Scaling up Prevention of Mother to Child Transmission of HIV Infection to Primary Health Facilities in Nigeria: Findings from Two Primary Health Centres in Northwest Nigeria

Babasola O. Okusanya, Adewale O. Ashimi, Egbaname O. Aigere, Siyaka E. Salawu, Rakiya Hassan

Abstract

Nigeria is scaling up prevention of mother-to-child transmission (PMTCT) of HIV interventions to primary health care centres (PHCs). This retrospective study of PMTCT was at two PHCs in Northwest Nigeria with the main outcome measure being HIV infection rate of exposed infants at 6 weeks of life. Of 10,289 women who had antenatal HIV test, 74 had positive results. This gave a prevalence of 0.7%. The uptake of antenatal (99.8%) and intrapartum (97.3%) tests was high at both centres. 30% of HIV infected mothers and 25% of exposed infants were lost to follow-up (LFU). Most women (85.7%) had highly active antiretroviral therapy (HAART) and vaginal delivery (98%). Perinatal mortality rate was 66/1000 births and 95.3% of exposed infants had negative HIV-DNA polymerase reaction test at 6 weeks of life. Despite a high LFU, a new vista has been opened to attaining a zero infection rate. Afr J Reprod Health 2013 (Special Edition); 17[4]: 130-137).

 

Keywords: HIV in pregnancy, PMTCT in primary health centre

 

Résumé

 

Le Nigeria intensifie la prévention de la transmission de la mère à l’enfant (PTME) des  interventions du VIH dans des centres de soins de santé primaire (CSSP). Cette étude rétrospective de la PTME était à deux CSSP dans le nord-ouest du Nigeria, ayant comme  le principal critère de jugement  le taux d'infection chez des nourrissons exposés à 6 semaines de vie. Sur 10 289 femmes qui avaient subi l’analyse prénatale pour détecter le VIH, 74 ont eu des résultats positifs. Cela a donné une prévalence de 0,7%. L'absorption des soins prénatals (99,8%) et (97,3%) des analyses des intra-partum étaient élevées dans les deux centres. 30% des mères infectées par le VIH et 25% des nourrissons exposés ont été perdus au suivi (LFU). La plupart des femmes (85,7 %) ont eu un traitement antirétroviral hautement actif (TARTHA) et l'accouchement vaginal (98%). Le taux de mortalité périnatale était de

66/1000 naissances et 95,3 % des nourrissons exposés avaient  subi l’analyse de réaction de polymérase ADN-VIH négatif à 6 semaines de vie. Malgré une forte LFU, une nouvelle perspective a été ouverte pour atteindre un taux d'infection zéro. Afr J Reprod Health 2013 (Edition Spéciale); 17[4]: 130-137).

 

Mots clés: VIH pendant la grossesse,  PTME dans les centres de santé primaire

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