The impact of free antiretroviral therapy for pregnant non-citizens and their infants in Botswana

In December 2019, the Botswana government expanded free antiretroviral therapy (ART) to include non-citizens. We evaluated the impact of this policy change on antenatal care (ANC), antiretroviral therapy coverage and adverse birth outcomes. The Tsepamo Surveillance study collects data at up to 18 de...

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Bibliographic Details
Published in:Journal of the International AIDS Society 2023-10, Vol.26 (10), p.e26161-n/a
Main Authors: Fennell, Christina, Escudero, Daniel, Zash, Rebecca, Diseko, Modiegi, Mayondi, Gloria, Mabuta, Judith, Sekoto, Tumalano, Gaolathe, Tendani, Mmalane, Mompati, Lockman, Shahin, Makhema, Joseph, Shapiro, Roger
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Antiretroviral agents
antiretroviral therapy
Antiviral agents
birth outcomes
Births
botswana
Botswana - epidemiology
Citizenship
Drug therapy
Evaluation
Female
Gestational age
Health aspects
Health care disparities
HIV
HIV infection
HIV Infections - drug therapy
HIV Infections - epidemiology
Hospitals
Human immunodeficiency virus
Humans
Immigrants
Infant
Infant, Newborn
Infants
Marital status
Maternal-fetal exchange
Menstruation
Missing data
Mortality
Multiple births
non‐citizen
Obstetrics
Patient outcomes
Perinatal Death
Personal health
Pregnancy
Pregnancy Complications
Pregnant women
Premature Birth - epidemiology
Prenatal care
Stillbirth
Stillbirth - epidemiology
Surveillance
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Summary:In December 2019, the Botswana government expanded free antiretroviral therapy (ART) to include non-citizens. We evaluated the impact of this policy change on antenatal care (ANC), antiretroviral therapy coverage and adverse birth outcomes. The Tsepamo Surveillance study collects data at up to 18 delivery sites in Botswana. We compared outcomes in citizens and non-citizens living with HIV before and after antiretroviral therapy expansion to non-citizens. Adverse birth outcomes included preterm delivery (PTD)
ISSN:1758-2652
1758-2652
DOI:10.1002/jia2.26161