Scaling up early infant diagnosis of HIV in Rwanda, 2008-2010

Agnes Binagwaho; Placidie Mugwaneza; Ange Anitha Irakoze; Sabin Nsanzimana; Mawuena Agbonyitor; Cameron T. Nutt; Claire M. Wagner; Alphonse Rukundo; Anita Ahayo; Peter Drobac; Corine Karema; Ruton Hinda; Lucinda Leung; Sachini Bandara; Elena Chopyak; Mary C.Smith Fawzi

doi:10.1057/jphp.2012.62

Scaling up early infant diagnosis of HIV in Rwanda, 2008-2010

Agnes Binagwaho, Placidie Mugwaneza, Ange Anitha Irakoze, Sabin Nsanzimana, Mawuena Agbonyitor, Cameron T. Nutt, Claire M. Wagner, Alphonse Rukundo, Anita Ahayo, Peter Drobac, Corine Karema, Ruton Hinda, Lucinda Leung, Sachini Bandara, Elena Chopyak, Mary C.Smith Fawzi

Research output: Contribution to journal › Article › peer-review

21 Scopus citations

Abstract

More than 390 000 children are newly infected with HIV each year, only 28 per cent of whom benefit from early infant diagnosis (EID). Rwanda's Ministry of Health identified several major challenges hindering EID scale-up in care of HIV-positive infants. It found poor counseling and follow-up by caregivers of HIV-exposed infants, lack of coordination with maternal and child health-care programs, and long delays between the collection of samples and return of results to the health facility and caregiver. By increasing geographic access, integrating EID with vaccination programs, and investing in a robust mobile phone reporting system, Rwanda increased population coverage of EID from approximately 28 to 72.4 per cent (and to 90.3 per cent within the prevention of mother to child transmission program) between 2008 and 2011. Turnaround time from sample collection to receipt of results at the originating health facility was reduced from 144 to 20 days. Rwanda rapidly scaled up and improved its EID program, but challenges persist for linking infected infants to care.

Original language	English (US)
Pages (from-to)	2-16
Number of pages	15
Journal	Journal of public health policy
Volume	34
Issue number	1
DOIs	https://doi.org/10.1057/jphp.2012.62
State	Published - Jan 2013
Externally published	Yes

Keywords

HIV testing
Rwanda
children
early infant diagnosis

ASJC Scopus subject areas

Health Policy
Public Health, Environmental and Occupational Health

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10.1057/jphp.2012.62

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Binagwaho, A., Mugwaneza, P., Irakoze, A. A., Nsanzimana, S., Agbonyitor, M., Nutt, C. T., Wagner, C. M., Rukundo, A., Ahayo, A., Drobac, P., Karema, C., Hinda, R., Leung, L., Bandara, S., Chopyak, E., & Fawzi, M. C. S. (2013). Scaling up early infant diagnosis of HIV in Rwanda, 2008-2010. Journal of public health policy, 34(1), 2-16. https://doi.org/10.1057/jphp.2012.62

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abstract = "More than 390 000 children are newly infected with HIV each year, only 28 per cent of whom benefit from early infant diagnosis (EID). Rwanda's Ministry of Health identified several major challenges hindering EID scale-up in care of HIV-positive infants. It found poor counseling and follow-up by caregivers of HIV-exposed infants, lack of coordination with maternal and child health-care programs, and long delays between the collection of samples and return of results to the health facility and caregiver. By increasing geographic access, integrating EID with vaccination programs, and investing in a robust mobile phone reporting system, Rwanda increased population coverage of EID from approximately 28 to 72.4 per cent (and to 90.3 per cent within the prevention of mother to child transmission program) between 2008 and 2011. Turnaround time from sample collection to receipt of results at the originating health facility was reduced from 144 to 20 days. Rwanda rapidly scaled up and improved its EID program, but challenges persist for linking infected infants to care.",

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author = "Agnes Binagwaho and Placidie Mugwaneza and Irakoze, {Ange Anitha} and Sabin Nsanzimana and Mawuena Agbonyitor and Nutt, {Cameron T.} and Wagner, {Claire M.} and Alphonse Rukundo and Anita Ahayo and Peter Drobac and Corine Karema and Ruton Hinda and Lucinda Leung and Sachini Bandara and Elena Chopyak and Fawzi, {Mary C.Smith}",

note = "Funding Information: Authors thank the health professionals and development partners involved in scaling up pediatric HIV service in Rwanda, and gratefully acknowledge the financial support of PEPFAR and The Global Fund to Fight AIDS, Tuberculosis, and Malaria that made this possible.",

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AU - Agbonyitor, Mawuena

AU - Nutt, Cameron T.

AU - Wagner, Claire M.

AU - Rukundo, Alphonse

AU - Ahayo, Anita

AU - Drobac, Peter

AU - Karema, Corine

AU - Hinda, Ruton

AU - Leung, Lucinda

AU - Bandara, Sachini

AU - Chopyak, Elena

AU - Fawzi, Mary C.Smith

N1 - Funding Information: Authors thank the health professionals and development partners involved in scaling up pediatric HIV service in Rwanda, and gratefully acknowledge the financial support of PEPFAR and The Global Fund to Fight AIDS, Tuberculosis, and Malaria that made this possible.

PY - 2013/1

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N2 - More than 390 000 children are newly infected with HIV each year, only 28 per cent of whom benefit from early infant diagnosis (EID). Rwanda's Ministry of Health identified several major challenges hindering EID scale-up in care of HIV-positive infants. It found poor counseling and follow-up by caregivers of HIV-exposed infants, lack of coordination with maternal and child health-care programs, and long delays between the collection of samples and return of results to the health facility and caregiver. By increasing geographic access, integrating EID with vaccination programs, and investing in a robust mobile phone reporting system, Rwanda increased population coverage of EID from approximately 28 to 72.4 per cent (and to 90.3 per cent within the prevention of mother to child transmission program) between 2008 and 2011. Turnaround time from sample collection to receipt of results at the originating health facility was reduced from 144 to 20 days. Rwanda rapidly scaled up and improved its EID program, but challenges persist for linking infected infants to care.

AB - More than 390 000 children are newly infected with HIV each year, only 28 per cent of whom benefit from early infant diagnosis (EID). Rwanda's Ministry of Health identified several major challenges hindering EID scale-up in care of HIV-positive infants. It found poor counseling and follow-up by caregivers of HIV-exposed infants, lack of coordination with maternal and child health-care programs, and long delays between the collection of samples and return of results to the health facility and caregiver. By increasing geographic access, integrating EID with vaccination programs, and investing in a robust mobile phone reporting system, Rwanda increased population coverage of EID from approximately 28 to 72.4 per cent (and to 90.3 per cent within the prevention of mother to child transmission program) between 2008 and 2011. Turnaround time from sample collection to receipt of results at the originating health facility was reduced from 144 to 20 days. Rwanda rapidly scaled up and improved its EID program, but challenges persist for linking infected infants to care.

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Scaling up early infant diagnosis of HIV in Rwanda, 2008-2010

Abstract

Keywords

ASJC Scopus subject areas

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