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Evaluation of a community health worker intervention and the World Health Organization’s Option B versus Option A to improve antenatal care and PMTCT outcomes in Dar es Salaam, Tanzania: study…

Overview of attention for article published in Trials, September 2014
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Title
Evaluation of a community health worker intervention and the World Health Organization’s Option B versus Option A to improve antenatal care and PMTCT outcomes in Dar es Salaam, Tanzania: study protocol for a cluster-randomized controlled health systems implementation trial
Published in
Trials, September 2014
DOI 10.1186/1745-6215-15-359
Pubmed ID
Authors

David Sando, Pascal Geldsetzer, Lucy Magesa, Irene Andrew Lema, Lameck Machumi, Mary Mwanyika-Sando, Nan Li, Donna Spiegelman, Ester Mungure, Hellen Siril, Phares Mujinja, Helga Naburi, Guerino Chalamilla, Charles Kilewo, Anna Mia Ekström, Wafaie W Fawzi, Till W Bärnighausen

Abstract

Mother-to-child transmission of HIV remains an important public health problem in sub-Saharan Africa. As HIV testing and linkage to PMTCT occurs in antenatal care (ANC), major challenges for any PMTCT option in developing countries, including Tanzania, are delays in the first ANC visit and a low overall number of visits. Community health workers (CHWs) have been effective in various settings in increasing the uptake of clinical services and improving treatment retention and adherence. At the beginning of this trial in January 2013, the World Health Organization recommended either of two medication regimens, Option A or B, for prevention of mother-to-child transmission of HIV (PMTCT). It is still largely unclear which option is more effective when implemented in a public healthcare system. This study aims to determine the effectiveness, cost-effectiveness, acceptability, and feasibility of: (1) a community health worker (CWH) intervention and (2) PMTCT Option B in improving ANC and PMTCT outcomes.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 338 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 2 <1%
Mexico 1 <1%
Tanzania, United Republic of 1 <1%
South Africa 1 <1%
Unknown 333 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 85 25%
Researcher 43 13%
Student > Ph. D. Student 38 11%
Student > Doctoral Student 19 6%
Student > Postgraduate 18 5%
Other 56 17%
Unknown 79 23%
Readers by discipline Count As %
Medicine and Dentistry 83 25%
Nursing and Health Professions 59 17%
Social Sciences 31 9%
Economics, Econometrics and Finance 13 4%
Agricultural and Biological Sciences 10 3%
Other 50 15%
Unknown 92 27%