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J Int Assoc Provid AIDS Care ; 18: 2325958219869309, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31538531

RESUMO

We compared quality improvement (QI) interventions for prevention of mother-to-child transmission in a private hospital and a government hospital (GH). From November 2013 to October 2016, data were extracted retrospectively for HIV-positive mothers and HIV-exposed infants. The overall number of mother-baby pairs (MBPs) was significantly (P < .001) higher at the GH (mean = 294, standard deviation [SD] = 180) than the private hospital (mean = 72, SD = 27). There was a significantly higher number of MBPs receiving care (P < .001) and routine services (P < .001) at the GH. The proportion of MBPs retained in care (P < .001) and receiving the routine service package (P < .001) was significantly higher at the private hospital. Overtime, indicators at the private hospital peaked significantly in year 2 and reduced moderately in the final year. The trend for the GH showed gradual but nonsignificant improvement in 2 indicators. QI showed positive results in the private hospital. If systematically applied in GHs, QI can support improved services for larger patient volumes.


Assuntos
Infecções por HIV/prevenção & controle , Hospitais Privados/estatística & dados numéricos , Hospitais Públicos/estatística & dados numéricos , Transmissão Vertical de Doenças Infecciosas/prevenção & controle , Melhoria de Qualidade , Fármacos Anti-HIV/uso terapêutico , Feminino , Infecções por HIV/tratamento farmacológico , Hospitais Privados/normas , Hospitais Públicos/normas , Humanos , Lactente , Transmissão Vertical de Doenças Infecciosas/estatística & dados numéricos , Lesoto , Mães , Gravidez , Complicações Infecciosas na Gravidez , Estudos Retrospectivos
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