Towards Elimination of Mother-to-Child Transmission of HIV: The Impact of a Rapid Results Initiative in Nyanza Province, Kenya

Table 1

Comparison of key PMTCT outcomes at baseline, and during the Rapid Results Initiative (RRI) and the post-RRI periods.

	Baseline period	RRI period		Post-RRI period
	Oct 2010–Jan 2011*	Apr–Jun 2011		Jul–Sep 2011
	𝑁 (%)	𝑁 (%)	Risk ratio (95% CI)^+	𝑁 (%)	Risk ratio (95% CI)^+
Maternal outcomes
HIV testing	8591	9123		8068
HIVpositive	1662	1890		1526
CD4 testing	980/1662 (59.0%)	1258/1890 (66.6%)	1.1 (1.1-1.2)^∧	966/1526 (63.3%)	1.1 (1.0–1.1)
HAART initiation	228/1662 (13.7%)	373/1890 (19.7%)	1.4 (1.2–1.7)^∧	331/1526 (21.7%)	1.58 (1.4–1.8)^∧
HIV-exposed infant outcomes
PCR testing	768/1662 (46.2%)	1149/1890 (60.8%)	1.3 (1.2–1.4)^∧	1327/1526 (87.0%)	1.9 (1.8–2.0)^∧
PCR positive	93/768 (12.1%)	158/1149 (13.8%)	1.1 (0.9–1.4)	152/1327 (11.5%)	0.9 (0.7–1.2)
HAART initiation	51/93 (54.8%)	95/158 (60.1%)	1.1 (0.9–1.4)	105/152 (69.0%)	1.3 (1.0–1.6)
Male partner engagement outcome
HIV testing	660/8591 (7.7%)	1496/9123 (16.3%)	2.1 (2.0–2.3)^∧	939/8068 (11.6%)	1.5 (1.4–1.7)^∧

*December 2010 data excluded.
⁺Results compared to baseline survey period.
^∧Statistically significant.