Sarah Finocchario?Kessler|Brad Gautney|Samoel Khamadi|Vincent Okoth|Kathy Goggin|Jennifer K. Spinler|A Mwangi|Davies Kimanga|Kristine F. Clark|Helen D. Olungae|Geoffrey A. Preidis
If you text them, they will come
Health Innovations (United States)|University of Kansas Medical Center|Health Innovations (United States)|Health Innovations (United States)|Kenya Medical Research Institute|Health Innovations (United States)|Kenya Medical Research Institute|Children's Mercy Hospital|Baylor College of Medicine|Texas Children's Hospital|University of Kansas|Health Innovations (United States)|Kenya Medical Research Institute|Texas Children's Hospital|Baylor College of Medicine
objective study evaluate impact hiv infant tracking system hitsystem quality improvement early infant diagnosis eid hiv servicesthis observational pilot study compared 12 months historical preintervention eid outcomes one urban one periurban government hospital kenya 12 months intervention data assess retention time throughout eid cascade caremotherinfant pairs enrolled eid participating hospitals n 320 n 523 hitsystem pilot eligible participatethe hitsystem utilizes internetbased coordination multistep pcr cycle automated alerts trigger prompt action providers laboratory technicians text messaging notify mothers results ready additional action neededthe main outcome measures retention throughout eid services meeting timesensitive targets improving results turnaround time increasing early antiretroviral therapy art initiation among hivinfected infantsthe hitsystem associated increase proportion hivexposed infants retained eid care 9 months postnatal 451930 urban 432941 periurban decrease turnaround times sample collection pcr results notification mothers settings significant increase proportion hivinfected infants started antiretroviral therapy hospital14 vs 100 urban 64 vs 100 periurbanthe hitsystem maximizes use easily accessible technology improve quality efficiency eid services resourcelimited settings