Retrospective review of maternal HIV viral load electronic gatekeeping codes in South Africa

Southern African Journal of HIV Medicine

Field Value
Title Retrospective review of maternal HIV viral load electronic gatekeeping codes in South Africa
Creator Mahanjana, Siphesihle K. Ledibane, Tladi Sherman, Gayle G. Murray, Tanya Y. Haeri Mazanderani, Ahmad F.
Subject Public Health Medicine; Surveillance; HIV maternal HIV; electronic gatekeeping codes; viral load; surveillance; vertical transmission prevention
Description Background: Maternal electronic gatekeeping (eGK) codes for HIV viral load (VL) testing of pregnant and breastfeeding women were developed to permit increased frequency of maternal HIV VL testing without automated gatekeeping cancellation, and to enable virological surveillance.Objectives: This study describes the national uptake of maternal eGK codes and VL suppression (VLS) rates disaggregated by age during antenatal, delivery and postnatal periods in South Africa during 2022.Method: HIV VL tests associated with C#PMTCT (used for antenatal and postnatal testing) and C#DELIVERY (used at delivery) eGK codes between 01 January and 31 December 2022, were extracted from the National Institute for Communicable Diseases Data Warehouse. Uptake of eGK codes was calculated using indicators from the District Health Information System as denominators while HIV VLS rates ( 1000 copies/mL) were calculated as monthly and annual percentages.Results: Overall, national maternal eGK code uptake was 41.8%, 24.5% and 0.12% for the antenatal, delivery and postnatal periods, respectively. The monthly antenatal eGK uptake increased from 27.5% to 58.5% while delivery uptake increased from 17.3% to 30.0%. The overall annual maternal HIV VLS rate was 86.7% antenatally and 87.2% during delivery. The monthly average HIV VLS for adolescent girls and young women (AGYW) was 76.1% antenatally and 79.6% during delivery.Conclusion: Although overall national uptake of maternal HIV VL eGK codes was low, antenatal and delivery uptake improved over time, thereby facilitating use of eGK codes for programmatic monitoring of maternal VLS rates for the first time. Quality of care among pregnant AGYW requires urgent attention.
Publisher AOSIS
Contributor National Health Laboratory Service National Department of Health National Institute for Communicable Diseases UNICEF Sefako Makgatho Health Sciences University University of the Witwatersrand
Date 2024-02-20
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Retrospective cross sectional data review
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajhivmed.v25i1.1539
Source Southern African Journal of HIV Medicine; Vol 25, No 1 (2024); 8 pages 2078-6751 1608-9693
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
Coverage South Africa Antenatal; Delivery; Postnatal 15-49 years; Female; Pregnant and breastfeeding
Rights Copyright (c) 2024 Siphesihle K. Mahanjana, Tladi Ledibane, Gayle G. Sherman, Tanya Y. Murray, Ahmad F. Haeri Mazanderani