Bassani L, Musoke R, Oluka E, Birungi EM, Nsubuga F, Okong P; International Conference on AIDS (15th : 2004 : Bangkok, Thailand).

Int Conf AIDS. 2004 Jul 11-16; 15: abstract no. ThPeB7036.

ISS Rome, Kampala, Uganda

Background: Nsambya Hospital, a tertiary private not for profit referral Hospital in Kampala, Uganda, started implementing PMTCT services since January 2000, in the context of the Ministry of Health national program. PMTCT is integrated in the ANC services of the hospital offering VCT, infant feeding counseling and ARV prophylaxis to HIV+ women. Methods: Questionnaire interview with all mothers receiving VCT, and Pmtct Program and obstetric records review. At 36 weeks, enrolled women received AZT for 4 weeks or NVP to take in labour. Results: In four years 19,576 mothers attended the ANC, 92.4% were counseled, 74.7% of these accepted HIV test. Out of 1,540 HIV+ mothers 907 (58.9%) have been enrolled, of these 30 in labour ward. Counseling uptake increased from 87.7% in 2001 to 94.6 in 2003. Acceptance rate of HIV test increased from 71.1% in 2001 to 79.3% in 2003. Enrolment from 48.6% in 2000 reached 66.7% in 2003.85.5% of mothers delivered in the hospital, and the majority (65.5%) chose exclusive breastfeeding.2,170 follow up visits were performed on the occasion of immunization (weeks 6, 10, 14) and at months 6, 9, 12 and 18. At the age of eighteen months children are tested for HIV (18 in 2001; 70 in 2002 and 74 in 2003). At the end of 2003, only 162 eighteen months old children have been tested: 150 were found negative, 12 were positive. Considering 41 known cases of neonatal death and 16 deaths reported before month 18, 50% of children have been lost to follow up. Conclusion PMTCT program uptake in Antenatal settings is high, feasible and effective. However postpartum follow up and evaluation of outcome for the children at 18 months dismal. There is need of focusing more on the follow up of mothers and their children in the community.

Publication Types:

• Meeting Abstracts

Keywords:

• Acquired Immunodeficiency Syndrome
• Breast Feeding
• Child
• Counseling
• Female
• HIV Infections
• HIV Seropositivity
• Humans
• Infant
• Mothers
• Uganda
• Zidovudine

Other ID:

• GWAIDS0036601

UI: 102280817

From Meeting Abstracts