July 2023

Implementation and Uptake of Raltegravir Granules in Newborns Diagnosed With HIV Through Birth Testing in Maternity Settings in Zimbabwe During the COVID-19 Pandemic

Overview

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Zimbabwe introduced raltegravir (RAL) granules at 14 facilities providing point-of-care HIV birth testing, aiming to initiate all newborns with HIV on a RAL-based regimen. From June 2020 to July 2021, we tested 3172 of the 6989 (45%) newborns exposed to HIV; we diagnosed 59(2%) with HIV infection, of whom 27 (46%) initiated RAL. The SARS-CoV-2 coronavirus disease pandemic exacerbated supply chain and trained provider shortages, contributing to low birth testing, RAL uptake and 6-month viral load testing.

Created by:

Lisa Denoeud-Ndam, Carl Stecker, Precious Andifasi, Angela Mushavi, Talent Maphosa, Mongiwa Zondo, Mildrate Murandu, Gladys Gombakomba, Leila Katirayi, More Mungati, Rebecca Bailey, Rachel Weber, Emilia Rivadeneira, Susan Hrapak

Country:

Zimbabwe

Topics:

Point-of-Care Early Infant Diagnosis