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


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




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

Full Text:



Nigerian Federal Ministry of Health. 2010 National HIV sero-prevalence sentinels survey. Abuja, Nigeria.

United Nations General Assembly Special Session (UNGASS) Country progress report Nigeria. Reporting period: January 2008 to December 2009. Available at: analysis/ monitoring country progress. (Accessed January 13, 2012).

Federal government of Nigeria. National policy on HIV/AIDS. October 2009

Public Health at a Glance. Preventing HIV infections in infants and young children. November, 2003.

Available at: EXTERNAL/TOPICS (Accessed January 13, 2012).

Fact Sheet: PMTCT in Nigeria 2011. Last updated 16 March, 2011.Available at: index2.php?option=com_content&do_pdf . (Accessed 13 January 2012).

National Population Commission (NPC) [Nigeria] and ICF Macro. 2009. Nigeria Demographic and Health Survey 2008. Abuja, Nigeria: National Population Commission and ICF Mac

Ekanem EE, Gbadegesin A. Voluntary counselling and testing (VCT) for HIV: a study on acceptability by Nigerian women attending antenatal clinics. Afri J Reprod Health.2004;8(2):91-100.

Bello FA, Ogunbode OO, Adesina OA, Olayemi O, Awonuga OM, Adewole I. Acceptability of counselling and testing of HIV infection in women in labour at the University College Hospital Ibadan. Afr Health Sci. 2011;11(1):30-5.

Guidance of Global scale up of the prevention of mother to child transmission of HIV: towards universal access for women, infants and young children and eliminating HIV and AIDS among children. Switzerland, WHO, 2007. pub/guidelines/pmtct_scaleup2007/en/ (Accessed January 17,2012).

Bancheno WM, Mwanyumba F, Mareverwa J.Outcomes and challenges of scaling up comprehensive PMTCT services in rural Swaziland, Southern Africa. AIDS Care.2010;22(9):1130-5.

Manzi M, Zachariah R, Teck R, Buhendwa L, Kazima J, Bakali E, Firmenich P, Humblet P.High acceptability of voluntary counselling and HIV-testing but unacceptable loss to follow up in a prevention of mother-to-child HIV transmission programme in rural Malawi: scaling-up requires a different way of acting. Trop Med Int Health. 2005;10(12):1242-50

Homsy J, Kalamya JN, Obonyo J, Ojwang J, Mugumya R, Opio C, Mermin J. Routine intrapartum HIV counseling and testing for prevention of mother-tochild transmission of HIV in a rural Ugandan hospital. J Acquir Immune Defic Syndr. 2006;42(2):149-54.

National PMTCT and infant feeding revised guidelines. Federal Ministry of Health Abuja Nigeria.2010.

Bwirre LD, Fitzgerald M, Zachariah R, Chikafa V, Massaquoi M, Moens M, Kamoto K, Schouten EJ. Reasons for loss to follow up among mothers registered in a prevention of mother to child transmission program in rural Malawi. Trans R Soc Trop Med Hyg. 2008 102(12):1195 – 200.

Grimwood A, Fatti G, Mothibi E, Eley B, Jackson D. Progress of preventing mother-to-child transmission of HIV at primary healthcare facilities and district hospitals in three South African provinces. S Afr Med J. 2012;102(2):81-3.


  • There are currently no refbacks.