Health system response to preventing mother-to-child transmission of HIV policy changes in Zambia: a health system dynamics analysis of primary health care facilities

Figures & data

Table 1. Selected health demographic characteristics of Kitwe and Lufwanyama districts for the year 2020 [27]. District.

	Kitwe	Lufwanyama
Infant DNA PCR positivity	1%	0.05%
ART uptake	98%	54%
Antenatal Care (ANC) HIV testing	85%	83%
ANC HIV positivity	4%	3%
HIV prevalence	13.8%	3.12%
Expected pregnancies	24111	3657
Expected deliveries	23677	3591
Women of childbearing age	45769	26623
Under ones	22997	3488
Under Fives (U5)	109846	16304

Source: District Health Information System Lufwanyama and Kitwe 2020.

Table 2. Study participant characteristics.

Location	Number of PHC facilities	n	Type of participant
Kitwe District	15	3 17	program managers/coordinators (nurses) frontline healthcare workers (nurses)
Lufwanyama District	11	2 8	program managers. Frontline healthcare workers (nurses)
Hospital	1	1 4	Paediatrician Paediatric nurse
Total	27	35

Figure 1. The health system dynamics framework adapted from Van Olmen [28] populated with the findings from this study.

Ministry-of-Health-Zambia. Ministry of health 2020 DHIS2 Lufwanyama and Kitwe 2020. pdf.

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Van OJ, Criel B, Bhojani U, Marchal B, van Belle S, Chenge MF. The health system dynamics framework: the introduction of an analytical model for health system analysis and its application to two case studies. Heal Cult Soc. 2012;2:1–21. DOI:10.5195/HCS.2012.71

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