregated site-level data were compared at baseline before the RRI (Oct 2010ââ?¬â??Jan 2011),\r\nduring the RRI, and post-RRI (Julââ?¬â??Sep 2011) using pre-post cohort analysis. HAART uptake amongst all HIV-positive pregnant\r\nwomen increased by 40% (RR 1.4, 95% CI 1.2ââ?¬â??1.7) and continued to improve post-RRI (RR 1.6, 95% CI 1.4ââ?¬â??1.8). HAART uptake\r\nin HIV-positive infants remained stable (RR 1.1, 95% CI 0.9ââ?¬â??1.4) during the RRI and improved by 30% (RR 1.3, 95% CI 1.0ââ?¬â??1.6)\r\npost-RRI. Significant improvement in PMTCT services can be achieved through introduction of an RRI, which appears to lead to\r\nsustained benefits for pregnant HIV-infected women and their infants.
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