Original Research

Timing of antenatal care and ART initiation in HIV-infected pregnant women before and after introduction of NIMART

Coceka Nandipha Mnyani, E Marinda, H Struthers, M Gulley, R Machepa, J McIntyre
Southern African Journal of HIV Medicine | Vol 15, No 2 | a20 | DOI: https://doi.org/10.4102/sajhivmed.v15i2.20 | © 2014 Coceka Nandipha Mnyani, E Marinda, H Struthers, M Gulley, R Machepa, J McIntyre | This work is licensed under CC Attribution 4.0
Submitted: 12 December 2014 | Published: 23 May 2014

About the author(s)

Coceka Nandipha Mnyani, Department of Obstetrics and Gynaecology and School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; and Anova Health Institute, Johannesburg, South Africa, South Africa
E Marinda, Health and Development Africa, Mott MacDonald South Africa; Epidemiology and Biostatistics Unit, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa, South Africa
H Struthers, Anova Health Institute, Johannesburg, South Africa; Department of Infectious Diseases, Faculty of Health Sciences, University of Cape Town, South Africa, South Africa
M Gulley, Anova Health Institute, Johannesburg, South Africa, South Africa
R Machepa, Anova Health Institute, Johannesburg, South Africa, South Africa
J McIntyre, Anova Health Institute, Johannesburg, South Africa; School of Public Health and Family Medicine, University of Cape Town, South Africa, South Africa

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Abstract

In this review of routinely collected data from five community health centres in the Johannesburg Health District, we assess timing of antenatal care and antiretroviral therapy (ART) initiation in HIV-infected pregnant women before and after the introduction of nurse-initiated management of ART in antenatal clinics. There are important lessons to be learnt as we reflect on the South African prevention of mother-to-child transmission of HIV programme.


Keywords

PMTCT; ART; NIMART; pregnancy

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