A.27.Prevention of mother to child transmission
KAC Mhango, G. Chunda, M. Nyirenda
OBJECTIVES & SCOPE: The PMTCT programme at Ekwendeni Hospital and Enukweni catchment areas aims at reducing HIV transmission from HIV positive mothers to their babies. The PMTCT programme started in May 2003 with the following objectives:
To provide integrated counseling to all pregnant women coming for antenatal care services at the Ekwendeni, Enukweni and outreach clinics
To test all pregnant women opting for HIV test after being counseled during antenatal care services
To provide Neverapine both to mother and baby before and after delivery
To counsel mothers on optional breast feeding before and after delivery
METHODOLOGY: Weekly PMTCT motivation talks are given to all mothers attending antenatal care services both at Ekwendeni and Enukweni. After the motivation talks, those women who want to know or hear more about PMTCT are given group counseling right inside Maternity Ward. Further to that, women who want to be tested for HIV, receive a one to one counseling (Pre-test). Rapid tests are performed right in maternity Ward and women get results within 15-20 minutes and this pleases them very much than waiting for results for a long time and then the post counseling is done. Monthly follow-ups of mothers and infants in their homes.
Total mothers tested for HIV : 1290
HIV positive mothers: 128
Mothers received Neverapine: 92
Mothers on Care Support: 33
Babies tested at 18 months: 4 ( all negative)
Total mothers tested for HIV : 230
HIV positive mothers : 8
Mothers received Neverapine: 3
More women are coming forward for VCT services and open to talk about HIV and AIDS as well as psychological issues. Rapid test has proved to be the best choice for women since they can get their results within a short time.
HIV positive mothers should be considered for ARVs where possible after Neverapine. Also nutritional status of mothers should be considered seriously before and after delivery. Another crucial point that need to be considered is couple counseling.