A longitudinal review of national HIV policy and progress made in health facility implementation in Eastern Zimbabwe View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-12

AUTHORS

Malebogo Tlhajoane, Tidings Masoka, Edith Mpandaguta, Rebecca Rhead, Kathryn Church, Alison Wringe, Noah Kadzura, Nimalan Arinaminpathy, Constance Nyamukapa, Nadine Schur, Owen Mugurungi, Morten Skovdal, Jeffrey W. Eaton, Simon Gregson

ABSTRACT

BACKGROUND: In recent years, WHO has made major changes to its guidance on the provision of HIV care and treatment services. We conducted a longitudinal study from 2013 to 2015 to establish how these changes have been translated into national policy in Zimbabwe and to measure progress in implementation within local health facilities. METHODS: National HIV programme policy guidelines published between 2003 and 2013 (n = 9) and 2014 and 2015 (n = 5) were reviewed to assess adoption of WHO recommendations on HIV testing services, prevention of mother-to-child transmission (PMTCT) of HIV, and provision of antiretroviral therapy (ART). Changes in local implementation of these policies over time were measured in two rounds of a survey conducted at 36 health facilities in Eastern Zimbabwe in 2013 and 2015. RESULTS: High levels of adoption of WHO guidance into national policy were recorded, including adoption of new recommendations made in 2013-2015 to introduce PMTCT Option B+ and to increase the threshold for ART initiation from CD4 ≤ 350 cells/mm3 to ≤ 500 cells/mm3. New strategies to implement national HIV policies were introduced such as the decentralisation of ART services from hospitals to clinics and task-shifting of care from doctors to nurses. The proportions of health facilities offering free HIV testing and counselling, PMTCT (including Option B+) and ART services increased substantially from 2013 to 2015, despite reductions in numbers of health workers. Provision of provider-initiated HIV testing remained consistently high. At least one test-kit stock-out in the prior year was reported in most facilities (2013: 69%; 2015: 61%; p = 0.44). Stock-outs of first-line ART and prophylactic drugs for opportunistic infections remained low. Repeat testing for HIV-negative individuals within 3 months decreased (2013: 97%; 2015: 72%; p = 0.01). Laboratory testing remained low across both survey rounds, despite policy and operational guidelines to expand coverage of diagnostic services. CONCLUSIONS: Good progress has been made in implementing international guidance on HIV service delivery in Zimbabwe. Further novel implementation strategies may be needed to achieve the latest targets for universal ART eligibility. More... »

PAGES

92

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12961-018-0358-1

DOI

http://dx.doi.org/10.1186/s12961-018-0358-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1107123483

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30241489


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Public Health and Health Services", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Imperial College London", 
          "id": "https://www.grid.ac/institutes/grid.7445.2", 
          "name": [
            "Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, W2 1PG, London, United Kingdom"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Tlhajoane", 
        "givenName": "Malebogo", 
        "id": "sg:person.0776327213.48", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0776327213.48"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Biomedical Research and Training Institute", 
          "id": "https://www.grid.ac/institutes/grid.418347.d", 
          "name": [
            "Biomedical Research and Training Institute, Harare, Zimbabwe"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Masoka", 
        "givenName": "Tidings", 
        "id": "sg:person.01202312776.04", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01202312776.04"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Biomedical Research and Training Institute", 
          "id": "https://www.grid.ac/institutes/grid.418347.d", 
          "name": [
            "Biomedical Research and Training Institute, Harare, Zimbabwe"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Mpandaguta", 
        "givenName": "Edith", 
        "id": "sg:person.0734602524.89", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0734602524.89"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Imperial College London", 
          "id": "https://www.grid.ac/institutes/grid.7445.2", 
          "name": [
            "Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, W2 1PG, London, United Kingdom"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Rhead", 
        "givenName": "Rebecca", 
        "id": "sg:person.013137032001.81", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.013137032001.81"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "London School of Hygiene & Tropical Medicine", 
          "id": "https://www.grid.ac/institutes/grid.8991.9", 
          "name": [
            "Department of Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Church", 
        "givenName": "Kathryn", 
        "id": "sg:person.01020656374.91", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01020656374.91"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "London School of Hygiene & Tropical Medicine", 
          "id": "https://www.grid.ac/institutes/grid.8991.9", 
          "name": [
            "Department of Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Wringe", 
        "givenName": "Alison", 
        "id": "sg:person.012047460247.76", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.012047460247.76"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Biomedical Research and Training Institute", 
          "id": "https://www.grid.ac/institutes/grid.418347.d", 
          "name": [
            "Biomedical Research and Training Institute, Harare, Zimbabwe"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kadzura", 
        "givenName": "Noah", 
        "id": "sg:person.010616677444.88", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010616677444.88"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Imperial College London", 
          "id": "https://www.grid.ac/institutes/grid.7445.2", 
          "name": [
            "Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, W2 1PG, London, United Kingdom"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Arinaminpathy", 
        "givenName": "Nimalan", 
        "id": "sg:person.01353271163.00", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01353271163.00"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Biomedical Research and Training Institute", 
          "id": "https://www.grid.ac/institutes/grid.418347.d", 
          "name": [
            "Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, W2 1PG, London, United Kingdom", 
            "Biomedical Research and Training Institute, Harare, Zimbabwe"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Nyamukapa", 
        "givenName": "Constance", 
        "id": "sg:person.0620045106.03", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0620045106.03"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Imperial College London", 
          "id": "https://www.grid.ac/institutes/grid.7445.2", 
          "name": [
            "Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, W2 1PG, London, United Kingdom"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Schur", 
        "givenName": "Nadine", 
        "id": "sg:person.0706544443.04", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0706544443.04"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Ministry of Health and Child Welfare", 
          "id": "https://www.grid.ac/institutes/grid.415818.1", 
          "name": [
            "Ministry of Health and Child Care, Harare, Zimbabwe"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Mugurungi", 
        "givenName": "Owen", 
        "id": "sg:person.01000102445.14", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01000102445.14"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Copenhagen", 
          "id": "https://www.grid.ac/institutes/grid.5254.6", 
          "name": [
            "Department of Public Health, University of Copenhagen, Copenhagen, Denmark"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Skovdal", 
        "givenName": "Morten", 
        "id": "sg:person.01043657111.70", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01043657111.70"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Imperial College London", 
          "id": "https://www.grid.ac/institutes/grid.7445.2", 
          "name": [
            "Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, W2 1PG, London, United Kingdom"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Eaton", 
        "givenName": "Jeffrey W.", 
        "id": "sg:person.01200671171.13", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01200671171.13"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Biomedical Research and Training Institute", 
          "id": "https://www.grid.ac/institutes/grid.418347.d", 
          "name": [
            "Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, W2 1PG, London, United Kingdom", 
            "Biomedical Research and Training Institute, Harare, Zimbabwe"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Gregson", 
        "givenName": "Simon", 
        "id": "sg:person.01116145622.69", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01116145622.69"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1016/s2214-109x(14)70018-x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005380037"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1371/journal.pmed.1000414", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010707953"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(09)62067-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013718445"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2471/blt.14.147215", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018463141"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2471/blt.14.147215", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018463141"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(08)60693-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024114938"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1371/journal.pone.0152910", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025124367"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1080/17290376.2015.1123646", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1026799861"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/jac/dkt011", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030690206"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/hiv.12125", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034709718"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1080/09540121.2016.1234687", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039312041"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/coh.0000000000000346", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039617811"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/coh.0000000000000346", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039617811"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1080/09540129848361", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1040166183"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11904-008-0015-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042443755", 
          "https://doi.org/10.1007/s11904-008-0015-3"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1744-8603-10-43", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045656278", 
          "https://doi.org/10.1186/1744-8603-10-43"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1080/09540121.2016.1168913", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047371821"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/0956462412472312", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047589306"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/0956462412472312", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047589306"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1365-3156.2012.03089.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048941819"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1472-6963-10-s1-s4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050829938", 
          "https://doi.org/10.1186/1472-6963-10-s1-s4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1089/apc.2009.0050", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1059229103"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1126/science.1121054", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1062453264"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1126/science.1228160", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1062467065"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.15585/mmwr.mm6446a3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1067984075"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.5430/jer.v2n2p85", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1072846965"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s13012-017-0574-z", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1084612544", 
          "https://doi.org/10.1186/s13012-017-0574-z"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s13012-017-0574-z", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1084612544", 
          "https://doi.org/10.1186/s13012-017-0574-z"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12913-017-2678-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1092850180", 
          "https://doi.org/10.1186/s12913-017-2678-1"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2018-12", 
    "datePublishedReg": "2018-12-01", 
    "description": "BACKGROUND: In recent years, WHO has made major changes to its guidance on the provision of HIV care and treatment services. We conducted a longitudinal study from 2013 to 2015 to establish how these changes have been translated into national policy in Zimbabwe and to measure progress in implementation within local health facilities.\nMETHODS: National HIV programme policy guidelines published between 2003 and 2013 (n\u2009=\u20099) and 2014 and 2015 (n\u2009=\u20095) were reviewed to assess adoption of WHO recommendations on HIV testing services, prevention of mother-to-child transmission (PMTCT) of HIV, and provision of antiretroviral therapy (ART). Changes in local implementation of these policies over time were measured in two rounds of a survey conducted at 36 health facilities in Eastern Zimbabwe in 2013 and 2015.\nRESULTS: High levels of adoption of WHO guidance into national policy were recorded, including adoption of new recommendations made in 2013-2015 to introduce PMTCT Option B+ and to increase the threshold for ART initiation from CD4\u2009\u2264\u2009350 cells/mm3 to \u2264\u2009500 cells/mm3. New strategies to implement national HIV policies were introduced such as the decentralisation of ART services from hospitals to clinics and task-shifting of care from doctors to nurses. The proportions of health facilities offering free HIV testing and counselling, PMTCT (including Option B+) and ART services increased substantially from 2013 to 2015, despite reductions in numbers of health workers. Provision of provider-initiated HIV testing remained consistently high. At least one test-kit stock-out in the prior year was reported in most facilities (2013: 69%; 2015: 61%; p\u2009=\u20090.44). Stock-outs of first-line ART and prophylactic drugs for opportunistic infections remained low. Repeat testing for HIV-negative individuals within 3\u00a0months decreased (2013: 97%; 2015: 72%; p\u2009=\u20090.01). Laboratory testing remained low across both survey rounds, despite policy and operational guidelines to expand coverage of diagnostic services.\nCONCLUSIONS: Good progress has been made in implementing international guidance on HIV service delivery in Zimbabwe. Further novel implementation strategies may be needed to achieve the latest targets for universal ART eligibility.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1186/s12961-018-0358-1", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isFundedItemOf": [
      {
        "id": "sg:grant.6580861", 
        "type": "MonetaryGrant"
      }, 
      {
        "id": "sg:grant.4579561", 
        "type": "MonetaryGrant"
      }
    ], 
    "isPartOf": [
      {
        "id": "sg:journal.1032049", 
        "issn": [
          "1478-4505"
        ], 
        "name": "Health Research Policy and Systems", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "16"
      }
    ], 
    "name": "A longitudinal review of national HIV policy and progress made in health facility implementation in Eastern Zimbabwe", 
    "pagination": "92", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "04e15c09740f099abf4516a872843e8ab0908c92fdf7d04a9b797be6d145882f"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "30241489"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "101170481"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/s12961-018-0358-1"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1107123483"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/s12961-018-0358-1", 
      "https://app.dimensions.ai/details/publication/pub.1107123483"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-10T14:15", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8660_00000541.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1186%2Fs12961-018-0358-1"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s12961-018-0358-1'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/s12961-018-0358-1'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/s12961-018-0358-1'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s12961-018-0358-1'


 

This table displays all metadata directly associated to this object as RDF triples.

256 TRIPLES      21 PREDICATES      54 URIs      21 LITERALS      9 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/s12961-018-0358-1 schema:about anzsrc-for:11
2 anzsrc-for:1117
3 schema:author N472dfed031944f0ea908a569a2477b58
4 schema:citation sg:pub.10.1007/s11904-008-0015-3
5 sg:pub.10.1186/1472-6963-10-s1-s4
6 sg:pub.10.1186/1744-8603-10-43
7 sg:pub.10.1186/s12913-017-2678-1
8 sg:pub.10.1186/s13012-017-0574-z
9 https://doi.org/10.1016/s0140-6736(08)60693-5
10 https://doi.org/10.1016/s0140-6736(09)62067-5
11 https://doi.org/10.1016/s2214-109x(14)70018-x
12 https://doi.org/10.1080/09540121.2016.1168913
13 https://doi.org/10.1080/09540121.2016.1234687
14 https://doi.org/10.1080/09540129848361
15 https://doi.org/10.1080/17290376.2015.1123646
16 https://doi.org/10.1089/apc.2009.0050
17 https://doi.org/10.1093/jac/dkt011
18 https://doi.org/10.1097/coh.0000000000000346
19 https://doi.org/10.1111/hiv.12125
20 https://doi.org/10.1111/j.1365-3156.2012.03089.x
21 https://doi.org/10.1126/science.1121054
22 https://doi.org/10.1126/science.1228160
23 https://doi.org/10.1177/0956462412472312
24 https://doi.org/10.1371/journal.pmed.1000414
25 https://doi.org/10.1371/journal.pone.0152910
26 https://doi.org/10.15585/mmwr.mm6446a3
27 https://doi.org/10.2471/blt.14.147215
28 https://doi.org/10.5430/jer.v2n2p85
29 schema:datePublished 2018-12
30 schema:datePublishedReg 2018-12-01
31 schema:description BACKGROUND: In recent years, WHO has made major changes to its guidance on the provision of HIV care and treatment services. We conducted a longitudinal study from 2013 to 2015 to establish how these changes have been translated into national policy in Zimbabwe and to measure progress in implementation within local health facilities. METHODS: National HIV programme policy guidelines published between 2003 and 2013 (n = 9) and 2014 and 2015 (n = 5) were reviewed to assess adoption of WHO recommendations on HIV testing services, prevention of mother-to-child transmission (PMTCT) of HIV, and provision of antiretroviral therapy (ART). Changes in local implementation of these policies over time were measured in two rounds of a survey conducted at 36 health facilities in Eastern Zimbabwe in 2013 and 2015. RESULTS: High levels of adoption of WHO guidance into national policy were recorded, including adoption of new recommendations made in 2013-2015 to introduce PMTCT Option B+ and to increase the threshold for ART initiation from CD4 ≤ 350 cells/mm3 to ≤ 500 cells/mm3. New strategies to implement national HIV policies were introduced such as the decentralisation of ART services from hospitals to clinics and task-shifting of care from doctors to nurses. The proportions of health facilities offering free HIV testing and counselling, PMTCT (including Option B+) and ART services increased substantially from 2013 to 2015, despite reductions in numbers of health workers. Provision of provider-initiated HIV testing remained consistently high. At least one test-kit stock-out in the prior year was reported in most facilities (2013: 69%; 2015: 61%; p = 0.44). Stock-outs of first-line ART and prophylactic drugs for opportunistic infections remained low. Repeat testing for HIV-negative individuals within 3 months decreased (2013: 97%; 2015: 72%; p = 0.01). Laboratory testing remained low across both survey rounds, despite policy and operational guidelines to expand coverage of diagnostic services. CONCLUSIONS: Good progress has been made in implementing international guidance on HIV service delivery in Zimbabwe. Further novel implementation strategies may be needed to achieve the latest targets for universal ART eligibility.
32 schema:genre research_article
33 schema:inLanguage en
34 schema:isAccessibleForFree true
35 schema:isPartOf N078670eb91d1480baa8034a521541ab7
36 N418563916fdf4cddb8189461df1ea4ba
37 sg:journal.1032049
38 schema:name A longitudinal review of national HIV policy and progress made in health facility implementation in Eastern Zimbabwe
39 schema:pagination 92
40 schema:productId N48652b1486af4d788328b4a0c905ab5b
41 N4cfa0486efde44c3b7bc7a64c71b3912
42 N7fdf6c1f76174e5994afe4d5b93ee6d8
43 N8c8ddc076fe84fc381adb3fb479c0039
44 Nf29c742dd1ee46358321f555649fd0ef
45 schema:sameAs https://app.dimensions.ai/details/publication/pub.1107123483
46 https://doi.org/10.1186/s12961-018-0358-1
47 schema:sdDatePublished 2019-04-10T14:15
48 schema:sdLicense https://scigraph.springernature.com/explorer/license/
49 schema:sdPublisher Nf6f2c28007d04dfe9294884183c5b528
50 schema:url http://link.springer.com/10.1186%2Fs12961-018-0358-1
51 sgo:license sg:explorer/license/
52 sgo:sdDataset articles
53 rdf:type schema:ScholarlyArticle
54 N078670eb91d1480baa8034a521541ab7 schema:issueNumber 1
55 rdf:type schema:PublicationIssue
56 N098bc40c17da4f57b57abd68f9378fe5 rdf:first sg:person.010616677444.88
57 rdf:rest N33f1c45d6e104fe1b2563503eecf8072
58 N33f1c45d6e104fe1b2563503eecf8072 rdf:first sg:person.01353271163.00
59 rdf:rest N3c4af3e827ff4946b2f714b673e1196c
60 N3c4af3e827ff4946b2f714b673e1196c rdf:first sg:person.0620045106.03
61 rdf:rest Nb10d304dc4744ca38f9c9d977d4f2ddc
62 N418563916fdf4cddb8189461df1ea4ba schema:volumeNumber 16
63 rdf:type schema:PublicationVolume
64 N472dfed031944f0ea908a569a2477b58 rdf:first sg:person.0776327213.48
65 rdf:rest N97b48673998e4c53b7f1a3f62871095e
66 N48652b1486af4d788328b4a0c905ab5b schema:name dimensions_id
67 schema:value pub.1107123483
68 rdf:type schema:PropertyValue
69 N4cfa0486efde44c3b7bc7a64c71b3912 schema:name pubmed_id
70 schema:value 30241489
71 rdf:type schema:PropertyValue
72 N66753a9c2edc43b48aa0d23eddc9b7d5 rdf:first sg:person.01200671171.13
73 rdf:rest N7601bbc96b5e42428369bf13d2660225
74 N7024d1dbd4d64d87b239611f2f6256d1 rdf:first sg:person.0734602524.89
75 rdf:rest Nd7750afbd06b4036ae6334b852414fd3
76 N7601bbc96b5e42428369bf13d2660225 rdf:first sg:person.01116145622.69
77 rdf:rest rdf:nil
78 N7fdf6c1f76174e5994afe4d5b93ee6d8 schema:name readcube_id
79 schema:value 04e15c09740f099abf4516a872843e8ab0908c92fdf7d04a9b797be6d145882f
80 rdf:type schema:PropertyValue
81 N800ac4703ed949b98b6acc735b7a2e54 rdf:first sg:person.01000102445.14
82 rdf:rest Nf0d230541ff54b3188184d615487b1bd
83 N813e28bddc274d628b613fd854b264ae rdf:first sg:person.012047460247.76
84 rdf:rest N098bc40c17da4f57b57abd68f9378fe5
85 N8c8ddc076fe84fc381adb3fb479c0039 schema:name doi
86 schema:value 10.1186/s12961-018-0358-1
87 rdf:type schema:PropertyValue
88 N97b48673998e4c53b7f1a3f62871095e rdf:first sg:person.01202312776.04
89 rdf:rest N7024d1dbd4d64d87b239611f2f6256d1
90 Nb10d304dc4744ca38f9c9d977d4f2ddc rdf:first sg:person.0706544443.04
91 rdf:rest N800ac4703ed949b98b6acc735b7a2e54
92 Nd70812fd49ad4694a4d11853f27cdb74 rdf:first sg:person.01020656374.91
93 rdf:rest N813e28bddc274d628b613fd854b264ae
94 Nd7750afbd06b4036ae6334b852414fd3 rdf:first sg:person.013137032001.81
95 rdf:rest Nd70812fd49ad4694a4d11853f27cdb74
96 Nf0d230541ff54b3188184d615487b1bd rdf:first sg:person.01043657111.70
97 rdf:rest N66753a9c2edc43b48aa0d23eddc9b7d5
98 Nf29c742dd1ee46358321f555649fd0ef schema:name nlm_unique_id
99 schema:value 101170481
100 rdf:type schema:PropertyValue
101 Nf6f2c28007d04dfe9294884183c5b528 schema:name Springer Nature - SN SciGraph project
102 rdf:type schema:Organization
103 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
104 schema:name Medical and Health Sciences
105 rdf:type schema:DefinedTerm
106 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
107 schema:name Public Health and Health Services
108 rdf:type schema:DefinedTerm
109 sg:grant.4579561 http://pending.schema.org/fundedItem sg:pub.10.1186/s12961-018-0358-1
110 rdf:type schema:MonetaryGrant
111 sg:grant.6580861 http://pending.schema.org/fundedItem sg:pub.10.1186/s12961-018-0358-1
112 rdf:type schema:MonetaryGrant
113 sg:journal.1032049 schema:issn 1478-4505
114 schema:name Health Research Policy and Systems
115 rdf:type schema:Periodical
116 sg:person.01000102445.14 schema:affiliation https://www.grid.ac/institutes/grid.415818.1
117 schema:familyName Mugurungi
118 schema:givenName Owen
119 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01000102445.14
120 rdf:type schema:Person
121 sg:person.01020656374.91 schema:affiliation https://www.grid.ac/institutes/grid.8991.9
122 schema:familyName Church
123 schema:givenName Kathryn
124 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01020656374.91
125 rdf:type schema:Person
126 sg:person.01043657111.70 schema:affiliation https://www.grid.ac/institutes/grid.5254.6
127 schema:familyName Skovdal
128 schema:givenName Morten
129 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01043657111.70
130 rdf:type schema:Person
131 sg:person.010616677444.88 schema:affiliation https://www.grid.ac/institutes/grid.418347.d
132 schema:familyName Kadzura
133 schema:givenName Noah
134 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010616677444.88
135 rdf:type schema:Person
136 sg:person.01116145622.69 schema:affiliation https://www.grid.ac/institutes/grid.418347.d
137 schema:familyName Gregson
138 schema:givenName Simon
139 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01116145622.69
140 rdf:type schema:Person
141 sg:person.01200671171.13 schema:affiliation https://www.grid.ac/institutes/grid.7445.2
142 schema:familyName Eaton
143 schema:givenName Jeffrey W.
144 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01200671171.13
145 rdf:type schema:Person
146 sg:person.01202312776.04 schema:affiliation https://www.grid.ac/institutes/grid.418347.d
147 schema:familyName Masoka
148 schema:givenName Tidings
149 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01202312776.04
150 rdf:type schema:Person
151 sg:person.012047460247.76 schema:affiliation https://www.grid.ac/institutes/grid.8991.9
152 schema:familyName Wringe
153 schema:givenName Alison
154 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.012047460247.76
155 rdf:type schema:Person
156 sg:person.013137032001.81 schema:affiliation https://www.grid.ac/institutes/grid.7445.2
157 schema:familyName Rhead
158 schema:givenName Rebecca
159 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.013137032001.81
160 rdf:type schema:Person
161 sg:person.01353271163.00 schema:affiliation https://www.grid.ac/institutes/grid.7445.2
162 schema:familyName Arinaminpathy
163 schema:givenName Nimalan
164 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01353271163.00
165 rdf:type schema:Person
166 sg:person.0620045106.03 schema:affiliation https://www.grid.ac/institutes/grid.418347.d
167 schema:familyName Nyamukapa
168 schema:givenName Constance
169 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0620045106.03
170 rdf:type schema:Person
171 sg:person.0706544443.04 schema:affiliation https://www.grid.ac/institutes/grid.7445.2
172 schema:familyName Schur
173 schema:givenName Nadine
174 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0706544443.04
175 rdf:type schema:Person
176 sg:person.0734602524.89 schema:affiliation https://www.grid.ac/institutes/grid.418347.d
177 schema:familyName Mpandaguta
178 schema:givenName Edith
179 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0734602524.89
180 rdf:type schema:Person
181 sg:person.0776327213.48 schema:affiliation https://www.grid.ac/institutes/grid.7445.2
182 schema:familyName Tlhajoane
183 schema:givenName Malebogo
184 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0776327213.48
185 rdf:type schema:Person
186 sg:pub.10.1007/s11904-008-0015-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042443755
187 https://doi.org/10.1007/s11904-008-0015-3
188 rdf:type schema:CreativeWork
189 sg:pub.10.1186/1472-6963-10-s1-s4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050829938
190 https://doi.org/10.1186/1472-6963-10-s1-s4
191 rdf:type schema:CreativeWork
192 sg:pub.10.1186/1744-8603-10-43 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045656278
193 https://doi.org/10.1186/1744-8603-10-43
194 rdf:type schema:CreativeWork
195 sg:pub.10.1186/s12913-017-2678-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1092850180
196 https://doi.org/10.1186/s12913-017-2678-1
197 rdf:type schema:CreativeWork
198 sg:pub.10.1186/s13012-017-0574-z schema:sameAs https://app.dimensions.ai/details/publication/pub.1084612544
199 https://doi.org/10.1186/s13012-017-0574-z
200 rdf:type schema:CreativeWork
201 https://doi.org/10.1016/s0140-6736(08)60693-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1024114938
202 rdf:type schema:CreativeWork
203 https://doi.org/10.1016/s0140-6736(09)62067-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1013718445
204 rdf:type schema:CreativeWork
205 https://doi.org/10.1016/s2214-109x(14)70018-x schema:sameAs https://app.dimensions.ai/details/publication/pub.1005380037
206 rdf:type schema:CreativeWork
207 https://doi.org/10.1080/09540121.2016.1168913 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047371821
208 rdf:type schema:CreativeWork
209 https://doi.org/10.1080/09540121.2016.1234687 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039312041
210 rdf:type schema:CreativeWork
211 https://doi.org/10.1080/09540129848361 schema:sameAs https://app.dimensions.ai/details/publication/pub.1040166183
212 rdf:type schema:CreativeWork
213 https://doi.org/10.1080/17290376.2015.1123646 schema:sameAs https://app.dimensions.ai/details/publication/pub.1026799861
214 rdf:type schema:CreativeWork
215 https://doi.org/10.1089/apc.2009.0050 schema:sameAs https://app.dimensions.ai/details/publication/pub.1059229103
216 rdf:type schema:CreativeWork
217 https://doi.org/10.1093/jac/dkt011 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030690206
218 rdf:type schema:CreativeWork
219 https://doi.org/10.1097/coh.0000000000000346 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039617811
220 rdf:type schema:CreativeWork
221 https://doi.org/10.1111/hiv.12125 schema:sameAs https://app.dimensions.ai/details/publication/pub.1034709718
222 rdf:type schema:CreativeWork
223 https://doi.org/10.1111/j.1365-3156.2012.03089.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1048941819
224 rdf:type schema:CreativeWork
225 https://doi.org/10.1126/science.1121054 schema:sameAs https://app.dimensions.ai/details/publication/pub.1062453264
226 rdf:type schema:CreativeWork
227 https://doi.org/10.1126/science.1228160 schema:sameAs https://app.dimensions.ai/details/publication/pub.1062467065
228 rdf:type schema:CreativeWork
229 https://doi.org/10.1177/0956462412472312 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047589306
230 rdf:type schema:CreativeWork
231 https://doi.org/10.1371/journal.pmed.1000414 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010707953
232 rdf:type schema:CreativeWork
233 https://doi.org/10.1371/journal.pone.0152910 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025124367
234 rdf:type schema:CreativeWork
235 https://doi.org/10.15585/mmwr.mm6446a3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1067984075
236 rdf:type schema:CreativeWork
237 https://doi.org/10.2471/blt.14.147215 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018463141
238 rdf:type schema:CreativeWork
239 https://doi.org/10.5430/jer.v2n2p85 schema:sameAs https://app.dimensions.ai/details/publication/pub.1072846965
240 rdf:type schema:CreativeWork
241 https://www.grid.ac/institutes/grid.415818.1 schema:alternateName Ministry of Health and Child Welfare
242 schema:name Ministry of Health and Child Care, Harare, Zimbabwe
243 rdf:type schema:Organization
244 https://www.grid.ac/institutes/grid.418347.d schema:alternateName Biomedical Research and Training Institute
245 schema:name Biomedical Research and Training Institute, Harare, Zimbabwe
246 Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, W2 1PG, London, United Kingdom
247 rdf:type schema:Organization
248 https://www.grid.ac/institutes/grid.5254.6 schema:alternateName University of Copenhagen
249 schema:name Department of Public Health, University of Copenhagen, Copenhagen, Denmark
250 rdf:type schema:Organization
251 https://www.grid.ac/institutes/grid.7445.2 schema:alternateName Imperial College London
252 schema:name Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, W2 1PG, London, United Kingdom
253 rdf:type schema:Organization
254 https://www.grid.ac/institutes/grid.8991.9 schema:alternateName London School of Hygiene & Tropical Medicine
255 schema:name Department of Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom
256 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...