Vivian Black

TL;DR: Recommendations from this study include: ensuring autonomy over resources at lower levels; linking performance management to facility-wide human resources interventions; developing accountability systems; improving HIV services in labour wards; ensuring quality HIV and infant feeding counselling; and improved monitoring for performance management using robust systems for data collection and utilisation.

TL;DR: Late initiation of HAART is associated with increased risk of mother-to-child transmission of HIV among women in Africa who start treatment for advanced immunosuppression, and strategies are needed to facilitate earlier identification of HIV-infected women.

TL;DR: Rates of unintended pregnancies among women on ART are high, including women recently initiating ART with lower CD4 counts and higher viral loads, including recent ART initiators and ART experienced participants.

TL;DR: Women on ART may choose to conceive at times that are sub-optimal for maternal, child and partner health outcomes and should be routinely counseled around safer pregnancy options.

TL;DR: In a country where a third of pregnant women are HIV infected, early ANC is vital in order to optimise ART initiation and thereby reduce maternal mortality and paediatric HIV infection and that women are empowered to demand better services.