Table 1.
Reference | Population, in- and exclusion criteria. | Intervention and follow-up | Primary outcomes | Major findings | Conclusions |
---|---|---|---|---|---|
Fawzi 1998 [22,23,24] | Tanzania, 1078 ART naïve pregnant women. | Multifactorial design with Vit. A (5000 IU) and β-carotene (30 mg) daily during pregnancy and lactation. | Mortality, CD4 count and viral load. | No differences in mortality, CD4 count or viral load among women or children. Vit. A increased MCTC. | Vit. A does not reduce mortality among women but increased MTCT. |
Fawzi 1999 [18] | Tanzania, 58 ART naïve children admitted with pneumonia. | Dose vit. A (400,000 IU) at baseline, 4 and 8 months. | Mortality | Reduced overall and AIDS related mortality. Reduction on diarrhea related death. | Vit. A reduces mortality among children admitted with acute infections. |
Coutsoudis 1999 [20] | South-Africa, 728 ART naïve pregnant women. | Vit. A (5000 IU), β-carotene (30 mg) third trimester and vit. A (200,000 IU) at delivery. | MCTC, fetal and infant mortality. | No reduction in MCTC, fetal or infant mortality. Reduction in preterm delivery. | Vit. A administered to the mother does not affect fetal or infant mortality or MCTC. |
Kumwenda 2002 [21] | Malawi, 697 ART naïve pregnant women. | Vit. A (3 mg) daily from 18-28 weeks of gestation until delivery. | MTCT, birth weight. | Increase in birth weight and a reduction of the number of anemic children. No effect on MTCT. | Vit. An administered to the mother increases birth weight and prevents anemia. No effect on MTCT |
Semba 2005 [19] | Uganda, 181 ART naïve children. | Vit. A (60 mg) every three months for 18 months. | Mortality, CD4 count, HIV viral load. | Reduction in mortality. No effect on CD4 count or viral load. | Vit. A reduces mortality among children. |
MTCT = mother to child transmission