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. 2021 Jun 30;9(2):399–411. doi: 10.9745/GHSP-D-20-00550

TABLE 5.

Improvements in Early Infant Diagnosis, Timely Return of Test Results, and Antiretroviral Initiation From Baseline to Endline After Implementing a Quality Improvement Collaborative Approach, Zambia

Indicators Baseline
Jan. 2016–Dec. 2016
Implementation
Mar. 2017–May 2018
Endline
Mar. 2018–May 2018
Change
Base to End
EID testing HEIs who received EID DBS at <8 weeks of age, % 77 84 89 12
HEIs who received EID DBS at >8 weeks of age, %
Return of test results HEIs tested who were identified as infected, % 3 3 2 −1
HEIs identified as infected who received their results, % 44 86 79 35
Mean time between positive EID DBS result and initiating ART, days 48 14 9 −39
ART initiation HIV-infected infants initiated on ART, % 44 83 80 36
HIV-infected infants initiated on ART the same day positive test were received, % 12 18 11 −1
HIV-positive infants initiated on ART within 2 weeks of receiving positive test results, % 23 61 71 48

Abbreviations: ART, antiretroviral therapy; DBS, dried blood sample; EID, early infant diagnosis; HEI, HIV-exposed infant; PCR, polymerase chain reaction.