Routine Electronic Mother-Infant Data (ReminD)
A proof-of-Concept Data to Care Study to Support Retention in Maternal HIV Treatment and Infant HIV Testing in Cape Town, South Africa
Bibliographic Data
| ID | 15339130 |
|---|---|
| Authors | Tamsin K Phillips (0000-0003-4554-2922, University of Cape Town, corresponding author), Yolanda Gomba (0000-0002-1866-058X, University of Cape Town), Phepo Mogoba (0000-0003-0721-5576, University of Cape Town), Pheposadi Mogoba, Florence Phelanyane (0000-0003-3586-3829, Western Cape Department of Health), Kim Anderson (0000-0002-6746-0808, University of Cape Town), B H Chi (0000-0002-1435-8455, University of North Carolina at Chapel Hill), Kate Clouse (0000-0002-0190-7398, Vanderbilt University), Mary‐Ann Davies (0000-0001-8496-6475, Western Cape Department of Health), Mary-Ann Davies, Jonathan Euvrard (0000-0002-3937-7855, Western Cape Department of Health), Lucia Knight (0000-0001-9938-6887, University of Cape Town), Landon Myers (0000-0002-8106-7658, University of Cape Town), Elaine J Abrams (0000-0001-7938-8981, Columbia University) |
| Year | 2025 |
| Volume | 29 |
| Issue | 9 |
| Pages | 2689-2700 |
| Publication date | 2025-04-16 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | AIDS and Behavior (JOURNAL) |
| Journal identifiers | ISSN: 1090-7165 • E-ISSN: 1573-3254 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10461-025-04726-7 |
| PMID | 40240722 |
| OpenAlex | W4409497174 |
| Language | EN |
| Citations received | 1 |
| References cited | 33 |
Data to Care (D2C) strategies- using routine data to identify and re-engage people living with HIV who are not in care- have shown promise in high-income settings but remain underexplored in lower-resource and vertical HIV transmission prevention (VTP) contexts. In this prospective, single-arm, proof-of-concept study, we used facility-linked public sector electronic medical records (Provincial Health Data Centre [PHDC] data) to identify, validate and trace postpartum VTP gaps among 336 mothers living with HIV and their infants in Cape Town, South Africa (March 2021-April 2022). Of 302 observed gaps, 123 (41%) were false, while 179 (59%) were probable gaps affecting 133 mother-infant pairs. Overall, 16% of mothers did not link to HIV care within 12 weeks postpartum and 13% had ART dispensing gaps, while 10% and 17% of infants had no HIV test around 10 weeks and six months, respectively. Only 100 (56%) probable gaps were confirmed through telephonic tracing, with 47 mothers subsequently re-linked to care. Mobility, stigma, and employment challenges contributed to disengagement. While our D2C approach streamlined tracing efforts, re-engagement remained difficult. Strategies integrating D2C approaches with interventions addressing social determinants are needed
Contact tracing · Disease · Disengagement theory · Environmental health · Family medicine · Infectious disease (medical specialty · Psychological intervention · Public health · HIV/AIDS Research and Interventions · ICT in Developing Communities · Medicine · Mobile Health and mHealth Applications · Nursing · Gerontology · Pediatrics
| Citations per year | 1 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |