{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T12:29:55Z","timestamp":1786364995862,"version":"build-2736575974"},"reference-count":41,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Pediatrics"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      The Early Infant Diagnosis (EID) Program exists to improve the identification of HIV-exposed infants(HEIs) to accelerate linkage to care. The trends of retention in EID have been 88%, 91% and 93% retention at 24\n                      <jats:sup>th<\/jats:sup>\n                      month age cohort in the last quarter of 2022, 2023 and 2024 respectively. However, these rates varied across health facilities, with some reporting much lower retention. This study explored factors influencing the retention of HEIs within the program.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a barrier analysis study at four facilities. We recruited 90 HIV-exposed infants 0-24 months of age purposively: 45 doers (retained in care) and 45non-doers (not retained in care). The independent variables were self-efficacy, social norms, access, culture, and religion. The dependent variable was retention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Distance to the health facility (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.001), mothers'\/caregivers\u2019 willingness to seek services (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.006), absence of a life partner (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.004), and approval and support from partners, family members, and the community (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.049) were significant determinants of clients\u2019 utilization of early infant diagnosis (EID) program services. These findings suggest that both structural factors (e.g., distance to health facilities) and social factors (e.g., life partner, family and community support) play important roles in influencing the uptake of EID services.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings highlight the need for multifaceted interventions that address health system, behavioral, and social determinants simultaneously to improve retention in EID services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/30502225261476849","type":"journal-article","created":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T05:19:51Z","timestamp":1786166391000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of Retention Among HIV Exposed Infants in the Early Infant Diagnosis Program in Lilongwe Rural, Malawi"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7225-3774","authenticated-orcid":false,"given":"Julia","family":"Phensere","sequence":"first","affiliation":[{"name":"Kamuzu University of Health Sciences (KUHeS)"},{"name":"Nkhoma College of Nursing and Midwifery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3572-3810","authenticated-orcid":false,"given":"Alinane Linda","family":"Nyondo-Mipando","sequence":"additional","affiliation":[{"name":"Kamuzu University of Health Sciences (KUHeS)"},{"name":"Maternal Health Group- Malawi Liverpool Wellcome Research Programme"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Save","family":"Kumwenda","sequence":"additional","affiliation":[{"name":"Malawi University of Business and Applied Sciences, Blantyre, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Jumbe","sequence":"additional","affiliation":[{"name":"Kamuzu University of Health Sciences (KUHeS)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"e_1_3_10_2_2","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.11.100776"},{"key":"e_1_3_10_3_2","volume-title":"Clinical Management of HIV in Children and Adults","author":"Ministry of Health Malawi","year":"2018","unstructured":"Ministry of Health Malawi. 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