Implementation of a programme for the prevention of mother-to-child transmission of HIV in a Ugandan hospital over five years: challenges, improvements and lessons learned

To identify factors that may limit acceptance of HIV testing and enrolment in the programmes for the prevention of mother-to-child-transmission of HIV, we retrospectively assessed the performance of the service at St Francis Hospital, Nsambya in Kampala. Over five years, a total of 26,556 pregnant w...

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Bibliographic Details
Published in:	International journal of STD & AIDS Vol. 18; no. 2; p. 109
Main Authors:	Magoni, M, Okong, P, Bassani, L, Kituka Namaganda, P, Onyango, S, Giuliano, M
Format:	Journal Article
Language:	English
Published:	England 01-02-2007
Subjects:	Adult AIDS Serodiagnosis Counseling Female HIV Infections - diagnosis HIV Infections - prevention & control HIV Infections - transmission Hospitals, Urban Humans Infant, Newborn Infectious Disease Transmission, Vertical - prevention & control Pregnancy Pregnancy Complications, Infectious - prevention & control Pregnancy Complications, Infectious - virology Program Development Program Evaluation Uganda Uganda
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Summary:	To identify factors that may limit acceptance of HIV testing and enrolment in the programmes for the prevention of mother-to-child-transmission of HIV, we retrospectively assessed the performance of the service at St Francis Hospital, Nsambya in Kampala. Over five years, a total of 26,556 pregnant women were offered voluntary counselling and confidential HIV testing and, if HIV positive, enrolment in the programme. Acceptance of the HIV test increased in the last two years (from 72.7% in 2001-2002 to 79.9% in 2003-2004). Enrolment in the programme increased over time and was greater among older (64% in women older than 30 years and 44.8% in those aged less than 20 years) and highly educated women. HIV prevalence was associated with age and inversely associated with the level of education. The need for specific personnel for counselling, male partners' involvement and availability of antiretroviral drugs for those who needed treatment were identified as factors possibly affecting implementation.
ISSN:	0956-4624
DOI:	10.1258/095646207779949736