Evaluation of the prevention of mother-to-child transmission programme at a primary health care centre in South Africa
South African Family Practice
| Field | Value | |
| Title | Evaluation of the prevention of mother-to-child transmission programme at a primary health care centre in South Africa | |
| Creator | Akinsanya, Olusegun Solomon Wiseman-Firtell, Jill Akpomiemie, Goodman Adeniyi, Oladele Vincent Kaswa, Ramprakash | |
| Description |
Aim: To evaluate the effectiveness of the prevention of mother-to-child transmission (PMTCT) of the HIV programme at Levai Mbatha Community Health Centre (CHC), Evaton, South Africa. Methods: A retrospective analysis of HIV-infected mother–infant pairs was conducted between 1 August 2009 and 31 July 2010. The infants’ HIV status was determined using HIV-specific qualitative DNA polymerase chain reaction (PCR). Demographic characteristics, mode of mother to child transmission (MTCT), choice of infant feeding, mode of delivery and CD4 count were included. Results: Of the 206 mothers, 10 infants had positive DNA PCR results at 6 weeks. The MTCT rate was 4.9%. The mean age of HIV-infected mothers was 28 years (SD 5.7, range 16–42 years). Overall, 74.2% (152) of HIV-positive mothers received dual therapy and 28.8% (53) were on HAART alone. Mothers with CD4 count < 200cells/μl (OR = 0.09 [CI, 0.01–0.75]; p = 0.026) and lack of prophylaxis during labour (OR = 9.50 [CI, 1.59–56.66]; p = 0.013) were identified as significant risk factors associated with MTCT. Conclusions: The PMTCT programme at Levai Mbatha CHC is effective in reducing the MTCT of HIV. Lack of ART prophylaxis and low CD4 count were the significant determinants of MTCT in the study. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2017; DOI: 10.1080/20786190.2016.1254933 |
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| Publisher | AOSIS | |
| Date | 2017-05-10 | |
| Identifier | 10.4102/safp.v59i2.4546 | |
| Source | South African Family Practice; Vol 59, No 2 (2017): March/April; 31 2078-6204 2078-6190 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://safpj.co.za/index.php/safpj/article/view/4546/5545
https://safpj.co.za/index.php/safpj/article/downloadSuppFile/4546/1514
https://safpj.co.za/index.php/safpj/article/downloadSuppFile/4546/1515
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