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Repositioning postnatal care in a high HIV environment : Swaziland

WARREN, Charlotte
et al
2008

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This report arose from recognition of the need to provide better care and follow up of mothers and infants in the postnatal period in order to improve maternal and neonatal outcomes in Swaziland. The objectives of the study were to determine if changes to the guidelines on postnatal care would result in improvements to provision of of maternal and newborn care in the postnatal period, increase utilization of postnatal care services among all postpartum (PP) women, and improve the care and follow up of HIV-positive postpartum women and their infants. The study confirmed that the introduction of an improved postnatal package with revised timing and content provided key components of maternal, newborn, and HIV care, and increased the utilization of services among postpartum women and their infants. An assessment of the quality of care during client-provider interactions for all postpartum women demonstrated a fourfold increase in the proportion that included all aspects of care: maternal and newborn health, counseling for HIV, family planning, and improved provider-client relationships

Early infant diagnosis of HIV through dried blood spot testing

PATHFINDER INTERNATIONAL / KENYA
October 2007

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Until recently the test used to diagnose HIV in babies under one-year has required sophisticated and expensive equipment. A new test has now been developed - dried blood spot testing which can be used to diagnose HIV as early as six weeks after a baby is born and has the advantage of being easy to prepare in a resource-limited setting and shipped to testing facilities without refrigeration. If a baby is given prophylactic antibiotics, such as cotrimoxazole, soon after birth and Antiretroviral Therapy (ART) as soon as is medically indicated, it has a good chance of surviving childhood and living a long, healthy life

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