Implementing family-focused HIV care and treatment: the first 2 years' experience of the mother-to-child transmission -plus program in Abidjan, Côte d'Ivoire
To describe a family-focused approach to HIV care and treatment and report on the first 2 years experience of implementing the mother-to-child transmission (MTCT)-plus program in Abidjan, Côte d'Ivoire. The MTCT-plus initiative aims to enrol HIV-infected pregnant and postpartum women in compreh...
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| Veröffentlicht in: | Tropical medicine & international health 2009-02, Vol.14 (2), p.204-212 |
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| creator | Tonwe-Gold, B Ekouevi, D.K Bosse, C.A Toure, S Koné, M Becquet, R Leroy, V Toro, P Dabis, F El Sadr, W.M Abrams, E.J |
| description | To describe a family-focused approach to HIV care and treatment and report on the first 2 years experience of implementing the mother-to-child transmission (MTCT)-plus program in Abidjan, Côte d'Ivoire. The MTCT-plus initiative aims to enrol HIV-infected pregnant and postpartum women in comprehensive HIV care and treatment for themselves and their families. Between August 2003 and August 2005, 605 HIV-infected pregnant or postpartum women and 582 HIV-exposed infants enrolled. Of their 568 male partners reported alive, 52% were aware of their wife's HIV status and 30% were tested for HIV; 53% of these tested partners were found to be HIV-infected and 78% enrolled into the program. Overall only 10% of the women enrolled together with their infected partner. On the other hand, the program involved half of the seronegative men who came for voluntary counselling and testing (VCT) in the care of their families. Of 1624 children |
| doi_str_mv | 10.1111/j.1365-3156.2008.02182.x |
| format | Article |
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The MTCT-plus initiative aims to enrol HIV-infected pregnant and postpartum women in comprehensive HIV care and treatment for themselves and their families. Between August 2003 and August 2005, 605 HIV-infected pregnant or postpartum women and 582 HIV-exposed infants enrolled. Of their 568 male partners reported alive, 52% were aware of their wife's HIV status and 30% were tested for HIV; 53% of these tested partners were found to be HIV-infected and 78% enrolled into the program. Overall only 10% of the women enrolled together with their infected partner. On the other hand, the program involved half of the seronegative men who came for voluntary counselling and testing (VCT) in the care of their families. Of 1624 children <15 years reported alive by their mothers (excluding the last newborn infants of the most recent pregnancy systematically screened for HIV), only 10.8% were brought in for HIV testing, of whom 12.3% were found to be HIV-infected. The family-focused model of HIV care pays attention to the needs of families and household members. The program was successful in enrolling HIV women, their partners and infants in continuous follow-up. However engaging partners and family members of newly enrolled women into care involves numerous challenges such as disclosure of HIV status by women to their partners and family members. Further efforts are required to understand barriers for families accessing HIV services as strategies to improve partner involvement and provide access to care for other children in the households are needed in this West African urban setting.</description><identifier>ISSN: 1360-2276</identifier><identifier>EISSN: 1365-3156</identifier><identifier>DOI: 10.1111/j.1365-3156.2008.02182.x</identifier><identifier>PMID: 19236666</identifier><language>eng</language><publisher>Oxford, UK: Oxford, UK : Blackwell Publishing Ltd</publisher><subject>aconsejamiento ; Adolescent ; Adult ; Africa ; Afrique ; antiretroviral ; antirretroviral ; antirétroviraux ; approche familiale ; care ; Child ; Child, Preschool ; conseils ; Cote d'Ivoire ; Cote d'Ivoire - epidemiology ; Counseling ; counselling ; cuidados ; enfoque familiar ; Families & family life ; Family ; family approach ; Female ; HIV ; HIV Infections ; HIV Infections - epidemiology ; HIV Infections - prevention & control ; HIV Infections - transmission ; HIV Seroprevalence ; Human immunodeficiency virus ; Humans ; Infant ; Infant, Newborn ; Initiatives ; Life Sciences ; madres y parejas ; Medical treatment ; Middle Aged ; mother and partners ; mère et partenaires ; Patient Acceptance of Health Care ; Pregnancy ; Program Evaluation ; Santé publique et épidémiologie ; Sexual Partners ; soins ; VIH ; Young Adult ; África</subject><ispartof>Tropical medicine & international health, 2009-02, Vol.14 (2), p.204-212</ispartof><rights>2009 Blackwell Publishing Ltd</rights><rights>Journal compilation © 2009 Blackwell Publishing Ltd</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5602-b2844113308f17426b29868e68cfbac9e7cd315c438c11ff0b175a19978694c73</citedby><cites>FETCH-LOGICAL-c5602-b2844113308f17426b29868e68cfbac9e7cd315c438c11ff0b175a19978694c73</cites><orcidid>0000-0003-3542-8616</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,1417,1433,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19236666$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://inserm.hal.science/inserm-00340287$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Tonwe-Gold, B</creatorcontrib><creatorcontrib>Ekouevi, D.K</creatorcontrib><creatorcontrib>Bosse, C.A</creatorcontrib><creatorcontrib>Toure, S</creatorcontrib><creatorcontrib>Koné, M</creatorcontrib><creatorcontrib>Becquet, R</creatorcontrib><creatorcontrib>Leroy, V</creatorcontrib><creatorcontrib>Toro, P</creatorcontrib><creatorcontrib>Dabis, F</creatorcontrib><creatorcontrib>El Sadr, W.M</creatorcontrib><creatorcontrib>Abrams, E.J</creatorcontrib><title>Implementing family-focused HIV care and treatment: the first 2 years' experience of the mother-to-child transmission -plus program in Abidjan, Côte d'Ivoire</title><title>Tropical medicine & international health</title><addtitle>Trop Med Int Health</addtitle><description>To describe a family-focused approach to HIV care and treatment and report on the first 2 years experience of implementing the mother-to-child transmission (MTCT)-plus program in Abidjan, Côte d'Ivoire. The MTCT-plus initiative aims to enrol HIV-infected pregnant and postpartum women in comprehensive HIV care and treatment for themselves and their families. Between August 2003 and August 2005, 605 HIV-infected pregnant or postpartum women and 582 HIV-exposed infants enrolled. Of their 568 male partners reported alive, 52% were aware of their wife's HIV status and 30% were tested for HIV; 53% of these tested partners were found to be HIV-infected and 78% enrolled into the program. Overall only 10% of the women enrolled together with their infected partner. On the other hand, the program involved half of the seronegative men who came for voluntary counselling and testing (VCT) in the care of their families. Of 1624 children <15 years reported alive by their mothers (excluding the last newborn infants of the most recent pregnancy systematically screened for HIV), only 10.8% were brought in for HIV testing, of whom 12.3% were found to be HIV-infected. The family-focused model of HIV care pays attention to the needs of families and household members. The program was successful in enrolling HIV women, their partners and infants in continuous follow-up. However engaging partners and family members of newly enrolled women into care involves numerous challenges such as disclosure of HIV status by women to their partners and family members. Further efforts are required to understand barriers for families accessing HIV services as strategies to improve partner involvement and provide access to care for other children in the households are needed in this West African urban setting.</description><subject>aconsejamiento</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Africa</subject><subject>Afrique</subject><subject>antiretroviral</subject><subject>antirretroviral</subject><subject>antirétroviraux</subject><subject>approche familiale</subject><subject>care</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>conseils</subject><subject>Cote d'Ivoire</subject><subject>Cote d'Ivoire - epidemiology</subject><subject>Counseling</subject><subject>counselling</subject><subject>cuidados</subject><subject>enfoque familiar</subject><subject>Families & family life</subject><subject>Family</subject><subject>family approach</subject><subject>Female</subject><subject>HIV</subject><subject>HIV Infections</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - transmission</subject><subject>HIV Seroprevalence</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Initiatives</subject><subject>Life Sciences</subject><subject>madres y parejas</subject><subject>Medical treatment</subject><subject>Middle Aged</subject><subject>mother and partners</subject><subject>mère et partenaires</subject><subject>Patient Acceptance of Health Care</subject><subject>Pregnancy</subject><subject>Program Evaluation</subject><subject>Santé publique et épidémiologie</subject><subject>Sexual Partners</subject><subject>soins</subject><subject>VIH</subject><subject>Young Adult</subject><subject>África</subject><issn>1360-2276</issn><issn>1365-3156</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNks2O0zAQxyMEYj_gFcDiwF42xR-JkyCBVFVAKxVxYJer5TiT1lViBzsp7cvsU_AGvBhOWy2wJ-ZgW5rff-wZ_6MIETwhId5sJoTxNGYk5ROKcT7BlOR0snsUnd8nHh_OOKY042fRhfcbjHGSpPxpdEYKyniI8-hu0XYNtGB6bVaolq1u9nFt1eChQvPFN6SkAyRNhXoHsh_Bt6hfA6q18z2iaA_S-SsEuw6cBqMA2foAtDasLu5trNa6GfXS-FZ7r61BcdcMHnXOrpxskTZoWupqI801mv362QOqrhZbqx08i57UsvHw_LRfRrcfP9zM5vHyy6fFbLqMVcoxjUuaJwkhjOG8JllCeUmLnOfAc1WXUhWQqSrMRCUsV4TUNS5JlkpSFFnOi0Rl7DJ6f6zbDWULlQptOtmIzulWur2wUot_M0avxcpuBc0KlhAcClwfC6wfyObTpdDGg2sFxizBNM-2JOCvT_c5-30A34swGQVNIw3YwQvOCz5-aQBfPQA3dnAmzEJQkqY4ZcUI5UdIOeu9g_r-BQSL0TBiI0ZfiNEXYjSMOBhG7IL0xd-N_xGeHBKAd0fgh25g_9-Fxc3nxamBl0d9La2QK6e9uP1KMWGYpAVNccJ-AwK92W0</recordid><startdate>200902</startdate><enddate>200902</enddate><creator>Tonwe-Gold, B</creator><creator>Ekouevi, D.K</creator><creator>Bosse, C.A</creator><creator>Toure, S</creator><creator>Koné, M</creator><creator>Becquet, R</creator><creator>Leroy, V</creator><creator>Toro, P</creator><creator>Dabis, F</creator><creator>El Sadr, W.M</creator><creator>Abrams, E.J</creator><general>Oxford, UK : Blackwell Publishing Ltd</general><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Blackwell Scientific Publications</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3542-8616</orcidid></search><sort><creationdate>200902</creationdate><title>Implementing family-focused HIV care and treatment: the first 2 years' experience of the mother-to-child transmission -plus program in Abidjan, Côte d'Ivoire</title><author>Tonwe-Gold, B ; Ekouevi, D.K ; Bosse, C.A ; Toure, S ; Koné, M ; Becquet, R ; Leroy, V ; Toro, P ; Dabis, F ; El Sadr, W.M ; Abrams, E.J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5602-b2844113308f17426b29868e68cfbac9e7cd315c438c11ff0b175a19978694c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>aconsejamiento</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Africa</topic><topic>Afrique</topic><topic>antiretroviral</topic><topic>antirretroviral</topic><topic>antirétroviraux</topic><topic>approche familiale</topic><topic>care</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>conseils</topic><topic>Cote d'Ivoire</topic><topic>Cote d'Ivoire - epidemiology</topic><topic>Counseling</topic><topic>counselling</topic><topic>cuidados</topic><topic>enfoque familiar</topic><topic>Families & family life</topic><topic>Family</topic><topic>family approach</topic><topic>Female</topic><topic>HIV</topic><topic>HIV Infections</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - prevention & control</topic><topic>HIV Infections - transmission</topic><topic>HIV Seroprevalence</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Initiatives</topic><topic>Life Sciences</topic><topic>madres y parejas</topic><topic>Medical treatment</topic><topic>Middle Aged</topic><topic>mother and partners</topic><topic>mère et partenaires</topic><topic>Patient Acceptance of Health Care</topic><topic>Pregnancy</topic><topic>Program Evaluation</topic><topic>Santé publique et épidémiologie</topic><topic>Sexual Partners</topic><topic>soins</topic><topic>VIH</topic><topic>Young Adult</topic><topic>África</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tonwe-Gold, B</creatorcontrib><creatorcontrib>Ekouevi, D.K</creatorcontrib><creatorcontrib>Bosse, C.A</creatorcontrib><creatorcontrib>Toure, S</creatorcontrib><creatorcontrib>Koné, M</creatorcontrib><creatorcontrib>Becquet, R</creatorcontrib><creatorcontrib>Leroy, V</creatorcontrib><creatorcontrib>Toro, P</creatorcontrib><creatorcontrib>Dabis, F</creatorcontrib><creatorcontrib>El Sadr, W.M</creatorcontrib><creatorcontrib>Abrams, E.J</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Tropical medicine & international health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tonwe-Gold, B</au><au>Ekouevi, D.K</au><au>Bosse, C.A</au><au>Toure, S</au><au>Koné, M</au><au>Becquet, R</au><au>Leroy, V</au><au>Toro, P</au><au>Dabis, F</au><au>El Sadr, W.M</au><au>Abrams, E.J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementing family-focused HIV care and treatment: the first 2 years' experience of the mother-to-child transmission -plus program in Abidjan, Côte d'Ivoire</atitle><jtitle>Tropical medicine & international health</jtitle><addtitle>Trop Med Int Health</addtitle><date>2009-02</date><risdate>2009</risdate><volume>14</volume><issue>2</issue><spage>204</spage><epage>212</epage><pages>204-212</pages><issn>1360-2276</issn><eissn>1365-3156</eissn><abstract>To describe a family-focused approach to HIV care and treatment and report on the first 2 years experience of implementing the mother-to-child transmission (MTCT)-plus program in Abidjan, Côte d'Ivoire. The MTCT-plus initiative aims to enrol HIV-infected pregnant and postpartum women in comprehensive HIV care and treatment for themselves and their families. Between August 2003 and August 2005, 605 HIV-infected pregnant or postpartum women and 582 HIV-exposed infants enrolled. Of their 568 male partners reported alive, 52% were aware of their wife's HIV status and 30% were tested for HIV; 53% of these tested partners were found to be HIV-infected and 78% enrolled into the program. Overall only 10% of the women enrolled together with their infected partner. On the other hand, the program involved half of the seronegative men who came for voluntary counselling and testing (VCT) in the care of their families. Of 1624 children <15 years reported alive by their mothers (excluding the last newborn infants of the most recent pregnancy systematically screened for HIV), only 10.8% were brought in for HIV testing, of whom 12.3% were found to be HIV-infected. The family-focused model of HIV care pays attention to the needs of families and household members. The program was successful in enrolling HIV women, their partners and infants in continuous follow-up. However engaging partners and family members of newly enrolled women into care involves numerous challenges such as disclosure of HIV status by women to their partners and family members. Further efforts are required to understand barriers for families accessing HIV services as strategies to improve partner involvement and provide access to care for other children in the households are needed in this West African urban setting.</abstract><cop>Oxford, UK</cop><pub>Oxford, UK : Blackwell Publishing Ltd</pub><pmid>19236666</pmid><doi>10.1111/j.1365-3156.2008.02182.x</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3542-8616</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | aconsejamiento Adolescent Adult Africa Afrique antiretroviral antirretroviral antirétroviraux approche familiale care Child Child, Preschool conseils Cote d'Ivoire Cote d'Ivoire - epidemiology Counseling counselling cuidados enfoque familiar Families & family life Family family approach Female HIV HIV Infections HIV Infections - epidemiology HIV Infections - prevention & control HIV Infections - transmission HIV Seroprevalence Human immunodeficiency virus Humans Infant Infant, Newborn Initiatives Life Sciences madres y parejas Medical treatment Middle Aged mother and partners mère et partenaires Patient Acceptance of Health Care Pregnancy Program Evaluation Santé publique et épidémiologie Sexual Partners soins VIH Young Adult África |
| title | Implementing family-focused HIV care and treatment: the first 2 years' experience of the mother-to-child transmission -plus program in Abidjan, Côte d'Ivoire |
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