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Laura Ferguson 1 , Alison Grant 1 , John Ong’ech 2 3 , Karina Kielmann 1 ,

Linking Women Who Test HIV Positive in Maternity Services to HIV Care and Treatment Services in Kenya: Missed Opportunities. Laura Ferguson 1 , Alison Grant 1 , John Ong’ech 2 3 , Karina Kielmann 1 , Deborah Watson-Jones 1 , David Ross 1 1 London School of Hygiene & Tropical Medicine, UK

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Laura Ferguson 1 , Alison Grant 1 , John Ong’ech 2 3 , Karina Kielmann 1 ,

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  1. Linking Women Who Test HIV Positive in Maternity Services to HIV Care and Treatment Services in Kenya: Missed Opportunities Laura Ferguson1, Alison Grant1, John Ong’ech2 3, Karina Kielmann1, Deborah Watson-Jones1, David Ross1 1 London School of Hygiene & Tropical Medicine, UK 2 University of Nairobi, Kenya 3 Elizabeth Glaser Pediatric AIDS Foundation, Kenya Funded by: UK ESRC/MRC, Evidence for Action, Parkes Foundation, University of London Central Research Fund

  2. Piot-Fransen model illustrating the patient cascade from HIV testing in maternity services to HIV-related services

  3. Conclusions and Recommendations • Only 39% of pregnant women who tested HIV positive in ANC/ delivery services entered adult HIV care and treatment services. • There are multiple missed opportunities for linking women to the HIV clinic. • Patient pathways into HIV care and treatment are too complex and should be simplified. • Reducing the number of hospital visits required may encourage uptake of HIV care services. • Electronic hospital records may improve linkage to the HIV clinic.

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