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.

Highlights

  • MethodTime to initiation in pregnant women who presented prior to the introduction of Nurse-initiated and managed ART (NIMART) was compared with those who presented after

  • This retrospective review of routinely collected data assesses timing of antenatal care and antiretroviral therapy (ART) initiation in HIV-infected, eligible pregnant women presenting to five community health centres in the Johannesburg Health District

  • Pregnant women need to access antenatal care early for timeous treatment initiation. This retrospective review of routinely collected data assesses timing of antenatal care and ART initiation in HIV-infected, eligible pregnant women presenting to five community health centres in the Johannesburg Health District

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Summary

Method

Time to initiation in pregnant women who presented prior to the introduction of NIMART was compared with those who presented after. The study was approved by the University of Cape Town’s Human Research Ethics Committee, and by the Gauteng Province office for policy, planning and research

Results
Discussion
Conclusion
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