%PDF-1.6
%
1 0 obj
<>
endobj
2 0 obj
<>stream
Nicole Young, Miriam Taegtmeyer, George Aol, Godfrey M. Bigogo, Penelope A. Phillips-Howard, Jenny Hill, Kayla F. Laserson, Feiko Ter Kuile, Meghna Desai
Integrated point-of-care testing (POCT) of HIV, syphilis, malaria and anaemia in antenatal clinics in western Kenya: A longitudinal implementation study
www.plosone.org
www.plosone.org
endstream
endobj
3 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 12 0 R/Contents 13 0 R/TrimBox[0 0 612 792]>>
endobj
12 0 obj
[14 0 R 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R]
endobj
14 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref001)>>
endobj
15 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref004)>>
endobj
16 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref005)>>
endobj
17 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref009)>>
endobj
18 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref010)>>
endobj
19 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref011)>>
endobj
20 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref001)>>
endobj
21 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref002)>>
endobj
22 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref002)>>
endobj
23 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref012)>>
endobj
24 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref013)>>
endobj
25 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref014)>>
endobj
26 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref003)>>
endobj
27 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref015)>>
endobj
28 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref003)>>
endobj
29 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref016)>>
endobj
30 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref019)>>
endobj
31 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref020)>>
endobj
32 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref021)>>
endobj
33 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref023)>>
endobj
34 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref023)>>
endobj
35 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref024)>>
endobj
36 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref025)>>
endobj
37 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref027)>>
endobj
38 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref005)>>
endobj
39 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref028)>>
endobj
40 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref003)>>
endobj
41 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref029)>>
endobj
42 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref030)>>
endobj
43 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref029)>>
endobj
44 0 obj
<>/Border[0 0 0]/A 47 0 R>>
endobj
47 0 obj
<>
endobj
45 0 obj
<>/Border[0 0 0]/A 48 0 R>>
endobj
48 0 obj
<>
endobj
46 0 obj
<>/Border[0 0 0]/A 49 0 R>>
endobj
49 0 obj
<>
endobj
13 0 obj
[50 0 R 51 0 R 52 0 R 53 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R 74 0 R]
endobj
50 0 obj
<>stream
q
0.45 0.36 0.35 0.01 k
0 w
575.9997 567.1142 m
199.9998 567.1142 l
199.9998 567.6143 l
575.9997 567.6143 l
f*
0.83 0.64 0.02 0 k
515.2819 484.8945 m
520.0441 484.8945 l
h
f*
525.2031 484.8945 m
529.9654 484.8945 l
h
f*
283.3512 471.9118 m
288.1134 471.9118 l
h
f*
293.3291 471.9118 m
298.0913 471.9118 l
h
f*
417.5433 458.9291 m
427.0677 458.9291 l
h
f*
431.4898 458.9291 m
441.0142 458.9291 l
h
f*
505.9843 445.9465 m
510.7465 445.9465 l
h
f*
291.0614 419.9244 m
295.8236 419.9244 l
h
f*
518.5134 406.9417 m
523.2756 406.9417 l
h
f*
237.2598 380.9197 m
246.7276 380.9197 l
h
f*
251.2063 380.9197 m
260.7307 380.9197 l
h
f*
203.4142 367.937 m
212.9386 367.937 l
h
f*
485.348 367.937 m
490.0535 367.937 l
h
f*
494.5323 367.937 m
504.0567 367.937 l
h
f*
513.0709 341.915 m
517.7764 341.915 l
h
f*
522.2551 341.915 m
531.7795 341.915 l
h
f*
536.9386 341.915 m
546.463 341.915 l
h
f*
308.9197 315.9496 m
318.4441 315.9496 l
h
f*
280.1764 289.9276 m
289.7008 289.9276 l
h
f*
294.8598 289.9276 m
304.3843 289.9276 l
h
f*
347.9811 263.9055 m
357.4488 263.9055 l
h
f*
361.9276 263.9055 m
371.452 263.9055 l
h
f*
324.4535 224.9008 m
333.9213 224.9008 l
h
f*
339.137 224.9008 m
348.6047 224.9008 l
h
f*
255.685 211.9181 m
260.4472 211.9181 l
h
f*
437.3291 211.9181 m
446.8535 211.9181 l
h
f*
360.2835 185.8961 m
365.0457 185.8961 l
h
f*
376.0441 159.9307 m
385.5118 159.9307 l
h
f*
403.2567 133.9087 m
412.7811 133.9087 l
h
f*
230.4 120.926 m
239.9244 120.926 l
h
f*
0 g
1 j
1 J
9.5 0 0 9.5 200.0125 707.7543 cm
BT
/F0 1 Tf
1 TL
-0.0042 Tc
0 0 Td
(70.6%)Tj
3.0256 0 Td
(received)Tj
3.9505 0 Td
(penicillin)Tj
3.9864 0 Td
(or)Tj
1.0981 0 Td
(erythromycin)Tj
5.8901 0 Td
(for)Tj
1.3725 0 Td
(syphilis,)Tj
3.7298 0 Td
(65.5%)Tj
3.0256 0 Td
(and)Tj
1.8679 0 Td
(48.3%)Tj
3.0256 0 Td
(received)Tj
3.9506 0 Td
(cotrimoxa-)Tj
-34.9227 -1.474 Td
(zole)Tj
2.029 0 Td
(and)Tj
1.8619 0 Td
(antiretrovirals)Tj
6.1466 0 Td
(respectively)Tj
5.4366 0 Td
(for)Tj
1.3785 0 Td
(HIV,)Tj
2.1543 0 Td
(and)Tj
1.8679 0 Td
(76.4%)Tj
3.0256 0 Td
(received)Tj
3.9506 0 Td
(artemether/lumef)Tj
7.4894 0 Td
(antrine,)Tj
-35.3404 -1.474 Td
(quinine)Tj
3.3896 0 Td
(or)Tj
1.098 0 Td
(dihydroartemis)Tj
6.4869 0 Td
(ininpiperaquine)Tj
7.4416 0 Td
(correctly)Tj
3.9626 0 Td
(for)Tj
1.3725 0 Td
(malaria.)Tj
3.7358 0 Td
(Iron)Tj
1.9216 0 Td
(and)Tj
1.8678 0 Td
(folic)Tj
1.9753 0 Td
(supplements)Tj
-33.2517 -1.474 Td
(were)Tj
2.3631 0 Td
(given)Tj
2.5781 0 Td
(to)Tj
1.0443 0 Td
(nearly)Tj
2.9063 0 Td
(90%)Tj
2.202 0 Td
(of)Tj
1.0444 0 Td
(women)Tj
3.4135 0 Td
(but)Tj
1.5933 0 Td
(often)Tj
2.4229 0 Td
(at)Tj
1.0443 0 Td
(incorrect)Tj
4.0103 0 Td
(doses.)Tj
ET
Q
q
1 j
1 J
0 w
11.4998 0 0 11.4998 200.0125 639.6094 cm
BT
/F2 1 Tf
1 TL
-0.0035 Tc
0 0 Td
(Conclusions)Tj
ET
Q
q
1 j
1 J
0 w
9.5 0 0 9.5 200.0125 622.6015 cm
BT
/F0 1 Tf
1 TL
-0.0042 Tc
0 0 Td
(Integrating)Tj
4.8875 0 Td
(point-of-care)Tj
5.7707 0 Td
(testing)Tj
3.127 0 Td
(into)Tj
1.8142 0 Td
(ANC)Tj
2.3155 0 Td
(at)Tj
1.0443 0 Td
(dispensaries)Tj
5.7588 0 Td
(with)Tj
1.9812 0 Td
(established)Tj
5.2098 0 Td
(HIV)Tj
1.8798 0 Td
(testing)Tj
3.1271 0 Td
(pro-)Tj
-36.9159 -1.474 Td
(grammes)Tj
4.3504 0 Td
(resulted)Tj
3.7357 0 Td
(in)Tj
0.9847 0 Td
(a)Tj
0.7638 0 Td
(significant)Tj
4.613 0 Td
(increase)Tj
3.9506 0 Td
(in)Tj
0.9847 0 Td
(testing)Tj
3.133 0 Td
(rates,)Tj
2.6974 0 Td
(without)Tj
3.3478 0 Td
(disturbing)Tj
4.4997 0 Td
(HIV)Tj
1.8738 0 Td
(testing)Tj
-34.9346 -1.474 Td
(rates.)Tj
2.6973 0 Td
(While)Tj
2.6914 0 Td
(more)Tj
2.4766 0 Td
(cases)Tj
2.8108 0 Td
(were)Tj
2.3632 0 Td
(detected)Tj
4.0102 0 Td
(and)Tj
1.8679 0 Td
(treated,)Tj
3.5806 0 Td
(treatment)Tj
4.4041 0 Td
(fidelity)Tj
3.0137 0 Td
(still)Tj
1.6411 0 Td
(requires)Tj
3.7835 0 Td
(strength-)Tj
-35.3404 -1.474 Td
(ening)Tj
2.6257 0 Td
(and)Tj
1.8679 0 Td
(an)Tj
1.3188 0 Td
(integrated)Tj
4.613 0 Td
(monitoring)Tj
4.8279 0 Td
(and)Tj
1.8679 0 Td
(evaluation)Tj
4.7144 0 Td
(system)Tj
3.3658 0 Td
(needs)Tj
2.9122 0 Td
(to)Tj
1.0443 0 Td
(be)Tj
1.3189 0 Td
(established.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 516.0188 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Background)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 499.011 cm
BT
/F7 1 Tf
1 TL
-0.004 Tc
0 0 Td
(In)Tj
1.1055 0 Td
(sub-Saharan)Tj
5.193 0 Td
(Africa)Tj
2.6872 0 Td
(\(SSA\),)Tj
2.7609 0 Td
(the)Tj
1.4684 0 Td
(most)Tj
2.2053 0 Td
(preventable)Tj
4.8699 0 Td
(leading)Tj
3.1351 0 Td
(causes)Tj
2.7496 0 Td
(of)Tj
1.0148 0 Td
(maternal)Tj
3.7927 0 Td
(mortality)Tj
3.9175 0 Td
(and)Tj
-34.8999 -1.3039 Td
(adverse)Tj
3.2144 0 Td
(pregnancy)Tj
4.405 0 Td
(outcomes)Tj
4.0876 0 Td
(are)Tj
1.4513 0 Td
(maternal)Tj
3.7927 0 Td
(HIV,)Tj
2.2507 0 Td
(syphilis,)Tj
3.4469 0 Td
(malaria)Tj
3.2258 0 Td
(and)Tj
1.7292 0 Td
(anaemia)Tj
3.5829 0 Td
([)Tj
0.83 0.64 0.02 0 k
(1)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(4)Tj
0 g
(],)Tj
2.5909 0 Td
(with)Tj
2.0012 0 Td
(co-)Tj
-35.7786 -1.2982 Td
(infections)Tj
4.1498 0 Td
(common)Tj
3.8495 0 Td
([)Tj
0.83 0.64 0.02 0 k
(5)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(9)Tj
0 g
(].)Tj
2.5908 0 Td
(SSA)Tj
1.8539 0 Td
(has)Tj
1.542 0 Td
(an)Tj
1.2076 0 Td
(estimated)Tj
4.0705 0 Td
(maternal)Tj
3.7984 0 Td
(HIV)Tj
2.0182 0 Td
(prevalence)Tj
4.4901 0 Td
(of)Tj
1.0148 0 Td
(5.3%,)Tj
2.3754 0 Td
(represent-)Tj
-32.961 -1.2983 Td
(ing)Tj
1.5023 0 Td
(92%)Tj
1.9275 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(world's)Tj
3.1294 0 Td
(HIV)Tj
2.0239 0 Td
(positive)Tj
3.3166 0 Td
(pregnant)Tj
3.8267 0 Td
(women)Tj
3.2031 0 Td
([)Tj
0.83 0.64 0.02 0 k
(10)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.7348 0 Td
(11)Tj
0 g
(].)Tj
1.7405 0 Td
(Roughly)Tj
3.5659 0 Td
(24%)Tj
1.9333 0 Td
(of)Tj
1.0148 0 Td
(deaths)Tj
2.7892 0 Td
(in)Tj
-34.1912 -1.2983 Td
(women)Tj
3.2031 0 Td
(during)Tj
2.9253 0 Td
(pregnancy)Tj
4.405 0 Td
(or)Tj
1.0999 0 Td
(post-partum)Tj
5.2213 0 Td
(are)Tj
1.4514 0 Td
(attributable)Tj
4.8302 0 Td
(to)Tj
1.0261 0 Td
(untreated)Tj
4.0762 0 Td
(HIV)Tj
2.0183 0 Td
([)Tj
0.83 0.64 0.02 0 k
(1)Tj
0 g
(].)Tj
1.6044 0 Td
(Maternal)Tj
-31.8612 -1.3039 Td
(syphilis)Tj
3.2201 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(African)Tj
3.2371 0 Td
(region)Tj
2.8007 0 Td
(has)Tj
1.542 0 Td
(a)Tj
0.6576 0 Td
(prevalence)Tj
4.4844 0 Td
(of)Tj
1.0148 0 Td
(1.7%,)Tj
2.3811 0 Td
(which)Tj
2.6475 0 Td
(constitutes)Tj
4.5354 0 Td
(63.1%)Tj
2.6306 0 Td
(of)Tj
1.0148 0 Td
(infections)Tj
-32.6719 -1.2982 Td
(in)Tj
1.0318 0 Td
(pregnancy)Tj
4.4106 0 Td
(globally)Tj
3.3279 0 Td
([)Tj
0.83 0.64 0.02 0 k
(2)Tj
0 g
(].)Tj
1.5987 0 Td
(Syphilis)Tj
3.3392 0 Td
(is)Tj
0.8447 0 Td
(associated)Tj
4.2576 0 Td
(with)Tj
1.9956 0 Td
(spontaneous)Tj
5.2554 0 Td
(miscarriage,)Tj
5.0853 0 Td
(stillbirth,)Tj
3.8325 0 Td
(pre-)Tj
-34.9793 -1.2983 Td
(term)Tj
2.1316 0 Td
(birth,)Tj
2.4151 0 Td
(low)Tj
1.6611 0 Td
(birthweight,)Tj
5.0796 0 Td
(neonatal)Tj
3.6624 0 Td
(death,)Tj
2.6532 0 Td
(and)Tj
1.7348 0 Td
(congenital)Tj
4.3823 0 Td
(infection)Tj
3.7871 0 Td
(in)Tj
1.0375 0 Td
(infants)Tj
2.965 0 Td
([)Tj
0.83 0.64 0.02 0 k
(2)Tj
0 g
(].)Tj
1.6044 0 Td
(The)Tj
1.7801 0 Td
(risk)Tj
-34.8942 -1.3039 Td
(for)Tj
1.3832 0 Td
(both)Tj
2.0637 0 Td
(HIV)Tj
2.0182 0 Td
(and)Tj
1.7348 0 Td
(syphilis)Tj
3.2201 0 Td
(mother-to-child)Tj
6.6671 0 Td
(transmission)Tj
5.3631 0 Td
(cumulates)Tj
4.2803 0 Td
(with)Tj
1.9956 0 Td
(duration)Tj
3.702 0 Td
(of)Tj
1.0148 0 Td
(exposure)Tj
-33.4429 -1.2983 Td
(in)Tj
1.0318 0 Td
(utero)Tj
2.3527 0 Td
([)Tj
0.83 0.64 0.02 0 k
(12)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.7348 0 Td
(13)Tj
0 g
(])Tj
1.5137 0 Td
(and)Tj
1.7291 0 Td
(late)Tj
1.6214 0 Td
(treatments)Tj
4.4957 0 Td
(of)Tj
1.0148 0 Td
(syphilis)Tj
3.2202 0 Td
(may)Tj
1.9275 0 Td
(not)Tj
1.5761 0 Td
(avert)Tj
2.1996 0 Td
(damage)Tj
3.3279 0 Td
(to)Tj
1.0261 0 Td
(foetal)Tj
2.4151 0 Td
(development)Tj
-31.1865 -1.2983 Td
([)Tj
0.83 0.64 0.02 0 k
(14)Tj
0 g
(].)Tj
2.0749 0 Td
(Where)Tj
2.931 0 Td
(malaria)Tj
3.2258 0 Td
(is)Tj
0.8504 0 Td
(endemic,)Tj
3.8778 0 Td
(45%)Tj
1.9275 0 Td
(of)Tj
1.0148 0 Td
(pregnancies)Tj
5.006 0 Td
(would)Tj
2.7099 0 Td
(be)Tj
1.1508 0 Td
(infected)Tj
3.4243 0 Td
([)Tj
0.83 0.64 0.02 0 k
(3)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.2585 0 Td
(15)Tj
0 g
(].)Tj
1.7348 0 Td
(Starting)Tj
3.3789 0 Td
(from)Tj
-34.5654 -1.3039 Td
(early)Tj
2.1486 0 Td
(gestation)Tj
3.8211 0 Td
(throughout,)Tj
5.0059 0 Td
(malaria)Tj
3.2258 0 Td
(parasitaemia)Tj
5.2781 0 Td
(is)Tj
0.8504 0 Td
(associated)Tj
4.2576 0 Td
(with)Tj
1.9956 0 Td
(anaemia,)Tj
3.8097 0 Td
(intrauterine)Tj
-30.3928 -1.2982 Td
(growth)Tj
3.0727 0 Td
(restriction,)Tj
4.5807 0 Td
(preterm)Tj
3.447 0 Td
(delivery,)Tj
3.6113 0 Td
(foetal)Tj
2.4207 0 Td
(loss,)Tj
1.9162 0 Td
(neonatal)Tj
3.6624 0 Td
(and)Tj
1.7291 0 Td
(infant)Tj
2.6079 0 Td
(mortality)Tj
3.9174 0 Td
([)Tj
0.83 0.64 0.02 0 k
(3)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.2586 0 Td
(16)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(19)Tj
0 g
(].)Tj
-32.224 -1.2983 Td
(Anaemia)Tj
3.8324 0 Td
(is)Tj
0.8447 0 Td
(also)Tj
1.7688 0 Td
(most)Tj
2.2053 0 Td
(prevalent)Tj
3.9402 0 Td
(in)Tj
1.0318 0 Td
(Africa:)Tj
2.914 0 Td
(about)Tj
2.4944 0 Td
(46%)Tj
1.9276 0 Td
(of)Tj
1.0148 0 Td
(pregnant)Tj
3.8267 0 Td
(women)Tj
3.2032 0 Td
(are)Tj
1.4513 0 Td
(anaemic)Tj
3.566 0 Td
(and)Tj
-34.0212 -1.2983 Td
(1.5%)Tj
2.1543 0 Td
(are)Tj
1.4456 0 Td
(severely)Tj
3.3789 0 Td
(anaemic)Tj
3.5716 0 Td
([)Tj
0.83 0.64 0.02 0 k
(20)Tj
0 g
(].)Tj
2.075 0 Td
(Anaemia)Tj
3.8324 0 Td
(during)Tj
2.9253 0 Td
(pregnancy)Tj
4.4107 0 Td
(causes)Tj
2.7496 0 Td
(fatigue)Tj
2.9253 0 Td
(and)Tj
1.7292 0 Td
(is)Tj
0.8447 0 Td
(associated)Tj
-32.0426 -1.3039 Td
(with)Tj
1.9955 0 Td
(increased)Tj
4.0025 0 Td
(risk)Tj
1.7121 0 Td
(of)Tj
1.0148 0 Td
(post-partum)Tj
5.2271 0 Td
(haemorrhage,)Tj
5.7486 0 Td
(maternal)Tj
3.7927 0 Td
(mortality,)Tj
4.1443 0 Td
(low)Tj
1.6554 0 Td
(birth)Tj
2.194 0 Td
(weight,)Tj
3.1124 0 Td
(and)Tj
-34.5994 -1.2982 Td
(perinatal)Tj
3.7587 0 Td
(mortality)Tj
3.9174 0 Td
([)Tj
0.83 0.64 0.02 0 k
(21)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(23)Tj
0 g
(].)Tj
3.5433 0 Td
(There)Tj
2.5795 0 Td
(is)Tj
0.8447 0 Td
(substantial)Tj
4.5071 0 Td
(evidence)Tj
3.7134 0 Td
(that)Tj
1.7744 0 Td
(iron)Tj
1.9162 0 Td
(deficiency)Tj
4.269 0 Td
(early)Tj
2.1486 0 Td
(in)Tj
1.0318 0 Td
(preg-)Tj
-34.0041 -1.2983 Td
(nancy)Tj
2.6305 0 Td
(\(first)Tj
2.143 0 Td
(and)Tj
1.7291 0 Td
(second)Tj
3.0104 0 Td
(trimester\))Tj
4.1952 0 Td
(contributes)Tj
4.7565 0 Td
(to)Tj
1.0262 0 Td
(higher)Tj
2.8006 0 Td
(risk)Tj
1.7177 0 Td
(of)Tj
1.0148 0 Td
(pre-term)Tj
3.7928 0 Td
(delivery)Tj
3.3902 0 Td
(and)Tj
1.7291 0 Td
(lower)Tj
-33.9361 -1.3039 Td
(birth)Tj
2.1883 0 Td
(weight)Tj
2.8856 0 Td
(than)Tj
2.0296 0 Td
(if)Tj
0.7767 0 Td
(it)Tj
0.7824 0 Td
(occurred)Tj
3.7984 0 Td
(later)Tj
1.9956 0 Td
([)Tj
0.83 0.64 0.02 0 k
(23)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.7347 0 Td
(24)Tj
0 g
(].)Tj
1.7348 0 Td
(Thus,)Tj
2.4718 0 Td
(early)Tj
2.1543 0 Td
(prevention,)Tj
4.8019 0 Td
(diagnosis)Tj
3.9628 0 Td
(and)Tj
1.7291 0 Td
(treatment)Tj
-33.046 -1.2983 Td
(is)Tj
0.8447 0 Td
(key)Tj
1.5987 0 Td
(to)Tj
1.0205 0 Td
(protect)Tj
3.0614 0 Td
(women)Tj
3.2031 0 Td
(and)Tj
1.7291 0 Td
(their)Tj
2.109 0 Td
(pregnancies.)Tj
5.227 0 Td
(Many)Tj
2.5512 0 Td
(of)Tj
1.0148 0 Td
(these)Tj
2.2564 0 Td
(conditions)Tj
4.473 0 Td
(do)Tj
1.2586 0 Td
(not)Tj
1.5704 0 Td
(exist)Tj
2.0352 0 Td
(in)Tj
1.0375 0 Td
(isola-)Tj
-34.9906 -1.2983 Td
(tion)Tj
1.8425 0 Td
(and)Tj
1.7291 0 Td
(having)Tj
2.914 0 Td
(one)Tj
1.7008 0 Td
(disease)Tj
3.016 0 Td
(or)Tj
1.0998 0 Td
(condition)Tj
4.1159 0 Td
(may)Tj
1.9276 0 Td
(also)Tj
1.7688 0 Td
(be)Tj
1.1508 0 Td
(a)Tj
0.652 0 Td
(risk)Tj
1.7178 0 Td
(factor)Tj
2.5398 0 Td
(for)Tj
1.389 0 Td
(another:)Tj
3.5546 0 Td
(malaria)Tj
3.2258 0 Td
(is)Tj
0.8447 0 Td
(more)Tj
-35.189 -1.3039 Td
(common)Tj
3.8437 0 Td
(in)Tj
1.0375 0 Td
(women)Tj
3.2031 0 Td
(with)Tj
1.9956 0 Td
(HIV)Tj
2.0239 0 Td
([)Tj
0.83 0.64 0.02 0 k
(25)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(27)Tj
0 g
(];)Tj
3.5433 0 Td
(risk)Tj
1.7178 0 Td
(of)Tj
1.0148 0 Td
(HIV)Tj
2.0182 0 Td
(transmission)Tj
5.3688 0 Td
(is)Tj
0.8447 0 Td
(increased)Tj
4.0025 0 Td
(through)Tj
3.4413 0 Td
(genital)Tj
-34.0552 -1.2982 Td
(ulcer)Tj
2.211 0 Td
(disease)Tj
3.016 0 Td
([)Tj
0.83 0.64 0.02 0 k
(5)Tj
0 g
(];)Tj
1.6044 0 Td
(malaria)Tj
3.2258 0 Td
(is)Tj
0.8447 0 Td
(a)Tj
0.6577 0 Td
(major)Tj
2.6078 0 Td
(risk)Tj
1.7121 0 Td
(factor)Tj
2.5455 0 Td
(for)Tj
1.3833 0 Td
(anaemia)Tj
3.583 0 Td
([)Tj
0.83 0.64 0.02 0 k
(28)Tj
0 g
(];)Tj
2.0749 0 Td
(approximately)Tj
5.9754 0 Td
(26%)Tj
1.9276 0 Td
(of)Tj
1.0148 0 Td
(severe)Tj
-34.384 -1.2983 Td
(anaemia)Tj
3.5773 0 Td
(in)Tj
1.0374 0 Td
(pregnant)Tj
3.8268 0 Td
(women)Tj
3.2031 0 Td
(is)Tj
0.8504 0 Td
(attributable)Tj
4.8302 0 Td
(to)Tj
1.0261 0 Td
(malaria)Tj
3.2258 0 Td
(and)Tj
1.7292 0 Td
(can)Tj
1.627 0 Td
(be)Tj
1.1509 0 Td
(reduced)Tj
3.4469 0 Td
(by)Tj
1.1792 0 Td
(38%)Tj
1.9276 0 Td
(from)Tj
2.2053 0 Td
(pre-)Tj
-34.8432 -1.3039 Td
(venting)Tj
3.2258 0 Td
(malaria)Tj
3.2258 0 Td
(infection)Tj
3.7927 0 Td
(in)Tj
1.0318 0 Td
(pregnancy)Tj
4.4107 0 Td
([)Tj
0.83 0.64 0.02 0 k
(3)Tj
0 g
(].)Tj
1.5987 0 Td
(Because)Tj
3.3959 0 Td
(of)Tj
1.0148 0 Td
(their)Tj
2.1033 0 Td
(individual)Tj
4.2916 0 Td
(and)Tj
1.7291 0 Td
(combined)Tj
4.2463 0 Td
(contri-)Tj
-34.0665 -1.2983 Td
(bution)Tj
2.8743 0 Td
(to)Tj
1.0261 0 Td
(disease,)Tj
3.2428 0 Td
(addressing)Tj
4.5071 0 Td
(these)Tj
2.2507 0 Td
(conditions)Tj
4.4787 0 Td
(together,)Tj
3.7587 0 Td
(as)Tj
1.0148 0 Td
(early)Tj
2.1486 0 Td
(as)Tj
1.0148 0 Td
(possible)Tj
3.4129 0 Td
(during)Tj
2.9254 0 Td
(pregnancy)Tj
-32.6549 -1.2983 Td
(is)Tj
0.8447 0 Td
(an)Tj
1.2019 0 Td
(essential)Tj
3.5829 0 Td
(goal)Tj
1.8765 0 Td
(of)Tj
1.0148 0 Td
(antenatal)Tj
3.8835 0 Td
(care)Tj
1.8708 0 Td
(\(ANC\))Tj
2.9877 0 Td
([)Tj
0.83 0.64 0.02 0 k
(29)Tj
0 g
(].)Tj
-16.0666 -1.2982 Td
(Since)Tj
2.3584 0 Td
(2001,)Tj
2.3527 0 Td
(Kenya)Tj
2.7496 0 Td
(has)Tj
1.5477 0 Td
(adopted)Tj
3.4526 0 Td
(the)Tj
1.4683 0 Td
(World)Tj
2.8403 0 Td
(Health)Tj
2.914 0 Td
(Organization's)Tj
6.1001 0 Td
(\(WHO\))Tj
3.3789 0 Td
(focused)Tj
3.2768 0 Td
(ANC)Tj
-33.6356 -1.3039 Td
(guidelines)Tj
4.2746 0 Td
(which)Tj
2.6532 0 Td
(call)Tj
1.5704 0 Td
(for)Tj
1.3833 0 Td
(a)Tj
0.6576 0 Td
(minimum)Tj
4.286 0 Td
(of)Tj
1.0148 0 Td
(four)Tj
1.9162 0 Td
(visits)Tj
2.228 0 Td
([)Tj
0.83 0.64 0.02 0 k
(30)Tj
0 g
(])Tj
1.8538 0 Td
(\(recently)Tj
3.7474 0 Td
(updated)Tj
3.4753 0 Td
(to)Tj
1.0261 0 Td
(eight)Tj
2.1997 0 Td
(`contacts')Tj
3.9571 0 Td
(by)Tj
-36.2435 -1.2983 Td
(WHO)Tj
2.6985 0 Td
([)Tj
0.83 0.64 0.02 0 k
(29)Tj
0 g
(]\).)Tj
2.4151 0 Td
(For)Tj
1.6271 0 Td
(the)Tj
1.4683 0 Td
(first)Tj
1.8085 0 Td
(visit,)Tj
2.092 0 Td
(Kenyan)Tj
3.3052 0 Td
(guidelines)Tj
4.2746 0 Td
(recommend)Tj
5.0853 0 Td
(screening)Tj
4.0535 0 Td
(for)Tj
1.3833 0 Td
(HIV,)Tj
2.2507 0 Td
(syphilis)Tj
3.2201 0 Td
(and)Tj
-35.6822 -1.2983 Td
(anaemia,)Tj
3.804 0 Td
(urinalysis,)Tj
4.286 0 Td
(and)Tj
1.7291 0 Td
(blood)Tj
2.5172 0 Td
(typing)Tj
2.7665 0 Td
(\(together)Tj
3.8778 0 Td
(known)Tj
3.0047 0 Td
(as)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(ANC)Tj
2.3017 0 Td
(profile\).)Tj
3.4072 0 Td
(To)Tj
1.3379 0 Td
(prevent)Tj
3.2599 0 Td
(the)Tj
-34.7752 -1.3039 Td
(consequences)Tj
5.6976 0 Td
(of)Tj
1.0147 0 Td
(malaria)Tj
3.2259 0 Td
(in)Tj
1.0374 0 Td
(pregnancy,)Tj
4.6318 0 Td
(the)Tj
1.4683 0 Td
(current)Tj
3.1862 0 Td
(strategy)Tj
3.3222 0 Td
(recommends)Tj
5.4481 0 Td
(parasitic)Tj
3.5943 0 Td
(diagnosis)Tj
3.9572 0 Td
(of)Tj
-36.5837 -1.2982 Td
(malaria)Tj
3.2258 0 Td
(only)Tj
1.9729 0 Td
(if)Tj
0.7766 0 Td
(the)Tj
1.4684 0 Td
(patient)Tj
3.0104 0 Td
(is)Tj
0.8447 0 Td
(febrile,)Tj
2.9763 0 Td
(together)Tj
3.532 0 Td
(with)Tj
1.9956 0 Td
(the)Tj
1.474 0 Td
(use)Tj
1.5307 0 Td
(of)Tj
1.0148 0 Td
(insecticide-treated)Tj
7.5798 0 Td
(nets)Tj
1.8481 0 Td
(\(ITNs\))Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 107.1496 23.6976 re
W* n
q
107.0929 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 311.4708 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Integrate)Tj
3.8764 0 Td
(d)Tj
0.7653 0 Td
(point-of-care)Tj
5.7331 0 Td
(testing)Tj
3.1182 0 Td
(\(POCT\))Tj
3.6213 0 Td
(of)Tj
1.0417 0 Td
(HIV,)Tj
2.1402 0 Td
(syphilis,)Tj
3.7063 0 Td
(malaria)Tj
3.437 0 Td
(and)Tj
1.8567 0 Td
(anaemia)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
81.5811 34.9228 m
237.8835 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(ONE)Tj
2.3669 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8198 0 Td
(1/journal.po)Tj
5.1236 0 Td
(ne.01987)Tj
4.089 0 Td
(84)Tj
0 g
2.0906 0 Td
(July)Tj
1.9701 0 Td
(20,)Tj
1.5874 0 Td
(2018)Tj
35.3483 0 Td
(2)Tj
0.7654 0 Td
(/)Tj
0.496 0 Td
(22)Tj
ET
Q
q
0.83 0.64 0.02 0 k
1 j
1 J
0 w
38.4378 674.6457 m
172.0063 674.6457 l
h
f*
36 663.6472 m
171.7795 663.6472 l
h
f*
0 g
7.9999 0 0 7.9999 36 708.7181 cm
BT
/F10 1 Tf
1 TL
-0.025 Tc
0 0 Td
(Control)Tj
2.9197 0 Td
(and)Tj
1.5874 0 Td
(Prevention)Tj
4.1882 0 Td
(and)Tj
1.5874 0 Td
(a)Tj
0.6449 0 Td
(cooperati)Tj
3.437 0 Td
(ve)Tj
-14.3646 -1.3748 Td
(agreement)Tj
4.1669 0 Td
(between)Tj
3.3307 0 Td
(U.S.)Tj
1.7788 0 Td
(CDC)Tj
1.8567 0 Td
(and)Tj
1.5874 0 Td
(KEMRI,)Tj
3.0402 0 Td
(as)Tj
1.063 0 Td
(well)Tj
-16.8237 -1.3748 Td
(as)Tj
1.063 0 Td
(a)Tj
0.6448 0 Td
(crowd-sou)Tj
3.9898 0 Td
(rced)Tj
1.8426 0 Td
(INDIEGO)Tj
3.3307 0 Td
(GO)Tj
1.3961 0 Td
(campaign)Tj
-12.267 -1.3748 Td
(\()Tj
0.83 0.64 0.02 0 k
(https://w)Tj
3.5575 0 Td
(ww.indiegogo)Tj
5.152 0 Td
(.com/projects)Tj
5.0953 0 Td
(/protect-)Tj
-13.8048 -1.3748 Td
(pregnant-w)Tj
4.2449 0 Td
(omen-and-)Tj
4.1031 0 Td
(their-unborn-)Tj
4.9395 0 Td
(children#/)Tj
0 g
(\).)Tj
-13.2875 -1.3748 Td
(The)Tj
1.5874 0 Td
(funders)Tj
3.0472 0 Td
(had)Tj
1.5874 0 Td
(no)Tj
1.1693 0 Td
(role)Tj
1.6158 0 Td
(in)Tj
0.8858 0 Td
(study)Tj
2.2607 0 Td
(design,)Tj
2.9055 0 Td
(data)Tj
-15.0591 -1.3748 Td
(collection)Tj
3.7417 0 Td
(and)Tj
1.5874 0 Td
(analysis)Tj
2.9623 0 Td
(,)Tj
0.4464 0 Td
(decision)Tj
3.2882 0 Td
(to)Tj
0.9496 0 Td
(publish,)Tj
3.1465 0 Td
(or)Tj
-16.1221 -1.3748 Td
(preparation)Tj
4.4433 0 Td
(of)Tj
0.9496 0 Td
(the)Tj
1.3677 0 Td
(manuscript.)Tj
/F9 1 Tf
-6.7606 -2.126 Td
(Competing)Tj
4.3795 0 Td
(interests)Tj
3.3307 0 Td
(:)Tj
/F10 1 Tf
0.4819 0 Td
(The)Tj
1.5875 0 Td
(authors)Tj
3.0401 0 Td
(have)Tj
1.963 0 Td
(declared)Tj
-14.7827 -1.3749 Td
(that)Tj
1.6228 0 Td
(no)Tj
1.1693 0 Td
(competing)Tj
4.1599 0 Td
(interests)Tj
ET
endstream
endobj
51 0 obj
<>stream
endstream
endobj
52 0 obj
<>stream
endstream
endobj
53 0 obj
<>stream
endstream
endobj
54 0 obj
<>stream
endstream
endobj
55 0 obj
<>stream
endstream
endobj
56 0 obj
<>stream
endstream
endobj
57 0 obj
<>stream
endstream
endobj
58 0 obj
<>stream
endstream
endobj
59 0 obj
<>stream
endstream
endobj
60 0 obj
<>stream
endstream
endobj
61 0 obj
<>stream
endstream
endobj
62 0 obj
<>stream
endstream
endobj
63 0 obj
<>stream
endstream
endobj
64 0 obj
<>stream
endstream
endobj
65 0 obj
<>stream
endstream
endobj
66 0 obj
<>stream
endstream
endobj
67 0 obj
<>stream
endstream
endobj
68 0 obj
<>stream
endstream
endobj
69 0 obj
<>stream
endstream
endobj
70 0 obj
<>stream
endstream
endobj
71 0 obj
<>stream
endstream
endobj
72 0 obj
<>stream
endstream
endobj
73 0 obj
<>stream
endstream
endobj
74 0 obj
<>stream
BT
10.3394 -13.1245 Td
(exist.)Tj
ET
Q
endstream
endobj
75 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 77 0 R/Contents 78 0 R/TrimBox[0 0 612 792]>>
endobj
77 0 obj
[79 0 R 80 0 R 81 0 R 82 0 R 83 0 R 84 0 R 85 0 R 86 0 R 87 0 R 88 0 R 89 0 R 90 0 R 91 0 R 92 0 R 93 0 R 94 0 R 95 0 R 96 0 R 97 0 R 98 0 R]
endobj
79 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref031)>>
endobj
80 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref033)>>
endobj
81 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref034)>>
endobj
82 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref019)>>
endobj
83 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref035)>>
endobj
84 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref036)>>
endobj
85 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref037)>>
endobj
86 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref039)>>
endobj
87 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref040)>>
endobj
88 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref041)>>
endobj
89 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref042)>>
endobj
90 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref043)>>
endobj
91 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref044)>>
endobj
92 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref045)>>
endobj
93 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref047)>>
endobj
94 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref043)>>
endobj
95 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref044)>>
endobj
96 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref040)>>
endobj
97 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref048)>>
endobj
98 0 obj
<>/Border[0 0 0]/A 99 0 R>>
endobj
99 0 obj
<>
endobj
78 0 obj
[100 0 R 101 0 R 102 0 R 103 0 R 104 0 R 105 0 R 106 0 R 107 0 R 108 0 R 109 0 R 110 0 R 111 0 R 112 0 R 113 0 R 114 0 R 115 0 R 116 0 R 117 0 R 118 0 R]
endobj
100 0 obj
<>stream
q
0.83 0.64 0.02 0 k
235.3323 680.315 m
244.8567 680.315 l
h
f*
250.0724 680.315 m
259.5402 680.315 l
h
f*
419.5843 667.3323 m
429.1087 667.3323 l
h
f*
515.1685 615.3449 m
524.6929 615.3449 l
h
f*
529.115 615.3449 m
538.6394 615.3449 l
h
f*
543.0614 615.3449 m
552.5858 615.3449 l
h
f*
203.4142 589.3228 m
212.9386 589.3228 l
h
f*
218.0976 589.3228 m
227.622 589.3228 l
h
f*
503.3197 589.3228 m
512.8441 589.3228 l
h
f*
254.8346 537.3354 m
264.3591 537.3354 l
h
f*
268.7811 537.3354 m
278.3055 537.3354 l
h
f*
367.5969 498.3307 m
377.1213 498.3307 l
h
f*
381.6 498.3307 m
391.0677 498.3307 l
h
f*
400.7055 485.348 m
410.1732 485.348 l
h
f*
415.389 485.348 m
424.8567 485.348 l
h
f*
372.8126 472.3087 m
382.337 472.3087 l
h
f*
386.8157 472.3087 m
396.2835 472.3087 l
h
f*
466.1858 394.2992 m
475.7102 394.2992 l
h
f*
255.515 172.9134 m
264.9827 172.9134 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 200.0125 707.4141 cm
BT
/F7 1 Tf
1 TL
-0.004 Tc
0 0 Td
(and)Tj
1.7291 0 Td
(ANC)Tj
2.3017 0 Td
(administered)Tj
5.4935 0 Td
(intermittent)Tj
5.0797 0 Td
(preventive)Tj
4.405 0 Td
(therapy)Tj
3.2484 0 Td
(with)Tj
1.9956 0 Td
(sulfadoxine-pyrimethamine)Tj
-24.253 -1.3039 Td
(\(IPTp-SP\).)Tj
4.5354 0 Td
(Expanding)Tj
4.5637 0 Td
(malaria)Tj
3.2258 0 Td
(testing)Tj
2.8857 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.4683 0 Td
(first)Tj
1.8029 0 Td
(ANC)Tj
2.3073 0 Td
(visit)Tj
1.8652 0 Td
(to)Tj
1.0262 0 Td
(all)Tj
1.1452 0 Td
(pregnant)Tj
3.8267 0 Td
(women,)Tj
3.4299 0 Td
(regardless)Tj
-33.0347 -1.2982 Td
(of)Tj
1.0147 0 Td
(fever)Tj
2.177 0 Td
([)Tj
0.83 0.64 0.02 0 k
(31)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(33)Tj
0 g
(],)Tj
3.549 0 Td
(may)Tj
1.9275 0 Td
(be)Tj
1.1509 0 Td
(an)Tj
1.2019 0 Td
(attractive)Tj
3.9231 0 Td
(strategy)Tj
3.3279 0 Td
(in)Tj
1.0318 0 Td
(parts)Tj
2.2053 0 Td
(of)Tj
1.0148 0 Td
(Africa)Tj
2.6872 0 Td
(for)Tj
1.389 0 Td
(various)Tj
3.1408 0 Td
(reasons)Tj
3.2258 0 Td
(including)Tj
-32.9667 -1.2983 Td
(concerns)Tj
3.8267 0 Td
(about)Tj
2.4945 0 Td
(the)Tj
1.4683 0 Td
(impact)Tj
2.982 0 Td
(of)Tj
1.0148 0 Td
(high)Tj
2.0069 0 Td
(grade)Tj
2.4378 0 Td
(SP)Tj
1.2586 0 Td
(resistance)Tj
4.1272 0 Td
([)Tj
0.83 0.64 0.02 0 k
(34)Tj
0 g
(])Tj
1.8539 0 Td
(or)Tj
1.0998 0 Td
(that)Tj
1.7745 0 Td
(some)Tj
2.3357 0 Td
(populations)Tj
4.9493 0 Td
(may)Tj
1.9275 0 Td
(no)Tj
-35.5575 -1.2983 Td
(longer)Tj
2.7779 0 Td
(require)Tj
3.1124 0 Td
(IPTp)Tj
2.2507 0 Td
(because)Tj
3.3165 0 Td
(of)Tj
1.0148 0 Td
(marked)Tj
3.2938 0 Td
(reductions)Tj
4.4788 0 Td
(in)Tj
1.0318 0 Td
(malaria)Tj
3.2258 0 Td
(transmission.)Tj
5.5899 0 Td
(Furthermore,)Tj
-30.0924 -1.3039 Td
(IPTp)Tj
2.245 0 Td
(alone)Tj
2.3811 0 Td
(may)Tj
1.9275 0 Td
(be)Tj
1.1509 0 Td
(an)Tj
1.2019 0 Td
(inadequate)Tj
4.6091 0 Td
(intervention)Tj
5.1817 0 Td
(because)Tj
3.3165 0 Td
(women)Tj
3.2031 0 Td
(who)Tj
1.9389 0 Td
(attend)Tj
2.7496 0 Td
(ANC)Tj
2.3074 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.474 0 Td
(first)Tj
-34.7185 -1.2982 Td
(trimester)Tj
3.855 0 Td
(are)Tj
1.4457 0 Td
(not)Tj
1.5761 0 Td
(eligible)Tj
3.067 0 Td
(for)Tj
1.3833 0 Td
(SP,)Tj
1.4797 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.474 0 Td
(uptake)Tj
2.914 0 Td
(of)Tj
1.0148 0 Td
(IPTp)Tj
2.2507 0 Td
(has)Tj
1.5421 0 Td
(been)Tj
2.1203 0 Td
(low,)Tj
1.8821 0 Td
(with)Tj
1.9956 0 Td
(only)Tj
1.9786 0 Td
(half)Tj
1.7178 0 Td
(of)Tj
1.0148 0 Td
(preg-)Tj
-34.4407 -1.2983 Td
(nant)Tj
2.0466 0 Td
(women)Tj
3.2031 0 Td
(receiving)Tj
3.8664 0 Td
(at)Tj
0.9524 0 Td
(least)Tj
1.9843 0 Td
(one)Tj
1.6951 0 Td
(of)Tj
1.0148 0 Td
(three)Tj
2.2677 0 Td
(or)Tj
1.0942 0 Td
(more)Tj
2.347 0 Td
(recommended)Tj
6.0321 0 Td
(doses)Tj
2.3981 0 Td
(of)Tj
1.0148 0 Td
(SP)Tj
1.2586 0 Td
([)Tj
0.83 0.64 0.02 0 k
(19)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.7348 0 Td
(35)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.3946 0 Td
(36)Tj
0 g
(].)Tj
-33.1084 -1.3039 Td
(Rates)Tj
2.3584 0 Td
(of)Tj
1.0148 0 Td
(testing)Tj
2.8856 0 Td
(for)Tj
1.3833 0 Td
(syphilis)Tj
3.2258 0 Td
(and)Tj
1.7291 0 Td
(anaemia)Tj
3.5773 0 Td
(remain)Tj
3.0841 0 Td
(low)Tj
1.6611 0 Td
(among)Tj
2.9934 0 Td
(pregnant)Tj
3.8267 0 Td
(women)Tj
3.2032 0 Td
(in)Tj
1.0374 0 Td
(Kenya)Tj
-33.1764 -1.2983 Td
([)Tj
0.83 0.64 0.02 0 k
(37)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(39)Tj
0 g
(])Tj
3.3165 0 Td
(even)Tj
2.0749 0 Td
(though)Tj
3.0727 0 Td
(95%)Tj
1.9276 0 Td
(of)Tj
1.0148 0 Td
(pregnant)Tj
3.8267 0 Td
(women)Tj
3.2032 0 Td
(attend)Tj
2.7496 0 Td
(at)Tj
0.9524 0 Td
(least)Tj
1.9842 0 Td
(one)Tj
1.6951 0 Td
(ANC)Tj
2.3074 0 Td
(visit)Tj
1.8652 0 Td
([)Tj
0.83 0.64 0.02 0 k
(40)Tj
0 g
(].)Tj
2.0806 0 Td
(This)Tj
1.9843 0 Td
(is)Tj
0.8504 0 Td
(largely)Tj
-34.9056 -1.2983 Td
(because)Tj
3.3165 0 Td
(most)Tj
2.2053 0 Td
(women)Tj
3.2031 0 Td
(attend)Tj
2.7553 0 Td
(ANC)Tj
2.3017 0 Td
(at)Tj
0.9524 0 Td
(dispensaries)Tj
5.0797 0 Td
(\(tier-2)Tj
2.7496 0 Td
(health)Tj
2.6759 0 Td
(facilities)Tj
3.4979 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(periphery\))Tj
-31.2432 -1.3039 Td
(which)Tj
2.6475 0 Td
(do)Tj
1.2586 0 Td
(not)Tj
1.5704 0 Td
(typically)Tj
3.5659 0 Td
(stock)Tj
2.3017 0 Td
(diagnostic)Tj
4.32 0 Td
(tests)Tj
1.9616 0 Td
(\(except)Tj
3.1124 0 Td
(for)Tj
1.389 0 Td
(HIV\))Tj
2.3584 0 Td
(and)Tj
1.7291 0 Td
(are)Tj
1.4513 0 Td
(referred,)Tj
3.6453 0 Td
(with)Tj
1.9956 0 Td
(additional)Tj
-33.3068 -1.2982 Td
(costs)Tj
2.1713 0 Td
(and)Tj
1.7291 0 Td
(time)Tj
2.0296 0 Td
(implications,)Tj
5.4028 0 Td
(to)Tj
1.0205 0 Td
(distant)Tj
2.9593 0 Td
(facilities)Tj
3.4923 0 Td
(with)Tj
2.0012 0 Td
(laboratory)Tj
4.3483 0 Td
(capacity)Tj
3.4696 0 Td
(to)Tj
1.0262 0 Td
(complete)Tj
3.8834 0 Td
(their)Tj
-33.5336 -1.2983 Td
(ANC)Tj
2.3017 0 Td
(profile)Tj
2.8403 0 Td
([)Tj
0.83 0.64 0.02 0 k
(41)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.7348 0 Td
(42)Tj
0 g
(].)Tj
1.7404 0 Td
(The)Tj
1.7802 0 Td
(difference)Tj
4.2066 0 Td
(in)Tj
1.0374 0 Td
(availability)Tj
4.5298 0 Td
(between)Tj
3.5262 0 Td
(tests)Tj
1.9616 0 Td
(for)Tj
1.389 0 Td
(HIV)Tj
2.0182 0 Td
(and)Tj
1.7348 0 Td
(those)Tj
2.3357 0 Td
(for)Tj
1.3833 0 Td
(syphilis)Tj
-34.52 -1.3039 Td
(and)Tj
1.7291 0 Td
(anaemia)Tj
3.5829 0 Td
(reflects)Tj
3.0558 0 Td
(the)Tj
1.4683 0 Td
(high)Tj
2.0069 0 Td
(international)Tj
5.4142 0 Td
(priority)Tj
3.2711 0 Td
(and)Tj
1.7291 0 Td
(substantial)Tj
4.5071 0 Td
(financial)Tj
3.6737 0 Td
(support)Tj
3.3222 0 Td
(given)Tj
2.3754 0 Td
(to)Tj
-36.1358 -1.2983 Td
(vertical)Tj
3.135 0 Td
(HIV)Tj
2.024 0 Td
(programmes)Tj
5.3121 0 Td
(resulting)Tj
3.7247 0 Td
(in)Tj
1.0374 0 Td
(parallel)Tj
3.1408 0 Td
(procurement)Tj
5.4482 0 Td
(and)Tj
1.7348 0 Td
(supervisory)Tj
4.8358 0 Td
(systems)Tj
3.2995 0 Td
(devel-)Tj
-33.6923 -1.2982 Td
(oped)Tj
2.194 0 Td
(to)Tj
1.0261 0 Td
(ensure)Tj
2.8743 0 Td
(their)Tj
2.109 0 Td
(accessibility)Tj
4.9549 0 Td
(and)Tj
1.7291 0 Td
(use)Tj
1.5307 0 Td
([)Tj
0.83 0.64 0.02 0 k
(43)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.7405 0 Td
(44)Tj
0 g
(].)Tj
1.7348 0 Td
(Syphilis)Tj
3.3335 0 Td
(and)Tj
1.7348 0 Td
(haemoglobin)Tj
5.4708 0 Td
(screening,)Tj
4.2803 0 Td
(despite)Tj
-34.7128 -1.2983 Td
(the)Tj
1.4683 0 Td
(strong)Tj
2.7723 0 Td
(evidence)Tj
3.7133 0 Td
(for)Tj
1.3833 0 Td
(their)Tj
2.109 0 Td
(clinical)Tj
3.0784 0 Td
(effectiveness)Tj
5.2044 0 Td
([)Tj
0.83 0.64 0.02 0 k
(45)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(47)Tj
0 g
(],)Tj
3.5432 0 Td
(lack)Tj
1.8199 0 Td
(such)Tj
2.0579 0 Td
(donor)Tj
2.6816 0 Td
(advocacy)Tj
3.8777 0 Td
(and)Tj
1.7348 0 Td
(pri-)Tj
-35.4441 -1.3039 Td
(oritization)Tj
4.3993 0 Td
(and)Tj
1.7291 0 Td
(suffer)Tj
2.4775 0 Td
(inadequate)Tj
4.6148 0 Td
(coverage)Tj
3.719 0 Td
([)Tj
0.83 0.64 0.02 0 k
(43)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.7404 0 Td
(44)Tj
0 g
(].)Tj
-17.4839 -1.2983 Td
(Affordable)Tj
4.5014 0 Td
(and)Tj
1.7291 0 Td
(reliable)Tj
3.1351 0 Td
(rapid)Tj
2.3414 0 Td
(point-of-care)Tj
5.5048 0 Td
(tests)Tj
1.9616 0 Td
(\(POCTs\))Tj
3.8437 0 Td
(that)Tj
1.7745 0 Td
(require)Tj
3.1124 0 Td
(minimal)Tj
3.6227 0 Td
(training)Tj
-32.7229 -1.2983 Td
(and)Tj
1.7291 0 Td
(equipment)Tj
4.5524 0 Td
(are)Tj
1.4513 0 Td
(available)Tj
3.6624 0 Td
(to)Tj
1.0261 0 Td
(fulfil)Tj
2.0863 0 Td
(antenatal)Tj
3.8834 0 Td
(screening)Tj
4.0535 0 Td
(requirements.)Tj
5.7883 0 Td
(Their)Tj
2.4208 0 Td
(simplicity)Tj
4.1386 0 Td
(and)Tj
-34.7922 -1.3039 Td
(immediacy)Tj
4.6544 0 Td
(of)Tj
1.0148 0 Td
(results)Tj
2.812 0 Td
(greatly)Tj
2.914 0 Td
(benefit)Tj
2.9763 0 Td
(resource-constrained)Tj
8.6853 0 Td
(settings)Tj
3.2428 0 Td
(by)Tj
1.1849 0 Td
(allowing)Tj
3.617 0 Td
(same-day)Tj
4.0252 0 Td
(initia-)Tj
-35.1267 -1.2982 Td
(tion)Tj
1.8425 0 Td
(of)Tj
1.0148 0 Td
(management)Tj
5.4311 0 Td
(of)Tj
1.0148 0 Td
(conditions)Tj
4.4787 0 Td
(and)Tj
1.7291 0 Td
(their)Tj
2.109 0 Td
(co-infections.)Tj
5.6579 0 Td
(POCTs)Tj
3.1578 0 Td
(have)Tj
2.0636 0 Td
(been)Tj
2.1203 0 Td
(instrumental)Tj
5.3631 0 Td
(in)Tj
-35.9827 -1.2983 Td
(the)Tj
1.4683 0 Td
(scale-up)Tj
3.5036 0 Td
(of)Tj
1.0148 0 Td
(prevention)Tj
4.5807 0 Td
(of)Tj
1.0148 0 Td
(mother-to-child-transmission)Tj
12.1606 0 Td
(\(PMTCT\))Tj
4.2349 0 Td
(of)Tj
1.0148 0 Td
(HIV)Tj
2.0239 0 Td
(services,)Tj
3.532 0 Td
(achiev-)Tj
-34.5484 -1.3039 Td
(ing)Tj
1.5023 0 Td
(over)Tj
1.9729 0 Td
(90%)Tj
1.9276 0 Td
(of)Tj
1.0147 0 Td
(HIV)Tj
2.024 0 Td
(testing)Tj
2.88 0 Td
(coverage)Tj
3.7247 0 Td
(in)Tj
1.0374 0 Td
(women)Tj
3.2032 0 Td
(who)Tj
1.9388 0 Td
(attend)Tj
2.7496 0 Td
(ANC)Tj
2.3017 0 Td
([)Tj
0.83 0.64 0.02 0 k
(40)Tj
0 g
(].)Tj
2.075 0 Td
(The)Tj
1.7858 0 Td
(skills)Tj
2.1997 0 Td
(healthcare)Tj
-32.3374 -1.2983 Td
(workers)Tj
3.4355 0 Td
(have)Tj
2.058 0 Td
(gained)Tj
2.8856 0 Td
(from)Tj
2.2054 0 Td
(HIV)Tj
2.0239 0 Td
(testing)Tj
2.88 0 Td
(can)Tj
1.627 0 Td
(be)Tj
1.1509 0 Td
(expanded)Tj
4.0875 0 Td
(to)Tj
1.0262 0 Td
(integrate)Tj
3.7473 0 Td
(the)Tj
1.4684 0 Td
(use)Tj
1.5363 0 Td
(of)Tj
1.0148 0 Td
(POCTs)Tj
3.1578 0 Td
(for)Tj
-34.3046 -1.2983 Td
(syphilis,)Tj
3.4469 0 Td
(malaria)Tj
3.2258 0 Td
(and)Tj
1.7291 0 Td
(anaemia)Tj
3.583 0 Td
(at)Tj
0.9524 0 Td
(dispensaries)Tj
5.0796 0 Td
(so)Tj
1.0885 0 Td
(coverage)Tj
3.7247 0 Td
(of)Tj
1.0148 0 Td
(diagnosis)Tj
3.9572 0 Td
(and)Tj
1.7291 0 Td
(timely)Tj
2.7326 0 Td
(treatment)Tj
-32.2637 -1.2982 Td
(can)Tj
1.627 0 Td
(be)Tj
1.1509 0 Td
(improved.)Tj
-1.5817 -1.3039 Td
(This)Tj
1.9899 0 Td
(longitudinal)Tj
5.1023 0 Td
(implementation)Tj
6.6387 0 Td
(study)Tj
2.3924 0 Td
(quantitatively)Tj
5.6806 0 Td
(evaluated)Tj
3.9855 0 Td
(the)Tj
1.4683 0 Td
(adoption)Tj
3.8325 0 Td
(and)Tj
1.7291 0 Td
(fidelity)Tj
-34.0155 -1.2983 Td
(of)Tj
1.0147 0 Td
(a)Tj
0.652 0 Td
(programme)Tj
4.9493 0 Td
(intervention)Tj
5.176 0 Td
(integrating)Tj
4.6091 0 Td
(point-of-care)Tj
5.5049 0 Td
(testing)Tj
2.8856 0 Td
(\(POCT\))Tj
3.4753 0 Td
(for)Tj
1.3889 0 Td
(HIV,)Tj
2.2451 0 Td
(syphilis,)Tj
-31.9009 -1.2983 Td
(malaria)Tj
3.2258 0 Td
(and)Tj
1.7291 0 Td
(anaemia)Tj
3.5829 0 Td
(at)Tj
0.9525 0 Td
(ANCs)Tj
2.6645 0 Td
(in)Tj
1.0318 0 Td
(dispensaries)Tj
5.0854 0 Td
(in)Tj
1.0374 0 Td
(western)Tj
3.3279 0 Td
(Kenya.)Tj
2.982 0 Td
(We)Tj
1.6044 0 Td
(evaluated)Tj
3.9912 0 Td
(whether)Tj
3.4752 0 Td
(inte-)Tj
-34.6901 -1.3039 Td
(grated)Tj
2.7382 0 Td
(POCT)Tj
2.8006 0 Td
(can)Tj
1.6271 0 Td
(increase)Tj
3.4696 0 Td
(the)Tj
1.474 0 Td
(proportion)Tj
4.6318 0 Td
(of)Tj
1.0148 0 Td
(pregnant)Tj
3.8267 0 Td
(women)Tj
3.2031 0 Td
(tested)Tj
2.5512 0 Td
(and)Tj
1.7291 0 Td
(treated)Tj
2.9991 0 Td
(correctly)Tj
3.736 0 Td
(for)Tj
-35.8013 -1.2982 Td
(each)Tj
2.0295 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(respective)Tj
4.1839 0 Td
(conditions)Tj
4.473 0 Td
(at)Tj
0.9525 0 Td
(first)Tj
1.8085 0 Td
(ANC)Tj
2.3017 0 Td
(visit.)Tj
2.0919 0 Td
(Other)Tj
2.5909 0 Td
(implementation)Tj
6.6387 0 Td
(outcomes)Tj
4.0875 0 Td
(of)Tj
1.0148 0 Td
(appro-)Tj
-34.6561 -1.2983 Td
(priateness,)Tj
4.4503 0 Td
(acceptability)Tj
5.2157 0 Td
(and)Tj
1.7292 0 Td
(feasibility)Tj
4.0308 0 Td
(will)Tj
1.6668 0 Td
(be)Tj
1.1508 0 Td
(reported)Tj
3.6567 0 Td
(elsewhere.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 247.9748 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Methods)Tj
/F11 1 Tf
0 -1.4976 Td
(Study)Tj
2.6173 0 Td
(setting)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 212.9952 cm
BT
/F7 1 Tf
1 TL
-0.004 Tc
0 0 Td
(The)Tj
1.7801 0 Td
(study)Tj
2.3924 0 Td
(was)Tj
1.6951 0 Td
(conducted)Tj
4.4277 0 Td
(between)Tj
3.532 0 Td
(December)Tj
4.3483 0 Td
(2014)Tj
2.1203 0 Td
(and)Tj
1.7291 0 Td
(August)Tj
3.0841 0 Td
(2015)Tj
2.126 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.474 0 Td
(site)Tj
1.5703 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(KEMRI)Tj
-33.7944 -1.2982 Td
(and)Tj
1.7291 0 Td
(CDC)Tj
2.2847 0 Td
(Health)Tj
2.914 0 Td
(and)Tj
1.7291 0 Td
(Demographic)Tj
5.7146 0 Td
(Surveillance)Tj
5.0627 0 Td
(System)Tj
3.05 0 Td
(\(HDSS\))Tj
3.3562 0 Td
(in)Tj
1.0375 0 Td
(Siaya)Tj
2.2847 0 Td
(County,)Tj
3.4469 0 Td
(western)Tj
-32.6095 -1.3039 Td
(Kenya.)Tj
2.9763 0 Td
(The)Tj
1.7858 0 Td
(population)Tj
4.5865 0 Td
(is)Tj
0.8503 0 Td
(95%)Tj
1.9276 0 Td
(ethnically)Tj
4.0932 0 Td
(Luo,)Tj
2.0182 0 Td
(rural,)Tj
2.3925 0 Td
(and)Tj
1.7291 0 Td
(lives)Tj
1.9729 0 Td
(through)Tj
3.4469 0 Td
(subsistence)Tj
4.7225 0 Td
(farming)Tj
3.4129 0 Td
(and)Tj
-35.9147 -1.2983 Td
(local)Tj
2.0749 0 Td
(trading)Tj
3.1351 0 Td
([)Tj
0.83 0.64 0.02 0 k
(48)Tj
0 g
(].)Tj
2.0749 0 Td
(At)Tj
1.2019 0 Td
(the)Tj
1.4684 0 Td
(time)Tj
2.0296 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(study,)Tj
2.6192 0 Td
(there)Tj
2.262 0 Td
(were)Tj
2.1203 0 Td
(37)Tj
1.1736 0 Td
(public)Tj
2.7099 0 Td
(health)Tj
2.6758 0 Td
(facilities)Tj
3.498 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.474 0 Td
(study)Tj
-34.0325 -1.2983 Td
(area:)Tj
2.1089 0 Td
(one)Tj
1.6951 0 Td
(district)Tj
3.0387 0 Td
(hospital,)Tj
3.6 0 Td
(nine)Tj
2.0069 0 Td
(health)Tj
2.6816 0 Td
(centres)Tj
3.0671 0 Td
(and)Tj
1.7291 0 Td
(27)Tj
1.1735 0 Td
(dispensaries.)Tj
5.3064 0 Td
(Dispensaries)Tj
5.2951 0 Td
(comprise)Tj
3.9061 0 Td
(the)Tj
-35.6085 -1.2982 Td
(lowest)Tj
2.7382 0 Td
(level)Tj
2.0126 0 Td
(\(tier-2\))Tj
3.0897 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(formal)Tj
2.8856 0 Td
(health)Tj
2.6759 0 Td
(system)Tj
2.9423 0 Td
(and)Tj
1.7292 0 Td
(offer)Tj
2.0976 0 Td
(basic)Tj
2.211 0 Td
(maternal)Tj
3.7984 0 Td
(and)Tj
1.7291 0 Td
(child)Tj
2.211 0 Td
(health)Tj
2.6759 0 Td
(ser-)Tj
-35.2797 -1.3039 Td
(vices,)Tj
2.3754 0 Td
(rudimentary)Tj
5.261 0 Td
(out-patient)Tj
4.6942 0 Td
(curative)Tj
3.4185 0 Td
(care)Tj
1.8709 0 Td
(and)Tj
1.7291 0 Td
(support)Tj
3.3222 0 Td
(care)Tj
1.8709 0 Td
(for)Tj
1.3889 0 Td
(HIV)Tj
2.0183 0 Td
(positive)Tj
3.3165 0 Td
(patients.)Tj
3.5943 0 Td
(Per-)Tj
-34.8602 -1.2983 Td
(sonnel)Tj
2.8516 0 Td
(typically)Tj
3.5659 0 Td
(include)Tj
3.1805 0 Td
(one)Tj
1.7008 0 Td
(to)Tj
1.0261 0 Td
(two)Tj
1.7065 0 Td
(nurses)Tj
2.8176 0 Td
(trained)Tj
3.0897 0 Td
(to)Tj
1.0262 0 Td
(certificate)Tj
4.1385 0 Td
(\(at)Tj
1.2869 0 Td
(least)Tj
1.9843 0 Td
(30)Tj
1.1735 0 Td
(months)Tj
3.2825 0 Td
(training)Tj
-32.8306 -1.2983 Td
(post-secondary\))Tj
6.6443 0 Td
(or)Tj
1.0999 0 Td
(diploma)Tj
3.5376 0 Td
(level)Tj
2.0126 0 Td
(\(at)Tj
1.2925 0 Td
(least)Tj
1.9843 0 Td
(36)Tj
1.1735 0 Td
(months)Tj
3.2768 0 Td
(training)Tj
3.4243 0 Td
(post-secondary\),)Tj
6.8711 0 Td
(a)Tj
0.652 0 Td
(part-time)Tj
-31.9689 -1.3039 Td
(clinical)Tj
3.0727 0 Td
(officer)Tj
2.7893 0 Td
(\(36)Tj
1.5137 0 Td
(months)Tj
3.2825 0 Td
(training)Tj
3.4185 0 Td
(post-secondary\),)Tj
6.8711 0 Td
(an)Tj
1.2019 0 Td
(HIV)Tj
2.024 0 Td
(testing)Tj
2.8799 0 Td
(counsellor)Tj
4.3824 0 Td
(and)Tj
1.7291 0 Td
(some)Tj
2.3301 0 Td
(sup-)Tj
-35.4952 -1.2983 Td
(port)Tj
1.9105 0 Td
(staff.)Tj
2.1146 0 Td
(The)Tj
1.7858 0 Td
(dispensaries)Tj
5.0797 0 Td
(receive)Tj
3.0104 0 Td
(approximately)Tj
5.9754 0 Td
(40)Tj
1.1678 0 Td
(antenatal)Tj
3.8891 0 Td
(visits)Tj
2.2281 0 Td
(per)Tj
1.5307 0 Td
(month.)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 107.1496 23.6976 re
W* n
q
107.0929 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 311.4708 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Integrate)Tj
3.8764 0 Td
(d)Tj
0.7653 0 Td
(point-of-care)Tj
5.7331 0 Td
(testing)Tj
3.1182 0 Td
(\(POCT\))Tj
3.6213 0 Td
(of)Tj
1.0417 0 Td
(HIV,)Tj
2.1402 0 Td
(syphilis,)Tj
3.7063 0 Td
(malaria)Tj
3.437 0 Td
(and)Tj
1.8567 0 Td
(anaemia)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
81.5811 34.9228 m
237.8835 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(ONE)Tj
2.3669 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8198 0 Td
(1/journal.po)Tj
5.1236 0 Td
(ne.01987)Tj
4.089 0 Td
(84)Tj
0 g
2.0906 0 Td
(July)Tj
1.9701 0 Td
(20,)Tj
1.5874 0 Td
(2018)Tj
35.3483 0 Td
(3)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
101 0 obj
<>stream
endstream
endobj
102 0 obj
<>stream
endstream
endobj
103 0 obj
<>stream
endstream
endobj
104 0 obj
<>stream
endstream
endobj
105 0 obj
<>stream
endstream
endobj
106 0 obj
<>stream
endstream
endobj
107 0 obj
<>stream
endstream
endobj
108 0 obj
<>stream
endstream
endobj
109 0 obj
<>stream
endstream
endobj
110 0 obj
<>stream
endstream
endobj
111 0 obj
<>stream
endstream
endobj
112 0 obj
<>stream
endstream
endobj
113 0 obj
<>stream
endstream
endobj
114 0 obj
<>stream
endstream
endobj
115 0 obj
<>stream
endstream
endobj
116 0 obj
<>stream
endstream
endobj
117 0 obj
<>stream
endstream
endobj
118 0 obj
<>stream
BT
66.402 0 Td
(22)Tj
ET
Q
endstream
endobj
119 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 122 0 R/Contents 123 0 R/TrimBox[0 0 612 792]>>
endobj
122 0 obj
[124 0 R 125 0 R 126 0 R 127 0 R 128 0 R 129 0 R 130 0 R]
endobj
124 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref049)>>
endobj
125 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.s001)>>
endobj
126 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.t001)>>
endobj
127 0 obj
<>/Border[0 0 0]/Dest(Lpone.0198784.t001)>>
endobj
128 0 obj
<>/Border[0 0 0]/Dest(Rpone.0198784.ref050)>>
endobj
129 0 obj
<>/Border[0 0 0]/A 131 0 R>>
endobj
131 0 obj
<>
endobj
130 0 obj
<>/Border[0 0 0]/A 132 0 R>>
endobj
132 0 obj
<>
endobj
123 0 obj
[133 0 R 134 0 R 135 0 R 136 0 R 137 0 R 138 0 R 139 0 R 140 0 R]
endobj
133 0 obj
<>stream
q
0.83 0.64 0.02 0 k
203.4142 622.9984 m
212.9386 622.9984 l
h
f*
284.7118 407.7921 m
309.0331 407.7921 l
h
f*
526.3937 381.7701 m
555.5906 381.7701 l
h
f*
0 g
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 706.0535 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Health)Tj
3.0614 0 Td
(facility)Tj
3.0945 0 Td
(evaluations)Tj
4.9607 0 Td
(pre-intervention)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 689.1023 cm
BT
/F7 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Initial)Tj
2.6191 0 Td
(facility)Tj
2.897 0 Td
(assessments)Tj
4.9776 0 Td
(were)Tj
2.1203 0 Td
(conducted)Tj
4.4277 0 Td
(to)Tj
1.0262 0 Td
(assess)Tj
2.5171 0 Td
(capacity)Tj
3.4753 0 Td
(to)Tj
1.0261 0 Td
(offer)Tj
2.0976 0 Td
(POCTs)Tj
3.1578 0 Td
(in)Tj
1.0375 0 Td
(nine)Tj
2.0069 0 Td
(health)Tj
-33.3862 -1.3039 Td
(centres)Tj
3.067 0 Td
(and)Tj
1.7291 0 Td
(24)Tj
1.1736 0 Td
(dispensaries)Tj
5.0853 0 Td
(within)Tj
2.8119 0 Td
(the)Tj
1.4684 0 Td
(HDSS)Tj
2.6759 0 Td
(area)Tj
1.8822 0 Td
(\(three)Tj
2.6022 0 Td
(dispensaries)Tj
5.0853 0 Td
(were)Tj
2.1203 0 Td
(not)Tj
1.576 0 Td
(assessed\).)Tj
4.0365 0 Td
(Facil-)Tj
-35.3137 -1.2982 Td
(ity)Tj
1.2415 0 Td
(evaluation)Tj
4.3597 0 Td
(covered)Tj
3.3505 0 Td
(information)Tj
5.074 0 Td
(such)Tj
2.0636 0 Td
(as)Tj
1.0148 0 Td
(facility)Tj
2.897 0 Td
(infrastructure,)Tj
5.9584 0 Td
(client)Tj
2.4264 0 Td
(load,)Tj
2.16 0 Td
(number)Tj
3.4186 0 Td
(and)Tj
1.7291 0 Td
(type)Tj
-35.6936 -1.2983 Td
(of)Tj
1.0147 0 Td
(antenatal)Tj
3.8835 0 Td
(health)Tj
2.6759 0 Td
(workers,)Tj
3.6623 0 Td
(testing)Tj
2.88 0 Td
(services)Tj
3.3052 0 Td
(and)Tj
1.7348 0 Td
(client)Tj
2.4264 0 Td
(flow.)Tj
2.1713 0 Td
(The)Tj
1.7802 0 Td
(assessment)Tj
4.6091 0 Td
(used)Tj
2.0636 0 Td
(a)Tj
0.652 0 Td
(survey)Tj
2.8119 0 Td
(and)Tj
-35.6709 -1.3039 Td
(observation)Tj
4.8982 0 Td
(checklist)Tj
3.685 0 Td
(adapted)Tj
3.3845 0 Td
(from)Tj
2.2054 0 Td
(the)Tj
1.4683 0 Td
(Demographic)Tj
5.7146 0 Td
(and)Tj
1.7292 0 Td
(Health)Tj
2.9196 0 Td
(Surveys)Tj
3.2882 0 Td
(\(DHS\))Tj
2.88 0 Td
(Program)Tj
-32.173 -1.2983 Td
([)Tj
0.83 0.64 0.02 0 k
(49)Tj
0 g
(].)Tj
2.0749 0 Td
(Instruments)Tj
5.1193 0 Td
(were)Tj
2.1203 0 Td
(pre-tested)Tj
4.218 0 Td
(outside)Tj
3.1294 0 Td
(the)Tj
1.474 0 Td
(catchment)Tj
4.4163 0 Td
(area)Tj
1.8822 0 Td
(and)Tj
1.7292 0 Td
(were)Tj
2.1203 0 Td
(carried)Tj
3.0387 0 Td
(out)Tj
1.5534 0 Td
(by)Tj
1.1848 0 Td
(trained)Tj
-34.0608 -1.2982 Td
(data)Tj
1.9105 0 Td
(collectors.)Tj
-0.7143 -1.304 Td
(Seven)Tj
2.5511 0 Td
(dispensaries)Tj
5.0797 0 Td
(were)Tj
2.1203 0 Td
(then)Tj
2.0182 0 Td
(purposively)Tj
4.8699 0 Td
(selected)Tj
3.3506 0 Td
(for)Tj
1.3833 0 Td
(inclusion)Tj
3.9174 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(study)Tj
2.3868 0 Td
(based)Tj
2.4774 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
-35.1323 -1.2982 Td
(following)Tj
3.9798 0 Td
(criteria:)Tj
3.2995 0 Td
(absence)Tj
3.3392 0 Td
(of)Tj
1.0148 0 Td
(other)Tj
2.347 0 Td
(ongoing)Tj
3.532 0 Td
(studies)Tj
2.9877 0 Td
(with)Tj
1.9956 0 Td
(pregnant)Tj
3.8267 0 Td
(women,)Tj
3.4299 0 Td
(geographic)Tj
4.6204 0 Td
(spread)Tj
-34.3726 -1.2983 Td
(within)Tj
2.8119 0 Td
(the)Tj
1.4683 0 Td
(visual)Tj
2.5115 0 Td
(map)Tj
1.9899 0 Td
(area)Tj
1.8822 0 Td
(of)Tj
1.0148 0 Td
(HDSS,)Tj
2.9027 0 Td
(the)Tj
1.4683 0 Td
(number)Tj
3.4186 0 Td
(of)Tj
1.0148 0 Td
(monthly)Tj
3.6226 0 Td
(antenatal)Tj
3.8835 0 Td
(visits)Tj
2.2337 0 Td
(identified)Tj
4.0535 0 Td
(through)Tj
-34.2763 -1.2983 Td
(retrospective)Tj
5.3574 0 Td
(register)Tj
3.2031 0 Td
(review,)Tj
3.0671 0 Td
(and)Tj
1.7348 0 Td
(willingness)Tj
4.6374 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(facility)Tj
2.897 0 Td
(to)Tj
1.0261 0 Td
(participate.)Tj
4.6998 0 Td
(All)Tj
1.3946 0 Td
(seven)Tj
2.4322 0 Td
(facilities')Tj
-32.9327 -1.3039 Td
(ANC)Tj
2.3017 0 Td
(clinics)Tj
2.7552 0 Td
(routinely)Tj
3.8665 0 Td
(conducted)Tj
4.4276 0 Td
(HIV)Tj
2.024 0 Td
(testing,)Tj
3.1067 0 Td
(two)Tj
1.7065 0 Td
(irregularly)Tj
4.3993 0 Td
(conducted)Tj
4.4277 0 Td
(anaemia)Tj
3.583 0 Td
(testing,)Tj
3.1067 0 Td
(and)Tj
-35.7049 -1.2982 Td
(three)Tj
2.262 0 Td
(irregularly)Tj
4.3993 0 Td
(conducted)Tj
4.4277 0 Td
(malaria)Tj
3.2258 0 Td
(testing.)Tj
3.1068 0 Td
(Lack)Tj
2.1146 0 Td
(of)Tj
1.0148 0 Td
(test)Tj
1.5987 0 Td
(supplies)Tj
3.4413 0 Td
(was)Tj
1.7007 0 Td
(the)Tj
1.4684 0 Td
(main)Tj
2.2904 0 Td
(reason)Tj
2.8629 0 Td
(for)Tj
1.389 0 Td
(not)Tj
-35.3024 -1.2983 Td
(conducting)Tj
4.7565 0 Td
(ANC)Tj
2.3017 0 Td
(testing)Tj
2.8856 0 Td
(for)Tj
1.3833 0 Td
(syphilis)Tj
3.2202 0 Td
(and)Tj
1.7348 0 Td
(anaemia.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 490.8472 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Implementation)Tj
7.0299 0 Td
(of)Tj
1.0678 0 Td
(programme)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 473.8393 cm
BT
/F7 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Integration)Tj
4.7224 0 Td
(here)Tj
1.9616 0 Td
(is)Tj
0.8504 0 Td
(defined)Tj
3.2258 0 Td
(as)Tj
1.0148 0 Td
(provision)Tj
4.0195 0 Td
(of)Tj
1.0148 0 Td
(all)Tj
1.1509 0 Td
(four)Tj
1.9105 0 Td
(tests)Tj
1.9616 0 Td
(concurrently,)Tj
5.5898 0 Td
(by)Tj
1.1849 0 Td
(a)Tj
0.652 0 Td
(single)Tj
2.5341 0 Td
(healthcare)Tj
-31.7931 -1.2982 Td
(worker,)Tj
3.2995 0 Td
(during)Tj
2.9253 0 Td
(a)Tj
0.652 0 Td
(woman's)Tj
3.7927 0 Td
(first)Tj
1.8028 0 Td
(ANC)Tj
2.3074 0 Td
(visit.)Tj
2.092 0 Td
(In)Tj
1.1111 0 Td
(facilities)Tj
3.4923 0 Td
(that)Tj
1.7801 0 Td
(have)Tj
2.058 0 Td
(specialized)Tj
4.524 0 Td
(HIV)Tj
2.024 0 Td
(testing)Tj
2.8799 0 Td
(coun-)Tj
-34.7411 -1.2983 Td
(sellors,)Tj
2.9593 0 Td
(the)Tj
1.4683 0 Td
(four)Tj
1.9162 0 Td
(tests)Tj
1.9616 0 Td
(may)Tj
1.9276 0 Td
(be)Tj
1.1508 0 Td
(done)Tj
2.228 0 Td
(by)Tj
1.1792 0 Td
(the)Tj
1.474 0 Td
(counsellor)Tj
4.3767 0 Td
(instead)Tj
3.0841 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(ANC)Tj
2.3017 0 Td
(nurse.)Tj
2.6816 0 Td
(All)Tj
1.3946 0 Td
(the)Tj
1.4684 0 Td
(facilities')Tj
-34.0552 -1.2982 Td
(ANC)Tj
2.3017 0 Td
(healthcare)Tj
4.3313 0 Td
(workers)Tj
3.4355 0 Td
(were)Tj
2.1203 0 Td
(given)Tj
2.3811 0 Td
(a)Tj
0.652 0 Td
(competency-based)Tj
7.6648 0 Td
(training)Tj
3.4186 0 Td
(either)Tj
2.5342 0 Td
(at)Tj
0.9524 0 Td
(a)Tj
0.652 0 Td
(central)Tj
2.965 0 Td
(location)Tj
-33.4089 -1.304 Td
(or)Tj
1.0941 0 Td
(on-site.)Tj
3.2031 0 Td
(All)Tj
1.4004 0 Td
(participants)Tj
4.9549 0 Td
(received)Tj
3.5376 0 Td
(training)Tj
3.4186 0 Td
(manuals)Tj
3.5886 0 Td
(and)Tj
1.7291 0 Td
(job)Tj
1.491 0 Td
(aid)Tj
1.4514 0 Td
(testing)Tj
2.8799 0 Td
(placemats)Tj
4.1783 0 Td
(with)Tj
1.9956 0 Td
(step-)Tj
-34.9226 -1.2982 Td
(by-step)Tj
3.1294 0 Td
(instructions)Tj
5.0003 0 Td
(\()Tj
0.83 0.64 0.02 0 k
(S1)Tj
1.5137 0 Td
(Fig)Tj
0 g
(\).)Tj
2.0466 0 Td
(Training)Tj
3.7303 0 Td
(included)Tj
3.7134 0 Td
(using)Tj
2.3867 0 Td
(one)Tj
1.7008 0 Td
(finger-prick)Tj
5.0116 0 Td
(blood)Tj
2.5115 0 Td
(draw)Tj
2.2394 0 Td
(to)Tj
1.0261 0 Td
(run)Tj
1.6668 0 Td
(all)Tj
-35.6766 -1.2983 Td
(four)Tj
1.9105 0 Td
(tests)Tj
1.9616 0 Td
(per)Tj
1.5363 0 Td
(standard)Tj
3.7191 0 Td
(operating)Tj
4.0535 0 Td
(procedures,)Tj
4.8982 0 Td
(safety,)Tj
2.7042 0 Td
(and)Tj
1.7348 0 Td
(appropriate)Tj
4.8756 0 Td
(preventive)Tj
4.405 0 Td
(care)Tj
1.8709 0 Td
(and)Tj
1.7291 0 Td
(clini-)Tj
-35.3988 -1.3039 Td
(cal)Tj
1.3209 0 Td
(management)Tj
5.4368 0 Td
(of)Tj
1.0148 0 Td
(positive)Tj
3.3165 0 Td
(results)Tj
2.8063 0 Td
(following)Tj
3.9798 0 Td
(Kenyan)Tj
3.3052 0 Td
(guidelines)Tj
4.2746 0 Td
(as)Tj
1.0148 0 Td
(summarised)Tj
5.1364 0 Td
(in)Tj
0.83 0.64 0.02 0 k
1.0318 0 Td
(Table)Tj
2.4434 0 Td
(1)Tj
0 g
(:)Tj
-33.8851 -1.2983 Td
(Study)Tj
2.5058 0 Td
(facilities)Tj
3.4979 0 Td
(used)Tj
2.0579 0 Td
(existing)Tj
3.3166 0 Td
(HIV)Tj
2.0239 0 Td
(drugs)Tj
2.4718 0 Td
(and)Tj
1.7291 0 Td
(HIV)Tj
2.0239 0 Td
(POCTs)Tj
3.1578 0 Td
(supplied)Tj
3.6113 0 Td
(by)Tj
1.1792 0 Td
(the)Tj
1.4684 0 Td
(Government)Tj
5.3347 0 Td
(of)Tj
-35.5745 -1.2982 Td
(Kenya)Tj
2.7552 0 Td
(per)Tj
1.5307 0 Td
(its)Tj
1.1452 0 Td
(standard)Tj
3.7247 0 Td
(national)Tj
3.5036 0 Td
(algorithm)Tj
4.1556 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.4683 0 Td
(time:)Tj
2.2564 0 Td
(HIV)Tj
2.0183 0 Td
(\(1+2\))Tj
2.4321 0 Td
(Antibody)Tj
4.0138 0 Td
(Colloidal)Tj
3.8664 0 Td
(Gold)Tj
-33.8227 -1.304 Td
(\(KHB,)Tj
2.8062 0 Td
(Shanghai)Tj
3.9005 0 Td
(Kehua)Tj
2.8063 0 Td
(Bio-engineering)Tj
6.6727 0 Td
(Co)Tj
1.3946 0 Td
(Ltd,)Tj
1.8085 0 Td
(China\))Tj
2.999 0 Td
(for)Tj
1.389 0 Td
(screening,)Tj
4.2746 0 Td
(First)Tj
2.0466 0 Td
(Response)Tj
3.9855 0 Td
(HIV-1-2)Tj
-34.0835 -1.2982 Td
(kits)Tj
1.644 0 Td
(\(Premier)Tj
3.7928 0 Td
(Medical)Tj
3.4355 0 Td
(Corporation)Tj
5.2101 0 Td
(Ltd.,)Tj
2.0352 0 Td
(Kachigam,)Tj
4.4901 0 Td
(India\))Tj
2.6816 0 Td
(for)Tj
1.3833 0 Td
(confirmation)Tj
5.4991 0 Td
(and)Tj
1.7292 0 Td
(Uni-Gold)Tj
/F12 1 Tf
[()]TJ
/F7 1 Tf
-31.9009 -1.2983 Td
(\(Trinity)Tj
3.3788 0 Td
(Biotech,)Tj
3.4696 0 Td
(Ireland\))Tj
3.4526 0 Td
(for)Tj
1.389 0 Td
(tie-breaking.)Tj
5.295 0 Td
(Iron,)Tj
2.211 0 Td
(folic)Tj
1.9503 0 Td
(acid,)Tj
2.0976 0 Td
(SP)Tj
1.2586 0 Td
(and)Tj
1.7291 0 Td
(malaria)Tj
3.2258 0 Td
(treatment)Tj
4.1386 0 Td
(drugs)Tj
-33.596 -1.3039 Td
(were)Tj
2.1203 0 Td
(also)Tj
1.7688 0 Td
(supplied)Tj
3.6056 0 Td
(free)Tj
1.7291 0 Td
(of)Tj
1.0148 0 Td
(charge)Tj
2.863 0 Td
(by)Tj
1.1849 0 Td
(the)Tj
1.4683 0 Td
(government.)Tj
5.3064 0 Td
(The)Tj
1.7802 0 Td
(study)Tj
2.3924 0 Td
(supplied)Tj
3.6057 0 Td
(the)Tj
1.4683 0 Td
(facilities)Tj
3.4979 0 Td
(with)Tj
ET
Q
q
0.45 0.36 0.35 0.01 k
1 j
1 J
0 w
36 276.7555 m
576 276.7555 l
576 276.2555 l
36 276.2555 l
f*
84.4557 276.2555 m
84.4557 263.7556 l
83.9557 263.7556 l
83.9557 276.2555 l
f*
83.9557 263.7556 m
36 263.7556 l
36 264.2556 l
83.9557 264.2556 l
f*
335.1912 276.2555 m
335.1912 263.7556 l
334.6911 263.7556 l
334.6911 276.2555 l
f*
334.6911 263.7556 m
84.4557 263.7556 l
84.4557 264.2556 l
334.6911 264.2556 l
f*
576 263.7556 m
335.1912 263.7556 l
335.1912 264.2556 l
576 264.2556 l
f*
84.4557 263.7556 m
84.4557 241.7556 l
83.9557 241.7556 l
83.9557 263.7556 l
f*
83.9557 241.7556 m
36 241.7556 l
36 242.2556 l
83.9557 242.2556 l
f*
335.1912 263.7556 m
335.1912 241.7556 l
334.6911 241.7556 l
334.6911 263.7556 l
f*
334.6911 241.7556 m
84.4557 241.7556 l
84.4557 242.2556 l
334.6911 242.2556 l
f*
576 241.7556 m
335.1912 241.7556 l
335.1912 242.2556 l
576 242.2556 l
f*
84.4557 241.7556 m
84.4557 210.2556 l
83.9557 210.2556 l
83.9557 241.7556 l
f*
83.9557 210.2556 m
36 210.2556 l
36 210.7556 l
83.9557 210.7556 l
f*
335.1912 241.7556 m
335.1912 210.2556 l
334.6911 210.2556 l
334.6911 241.7556 l
f*
334.6911 210.2556 m
84.4557 210.2556 l
84.4557 210.7556 l
334.6911 210.7556 l
f*
576 210.2556 m
335.1912 210.2556 l
335.1912 210.7556 l
576 210.7556 l
f*
84.4557 210.2556 m
84.4557 178.7556 l
83.9557 178.7556 l
83.9557 210.2556 l
f*
83.9557 178.7556 m
36 178.7556 l
36 179.2556 l
83.9557 179.2556 l
f*
335.1912 210.2556 m
335.1912 178.7556 l
334.6911 178.7556 l
334.6911 210.2556 l
f*
334.6911 178.7556 m
84.4557 178.7556 l
84.4557 179.2556 l
334.6911 179.2556 l
f*
576 178.7556 m
335.1912 178.7556 l
335.1912 179.2556 l
576 179.2556 l
f*
84.4557 178.7556 m
84.4557 147.2556 l
83.9557 147.2556 l
83.9557 178.7556 l
f*
83.9557 147.2556 m
36 147.2556 l
36 147.7556 l
83.9557 147.7556 l
f*
335.1912 178.7556 m
335.1912 147.2556 l
334.6911 147.2556 l
334.6911 178.7556 l
f*
334.6911 147.2556 m
84.4557 147.2556 l
84.4557 147.7556 l
334.6911 147.7556 l
f*
576 147.2556 m
335.1912 147.2556 l
335.1912 147.7556 l
576 147.7556 l
f*
84.4557 147.2556 m
84.4557 115.7556 l
83.9557 115.7556 l
83.9557 147.2556 l
f*
83.9557 115.7556 m
36 115.7556 l
36 116.2556 l
83.9557 116.2556 l
f*
335.1912 147.2556 m
335.1912 115.7556 l
334.6911 115.7556 l
334.6911 147.2556 l
f*
334.6911 115.7556 m
84.4557 115.7556 l
84.4557 116.2556 l
334.6911 116.2556 l
f*
576 115.7556 m
335.1912 115.7556 l
335.1912 116.2556 l
576 116.2556 l
f*
576 82.0054 m
36 82.0054 l
36 82.5055 l
576 82.5055 l
f*
0.83 0.64 0.02 0 k
383.3575 280.5165 m
391.2378 280.5165 l
h
f*
36 68.9386 m
186.7465 68.9386 l
h
f*
0 g
7.9999 0 0 7.9999 36 281.5937 cm
BT
/F11 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Table)Tj
2.5512 0 Td
(1.)Tj
1.1763 0 Td
(Appropriate)Tj
5.393 0 Td
(clinica)Tj
2.7 0 Td
(l)Tj
0.4961 0 Td
(managemen)Tj
5.0528 0 Td
(t)Tj
0.5598 0 Td
(for)Tj
1.4599 0 Td
(positive)Tj
3.4654 0 Td
(test)Tj
1.7078 0 Td
(results)Tj
2.9623 0 Td
(and)Tj
1.7858 0 Td
(preventive)Tj
4.5638 0 Td
(care)Tj
1.9347 0 Td
(at)Tj
1.0205 0 Td
(first)Tj
1.9488 0 Td
(ANC)Tj
2.3244 0 Td
(visit)Tj
1.9701 0 Td
([)Tj
0.83 0.64 0.02 0 k
(50)Tj
0 g
(].)Tj
0 Tc
-43.0727 -1.8567 Td
(Condition)Tj
6.3071 0 Td
(For)Tj
1.7079 0 Td
(treatme)Tj
3.2669 0 Td
(nt)Tj
26.3695 0 Td
(For)Tj
1.7008 0 Td
(prevention)Tj
/F7 1 Tf
-39.3522 -1.559 Td
(HIV)Tj
6.4346 0 Td
(Initiate)Tj
3.1253 0 Td
(PMTCT;)Tj
3.7984 0 Td
(counsel;)Tj
3.515 0 Td
(give)Tj
1.8496 0 Td
(cotrimoxa)Tj
4.1103 0 Td
(zole)Tj
1.8284 0 Td
(and)Tj
1.7504 0 Td
(start)Tj
2.0055 0 Td
(triple)Tj
2.3669 0 Td
(therapy)Tj
3.2741 0 Td
(with)Tj
-27.6239 -1.1906 Td
(antiretr)Tj
3.0261 0 Td
(ovirals)Tj
-9.4607 -1.5591 Td
(Syphilis)Tj
6.4346 0 Td
(Provide)Tj
3.352 0 Td
(single)Tj
2.5583 0 Td
(dose)Tj
2.0552 0 Td
(of)Tj
1.0275 0 Td
(2.4)Tj
1.4174 0 Td
(MU)Tj
1.8567 0 Td
(benzathine)Tj
4.6488 0 Td
(penicilli)Tj
3.2245 0 Td
(n)Tj
0.7795 0 Td
(or)Tj
1.1126 0 Td
(if)Tj
0.7937 0 Td
(penicillin)Tj
4.0111 0 Td
(allergic)Tj
-26.8373 -1.1905 Td
(and)Tj
1.7434 0 Td
(unable)Tj
2.9268 0 Td
(to)Tj
1.0417 0 Td
(access)Tj
2.6717 0 Td
(penicillin)Tj
4.011 0 Td
(desensit)Tj
3.2245 0 Td
(ization,)Tj
3.2102 0 Td
(give)Tj
1.8496 0 Td
(erythromycin)Tj
5.7261 0 Td
(500)Tj
1.6653 0 Td
(mg)Tj
-28.0703 -1.1835 Td
(three)Tj
2.282 0 Td
(times)Tj
2.4094 0 Td
(daily)Tj
2.1756 0 Td
(for)Tj
1.4032 0 Td
(seven)Tj
2.452 0 Td
(days)Tj
2.0126 0 Td
(and)Tj
1.7504 0 Td
(counsel)Tj
3.2811 0 Td
(on)Tj
1.2898 0 Td
(partner)Tj
3.2103 0 Td
(notificatio)Tj
4.1315 0 Td
(n)Tj
-32.8325 -1.5661 Td
(Malaria)Tj
6.4346 0 Td
(Uncomp)Tj
3.5576 0 Td
(licated)Tj
2.8701 0 Td
(malaria:)Tj
3.4795 0 Td
(give)Tj
1.8496 0 Td
(quinine)Tj
3.3379 0 Td
(in)Tj
1.0488 0 Td
(first)Tj
1.8283 0 Td
(trimester;)Tj
4.1103 0 Td
(give)Tj
1.8496 0 Td
(artemether/)Tj
-23.9317 -1.1835 Td
(lumefant)Tj
3.6001 0 Td
(rine)Tj
1.8496 0 Td
(\(AL\),)Tj
2.3669 0 Td
(quinine)Tj
3.3379 0 Td
(or)Tj
1.1126 0 Td
(dihydroart)Tj
4.3087 0 Td
(emisinin-pip)Tj
5.1803 0 Td
(eraquine)Tj
3.7489 0 Td
(\(DP\))Tj
2.2181 0 Td
(in)Tj
-27.7231 -1.1906 Td
(second)Tj
3.0331 0 Td
(or)Tj
1.1126 0 Td
(third)Tj
2.2323 0 Td
(trimester;)Tj
4.1103 0 Td
(clinical)Tj
3.1111 0 Td
(severe)Tj
2.7 0 Td
(malaria:)Tj
3.4795 0 Td
(refer)Tj
2.119 0 Td
(to)Tj
1.0417 0 Td
(hospital)Tj
8.3977 2.3741 Td
(Give)Tj
2.1047 0 Td
(directly)Tj
3.2599 0 Td
(observed)Tj
3.8197 0 Td
(IPTp-SP)Tj
3.6567 0 Td
(for)Tj
1.4032 0 Td
(malaria)Tj
3.2528 0 Td
(for)Tj
1.4031 0 Td
(women)Tj
3.2245 0 Td
(in)Tj
1.0488 0 Td
(second)Tj
3.0331 0 Td
(or)Tj
1.1126 0 Td
(third)Tj
-27.3191 -1.1835 Td
(trimester)Tj
3.8906 0 Td
(not)Tj
1.5874 0 Td
(on)Tj
1.2898 0 Td
(cotrimoxa)Tj
4.1102 0 Td
(zole;)Tj
2.0552 0 Td
(give)Tj
1.8496 0 Td
(ITN)Tj
1.9276 0 Td
(and)Tj
1.7433 0 Td
(advise)Tj
2.7142 0 Td
(to)Tj
1.0417 0 Td
(sleep)Tj
2.2111 0 Td
(under)Tj
2.6362 0 Td
(it.)Tj
-64.8288 -2.7567 Td
(Anaemia)Tj
6.4346 0 Td
(Mild)Tj
2.1686 0 Td
(anaemia)Tj
3.6071 0 Td
(\(Hb)Tj
/F13 1 Tf
1.8496 0 Td
(<)Tj
/F7 1 Tf
(10)Tj
1.9488 0 Td
(g/dL\):)Tj
2.6717 0 Td
(give)Tj
1.8496 0 Td
(120)Tj
1.6654 0 Td
(mg)Tj
1.5165 0 Td
(daily)Tj
2.1757 0 Td
(elemen)Tj
2.8913 0 Td
(tal)Tj
1.2189 0 Td
(iron;)Tj
2.1615 0 Td
(moderate)Tj
-25.7247 -1.1835 Td
(anaemia)Tj
3.6001 0 Td
(\(Hb)Tj
1.8496 0 Td
(57.9)Tj
2.4095 0 Td
(g/dL\):)Tj
2.6716 0 Td
(as)Tj
1.0347 0 Td
(above)Tj
2.5654 0 Td
(and)Tj
1.7433 0 Td
(provide)Tj
3.3165 0 Td
(additiona)Tj
3.8269 0 Td
(l)Tj
0.4818 0 Td
(iron)Tj
1.9347 0 Td
(dextran;)Tj
-25.4341 -1.1906 Td
(severe)Tj
2.7001 0 Td
(anaemia)Tj
3.6 0 Td
(\(Hb)Tj
1.8567 0 Td
(is)Tj
/F13 1 Tf
0.8575 0 Td
(<)Tj
/F7 1 Tf
(5)Tj
1.4811 0 Td
(g/dL\):)Tj
2.6646 0 Td
(refer)Tj
2.126 0 Td
(to)Tj
1.0346 0 Td
(hospital)Tj
15.0167 2.3741 Td
(Not)Tj
1.7788 0 Td
(anaemic)Tj
3.5929 0 Td
(\(Hb)Tj
/F13 1 Tf
1.8496 0 Td
(>)Tj
/F7 1 Tf
(10)Tj
1.9559 0 Td
(g/dL\):)Tj
2.6717 0 Td
(give)Tj
1.8496 0 Td
(65)Tj
1.1835 0 Td
(mg)Tj
1.5166 0 Td
(daily)Tj
2.1756 0 Td
(elemental)Tj
4.1102 0 Td
(iron)Tj
-60.4563 -3.9331 Td
(Neural)Tj
2.9834 0 Td
(tube)Tj
-2.9834 -1.1906 Td
(defects)Tj
37.7719 1.1906 Td
(Low)Tj
1.963 0 Td
(dose)Tj
2.0622 0 Td
(\(0.4)Tj
1.7575 0 Td
(mg\))Tj
1.8567 0 Td
(folic)Tj
1.9772 0 Td
(acid)Tj
1.8922 0 Td
(daily;)Tj
2.3952 0 Td
(if)Tj
0.7938 0 Td
(low)Tj
1.6724 0 Td
(dose)Tj
2.0551 0 Td
(folic)Tj
1.9772 0 Td
(acid)Tj
1.8922 0 Td
(is)Tj
0.8645 0 Td
(not)Tj
1.5875 0 Td
(available,)Tj
-24.7467 -1.1906 Td
(high)Tj
2.0268 0 Td
(dose)Tj
2.0622 0 Td
(\(5)Tj
1.0488 0 Td
(mg\))Tj
1.8567 0 Td
(tablets)Tj
2.8205 0 Td
(should)Tj
2.941 0 Td
(not)Tj
1.5874 0 Td
(be)Tj
1.1622 0 Td
(administered)Tj
5.5276 0 Td
(with)Tj
2.0127 0 Td
(SP)Tj
1.2685 0 Td
(but)Tj
1.5732 0 Td
(can)Tj
1.6441 0 Td
(be)Tj
-27.5317 -1.1835 Td
(taken)Tj
2.4449 0 Td
(14)Tj
1.1835 0 Td
(days)Tj
2.0197 0 Td
(following)Tj
4.0039 0 Td
(administration)Tj
6.2151 0 Td
(of)Tj
1.0275 0 Td
(IPTp-SP.)Tj
-54.6665 -2.3457 Td
(ANC:)Tj
2.5441 0 Td
(antenatal)Tj
3.9189 0 Td
(care;)Tj
2.1189 0 Td
(POCT;)Tj
3.0473 0 Td
(point-o)Tj
3.0047 0 Td
(f-care)Tj
2.5371 0 Td
(testing;)Tj
3.1393 0 Td
(PMTCT:)Tj
3.7985 0 Td
(prevention)Tj
4.6134 0 Td
(of)Tj
1.0276 0 Td
(mother-to-chil)Tj
5.9528 0 Td
(d)Tj
0.7583 0 Td
(transmissio)Tj
4.6205 0 Td
(n;)Tj
1.0134 0 Td
(IPTp-SP)Tj
3.4228 0 Td
(:)Tj
0.4607 0 Td
(intermittent)Tj
5.1236 0 Td
(prevent)Tj
3.0473 0 Td
(ive)Tj
1.3819 0 Td
(therapy)Tj
3.274 0 Td
(in)Tj
1.0489 0 Td
(pregnancy)Tj
4.4362 0 Td
(with)Tj
-64.2902 -1.5023 Td
(sulfadoxine)Tj
4.6205 0 Td
(-pyrimeth)Tj
4.0464 0 Td
(amine;)Tj
2.9623 0 Td
(ITN:)Tj
2.1543 0 Td
(insecticide-)Tj
4.6064 0 Td
(treated)Tj
3.026 0 Td
(net)Tj
0.83 0.64 0.02 0 k
/F10 1 Tf
-0.025 Tc
-21.4159 -2.2465 Td
(https://do)Tj
3.5575 0 Td
(i.org/10.1371/j)Tj
5.4425 0 Td
(ournal.pone)Tj
4.4079 0 Td
(.0198784.t001)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 107.1496 23.6976 re
W* n
q
107.0929 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 311.4708 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Integrate)Tj
3.8764 0 Td
(d)Tj
0.7653 0 Td
(point-of-care)Tj
5.7331 0 Td
(testing)Tj
3.1182 0 Td
(\(POCT\))Tj
3.6213 0 Td
(of)Tj
1.0417 0 Td
(HIV,)Tj
2.1402 0 Td
(syphilis,)Tj
3.7063 0 Td
(malaria)Tj
3.437 0 Td
(and)Tj
1.8567 0 Td
(anaemia)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
81.5811 34.9228 m
237.8835 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(ONE)Tj
2.3669 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8198 0 Td
(1/journal.po)Tj
5.1236 0 Td
(ne.01987)Tj
4.089 0 Td
(84)Tj
0 g
2.0906 0 Td
(July)Tj
1.9701 0 Td
(20,)Tj
1.5874 0 Td
(2018)Tj
35.3483 0 Td
(4)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
134 0 obj
<>stream
endstream
endobj
135 0 obj
<>stream
endstream
endobj
136 0 obj
<>stream
endstream
endobj
137 0 obj
<>stream
endstream
endobj
138 0 obj
<>stream
endstream
endobj
139 0 obj
<>stream
endstream
endobj
140 0 obj
<>stream
BT
66.402 0 Td
(22)Tj
ET
Q
endstream
endobj
141 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 146 0 R/Contents 147 0 R/TrimBox[0 0 612 792]>>
endobj
144 0 obj
<>
endobj
148 0 obj
<>
endobj
149 0 obj
<>stream
%!PS-AdobeFont-1.0
11 dict begin
/FontName /PI_chars_3 def
/FontType 1 def
/FontBBox {-11 -345 1373 718} readonly def
/FontMatrix [0.001 0 0 0.001 0 0] readonly def
/PaintType 0 def
/FontInfo 8 dict dup begin
/FullName (PI_chars_3) readonly def
/BaseFontName (PI_chars_3) def
end def
/Encoding 256 array
0 1 255 {1 index exch /.notdef put} for
dup 33 /exclam put
dup 34 /quotedbl put
dup 35 /numbersign put
dup 36 /dollar put
dup 37 /percent put
dup 38 /ampersand put
dup 39 /quoteright put
dup 40 /parenleft put
dup 41 /parenright put
dup 42 /asterisk put
dup 43 /plus put
dup 44 /comma put
dup 45 /hyphen put
dup 46 /period put
dup 47 /slash put
dup 49 /one put
dup 50 /two put
dup 51 /three put
dup 52 /four put
dup 53 /five put
dup 54 /six put
dup 55 /seven put
dup 56 /eight put
dup 58 /colon put
dup 60 /less put
dup 61 /equal put
dup 62 /greater put
dup 63 /question put
dup 64 /at put
dup 65 /A put
dup 66 /B put
dup 67 /C put
dup 68 /D put
dup 69 /E put
dup 70 /F put
dup 71 /G put
dup 72 /H put
dup 73 /I put
dup 74 /J put
dup 75 /K put
dup 76 /L put
dup 77 /M put
dup 78 /N put
dup 79 /O put
dup 80 /P put
dup 81 /Q put
dup 82 /R put
dup 83 /S put
dup 84 /T put
dup 85 /U put
dup 86 /V put
dup 87 /W put
dup 88 /X put
dup 89 /Y put
dup 90 /Z put
dup 91 /bracketleft put
dup 92 /backslash put
dup 93 /bracketright put
dup 94 /asciicircum put
dup 97 /a put
dup 98 /b put
dup 99 /c put
dup 100 /d put
dup 101 /e put
dup 102 /f put
dup 103 /g put
dup 104 /h put
dup 105 /i put
dup 106 /j put
dup 107 /k put
dup 108 /l put
dup 109 /m put
dup 110 /n put
dup 111 /o put
dup 112 /p put
dup 113 /q put
dup 114 /r put
dup 115 /s put
dup 116 /t put
dup 117 /u put
dup 118 /v put
dup 119 /w put
dup 120 /x put
dup 121 /y put
dup 122 /z put
dup 123 /braceleft put
dup 124 /bar put
dup 125 /braceright put
dup 126 /asciitilde put
readonly def
currentdict end
currentfile eexec
M#1H5 J6o\&rtS(#v\0\V7Fe༙OYx5-cY9^%Y6
(efIOldN"wȰ;)UƽoFg/rvV$JS8_oc@
o9-eGJp}[Do]mN=4*{ܯq=eU^t6¤/{zM4aܪ
Q:д'B-r^ܦ6y?rRnu S\U{Oλrs(Βƚ
#d29%s'ƈT1F8&\0Xd&&Zug'VPd]:>u=Q,?#(CV4'..|ӱ5 h
sȀg)fɘ`UXK^>] q\l#5pE"JO}rquáQBr/E7
QW5\GSlu{7ZH(PSf/O;̟w{ɴ}-K hA8!b!U>`#u?Vlnǝ19V+mg'QmA}S Y$í8n uJ ڒx3>[x0Z]
ͩw4M&1+pkC,sr"%q&OjbH{:5$65*S`cr;%s4Oӆe>T+6~pBOD!$c]"~r#nh6$38i˞[~Z}}rHmte9(1½=j{<\ ;? RA?c{Rf1'VԞ_-Lwo]`.l|zjf"![G1BYro˓9[-+z g!}RN+pX!M~HcFh@g%J6B)6!Lq>TX\ݪGF
PiQݓX~Fs;Ölo4/(C?+,ɖxۼ:xU^)
fd,`*>-:}=q$:\Xzcw1Nf(
ZkEeJXfэi@zXc\{a5qKg\5ݩv\Qe%1>OY̗$Y#P[)."^+{"bP]Bt&zeN6
іijDE% 0;̅
~~lfB>u'i4znym%tfԟ^נBTDS6-ghiWk/(r!!˶fc>趕%U