PMTCTPrevention of Mother-To-Child Transmission
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PREGNANT WOMEN"Routine HIV testing among pregnant women at PMTCT sites has now reached high coverage and being used in the estimates process to inform national trends in HIV prevalence," said the report.Form the county data estimates, many counties have performed well on PMTCT and Mother to Child Transmission rate in most counties has improved.
Adowole noted that the re-establishment of the National Treatment and PMTCT programme was definitely a retracing of steps to Nigeria's previous path; noting the importance of a sustainable and well-coordinated national HIV response.
Despite having a robust evidence-based PMTCT policy framework, SA's progress towards eliminating mother-to-child transmission of HIV (eMTCT) is considerably challenged because of very high maternal HIV prevalence, [11] including high rates of seroconversion during pregnancy and breastfeeding.
Lifelong ART for PMTCT entails the use of HAART for all HIV positive pregnant and lactating mothers for life.
[5] Consequently, the number of health facilities providing a PMTCT service increased by 31% in 2010-2011 and the partner testing rate increased by 13%-from 7% in 2011 to 20% in 2012.
This programme leveraged local expertise and deep facility-level engagement in driving down PMTCT rates from 23.2% in 2003 to 2.4% in 2012.
Conclusion: ART administration to both HIV-infected mothers and their babies has demonstrated an effective mechanism of the PMTCT program, as this is evident in the low positivity outcome.
Uptake of PMTCT services by the pregnant mothers is affected both by factors related to the health system such as accessibility of voluntary counselling and testing (VCT) services and by individual factors such as fear of disclosure of HIV results, lack of male partner support, fear of domestic violence, rejection, and negligence [1, 5, 11-14].
Of principal concern is the fact that women whose tests turn out to be negative at the PMTCT centres will go through the ANC without the appropriate intervention.
The data for the study were collected by the pediatrician main researcher, and included the mother's age, education, marital and employment status, antenatal care (ANC) visits, voluntary counseling and testing (VCT) results, PMTCT (prevention of mother-to-child transmission), reasons for refusal of an HIV test on their children, baby's age and outcome of the child during the current admission.