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NATIONAL HIV/AIDS RESEARCH AND BEST PRACTICES CONFERENCE - page 38 / 103

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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.

RESULTS:

Ekwendeni

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)

Enukweni

Total mothers tested for HIV : 230

HIV positive mothers : 8

Mothers received Neverapine: 3

CONCLUSIONS

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.

RECOMMENDATIONS

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.

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