Improving Early Infant Diagnosis Observations

Estimates of Timely HIV Testing and Mortality Among HIV-Exposed Infants

Karen Webb, MSc; Vivian Chitiyo, MPhil; Nyikadzino Mahachi, MD, MPH; Solomon Huruva Mukungunugwa, MD, MBChB, MPH; Angela Mushavi, MBChB, MMed; Simukai Zizhou, MBChB, MPH; Barbara Engelsmann, MD, MPH; Rashida Abbas Ferrand, MD, MSc, PhD; Melissa Neuman, ScD, MS; Wendy Hartogensis, PhD, MPH; Elvin Geng, MD, MPH


J Acquir Immune Defic Syndr. 2020;83(3):235-239. 

In This Article


Our findings suggest that routinely reported EID completion in public health information systems may be substantially underestimated. Accurate determination of mother–infant pair outcomes in PMTCT programs is complicated by resource-constrained health information systems that involve multiple paper-based registers, lack of unique identifiers, and challenges with completeness and accuracy of information recorded. We demonstrate the value of sampling-based approaches in pediatric HIV research for providing important, context-based evidence for policy and programs.