The impact of continuous quality improvement on coverage of antenatal HIV care tests in rural South Africa: Results of a stepped-wedge cluster-randomised controlled implementation trial

• Published in: PLoS medicine Vol. 17; no. 10; p. e1003150
• Main Authors: Yapa, H Manisha, De Neve, Jan-Walter, Chetty, Terusha, Herbst, Carina, Post, Frank A, Jiamsakul, Awachana, Geldsetzer, Pascal, Harling, Guy, Dhlomo-Mphatswe, Wendy, Moshabela, Mosa, Matthews, Philippa, Ogbuoji, Osondu, Tanser, Frank, Gareta, Dickman, Herbst, Kobus, Pillay, Deenan, Wyke, Sally, Bärnighausen, Till
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 07.10.2020; Public Library of Science (PLoS)
• Subjects: Adult; Advisors; Anti-HIV Agents - therapeutic use; Biology and Life Sciences; Clinics; Data collection; Female; Health aspects; HIV; HIV Infections - blood; HIV Infections - diagnosis; HIV Infections - drug therapy; HIV Infections - prevention & control; HIV Seropositivity - diagnosis; HIV tests; Human immunodeficiency virus; Humans; Implementation Science; Infections; Infectious Disease Transmission, Vertical - prevention & control; Maternal health services; Medical research; Medical tests; Medicine and Health Sciences; Methods; People and places; Practice Patterns, Nurses; Pregnancy; Prenatal care; Prenatal Care - standards; Primary care; Primary Health Care; Process Assessment, Health Care; Quality control; Quality Improvement; Quality Indicators, Health Care; Quality management; Research data management; RNA, Viral - blood; Rural areas; Rural health services; Rural Population; Rural women; South Africa; Surveillance; Total quality; Total Quality Management; Viral Load - statistics & numerical data; Womens health; Young Adult; South Africa; Nigeria; Malawi; Africa

Evidence for the effectiveness of continuous quality improvement (CQI) in resource-poor settings is very limited. We aimed to establish the effects of CQI on quality of antenatal HIV care in primary care clinics in rural South Africa. We conducted a stepped-wedge cluster-randomised controlled trial...