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Cohort characteristics and indicators for testing at first presentation were compared using Fisher's exact or Mann-Whitney U tests.
According to the PMTCT guidelines, which have been implemented in the pilot sites, pregnant women should be offered HIV counseling and testing at first antenatal care visit.
The uptake of HIV testing by pregnant women rose during the implementation of the interventions and can be attributed to community mobilisation as well as emphasizing testing at first ANC visit.
However, good practices have also been identified such as counselling and HIV testing at first visit to pre-natal care, individualized follow up of each case from the maternity ward to ensure diagnosis and treatment for the newborn, development of initiatives with certain laboratories to improve timing on the delivery of results and avoid repetition of the tests.
From October 2009 to April 2010, all pregnant women and their partners at 17 hospitals in 7 provinces in the North, Northeastern, Central, and Southern regions of Thailand were offered routine ANC and CHTC services, and were asked to consent to HIV testing at first ANC visit by counselors or nurses.
From a practical point of view, the present analysis suggests that in order to promote HIV testing at first time antenatal visiting, it will be important to motivate non-intenders but also to focus on women who have positive intentions but still do not test for HIV.
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