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Expanded Record  (Item 8 of 56 from Meeting Abstracts)
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Implementing PMTCT program in Uganda: Challenges and lessons learned.

Onyango S, Magoni M; International Conference on AIDS.

Int Conf AIDS. 2002 Jul 7-12;14:abstract no. TuPeF5404.

AIDS Control Program/MHO, Kampala, Uganda

ISSUES: Every year in Uganda around 40,000 babies get HIV infection. The Ministry of Health started to implement a PMTCT (Prevention of Mother To Child Transmission) service free of charge from January 2000. At present 6 sites are operational and other 6 sites have started the preparation process. DESCRIPTION: Counselling and Testing was offered to all women attending ANC. Rapid tests were used and results were available the same day. Short anti-retroviral courses (AZT or NVP) were offered in the late pregnancy period for PMTCT. Modification of Obstetrical care and support on infant feeding issues were also part of the service.: In the first 2 years of intervention 45,394 women were counselled 30,423 were tested and 3,726 found HIV positive. Of those positive 2,123 were enrolled and started ARV and 1,747 have delivered in the program. Only around 40% of women-babies pair came for follow-up at week 6 LESSON LEARNED: Difference between the sites performances were evident both in absolute number (graphic) and in percentage: Particularly sites which had some "extra human resources" were able to counsel 94% of all new ANC attendance and to provide ARV to 38% of their estimated HIV+ population. But sites without any "extra human resources " were able to counsel only 26% of all new ANC attendance and to provide ARV to only 9% of their estimated HIV+ population. HIV prevalence found during PMTCT was consistent with data coming from sentinel sites: Kampala sites had 13%, up country sites 10%. HIV positive women from rural sites were less likely to come for enrolment: 34% versus 60%. RECOMMENDATION: The uptake of the PMTCT program has been fairly good. However if the intervention has to reach more beneficiaries, there is need to look critically at human resource capacity of the implementing sites and to address the poor enrolment ratio of HIV positive mothers especially in up country areas.

Publication Types:

  • Meeting Abstracts

Keywords:

  • Adolescent
  • Child
  • Counseling
  • Cross-Sectional Studies
  • Female
  • Follow-Up Studies
  • HIV Infections
  • HIV Seropositivity
  • HIV-1
  • Health Services Accessibility
  • Humans
  • Infant
  • Infectious Disease Transmission, Vertical
  • Learning
  • Mothers
  • Pregnancy
  • Pregnancy Complications, Infectious
  • Prevalence
  • Rural Population
  • Uganda
  • education
  • transmission

Other ID:

  • GWAIDS0015672

General Notes:

  • Meeting held in: Spain

NLM Unique ID: 9870004
UI: 102253170
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