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. 2012 Jan 10;9(1):e1001156. doi: 10.1371/journal.pmed.1001156

Table 1. PMTCT uptake scenarios.

Scenario Care and Testinga Drug Availabilityb Retentionc POPd
Zimbabwe National PMTCT Program 2008 [23] ANC: 94% [23]; HIV testing: 75% [37]; result return: 99% [36]; total: 70% ( = 94%×75%×99%) 86% Before delivery: 60% (mean of [11],[24],[43][47]) To delivery: 36% [23]
Postpartum: if ANC, 87% (mean of [11],[43],[44],[48][50]); if no ANC, 43% (assumption: 50%) To 18 mo postpartum: 31%
Zimbabwe National PMTCT Program 2009 [19] ANC: 91% [36]; HIV testing: 87% [36]; result return: 99% [36]; total: 78% ( = 91%×87%×99%) 82% Before delivery: 87% [43] To delivery: 56% [19]
Postpartum: if ANC, 87% (mean of [11],[43],); if no ANC, 43% (assumption: 50%) To 18 mo postpartum: 49%
WHO target [37] ANC: 100%; HIV testing: 80%; result return: 100%; total: 80% ( = 100%×80%×100%) 100% Before delivery: 100% To delivery: 80%
Postpartum: if ANC, 87% (mean of [11],[43],[44],[48][50]); if no ANC, 43% (assumption: 50%) To 18 mo postpartum: 70%
Optimal (95%) uptake ANC: 100%; HIV testing: 95%; result return: 100%; total: 95% ( = 100%×95%×100%) 100% Before delivery: 100% To delivery: 95%
Postpartum: if ANC, 87% (mean of [11],[43],[44],[48][50]) To 18 mo postpartum: 83%
a

Proportion of pregnant women accessing ANC, HIV testing for those in ANC, and receipt of HIV test result for those tested.

b

Proportion of ANC sites with access to medications for PMTCT. This proportion is back-calculated in order to reach the reported POP for each scenario.

c

Of women offered ARVs for PMTCT, the proportion remaining in care during the antenatal period, used as a proxy for acceptance of and adherence to medications. Retention in care postpartum: Of all postpartum women, the proportion linking to HIV care by the 6-wk postpartum visit. Impacts on MTCT of loss to follow-up after 6 wk postpartum, in the absence of specific data, are incorporated into highest-risk transmission estimates.

d

Proportion of patients receiving care at all stages of the PMTCT cascade, defined as the product of (drug availability)×(care and testing)×(retention).