Oladokun R E, Awolude O, Brown B J, Adesina O, Oladokun A, Roberts A, Odaibo G, Osinusi K, Olaleye D, Adewole I F, Kanki P
Department of Paediatrics/APIN-PLUS, University College Hospital, Ibadan, Nigeria. ginaoladokun@yahoo
Afr J Med Med Sci. 2010 Jun;39(2):81-7.
The Prevention of Mother to Child Transmission (PMTCT) programme in the University College Hospital (UCH), Ibadan has been in existence for more than five years and has scaled up to other sites. The study evaluated the service uptake and performance of the programme using national key indicators. Antenatal and delivery records of women enrolled between July 2002 and June 2007 were reviewed. A total of 51952 women attended first antenatal visits and received HIV pre-test counselling. Of these, 51614 (99.5%) accepted HIV test and 49134 (95.2%) returned for their results. Out of the tested patients, 2152 (4.2%) were identified to be HIV positive. Partners of positive patients accepting HIV testing were 361 (16.7%) with 87 (18.6%) testing positive. There were a total of 942 deliveries out of which 39.2% of the mothers and 95.2% of the babies respectively received ARV prophylaxis. In all, 85.8% (788/918) of the mothers opted for formula as the method of infant feeding. Out of the 303 babies eligible for ELISA testing, 68.3% reported for the test and 17 (8.7%) tested positive. There has been progress in the programme, reflected in the increase in the number of new clients accessing the PMTCT service. However, partner testing and follow up of mother-infant pairs remain formidable challenges that deserve special attention.
伊巴丹大学学院医院的预防母婴传播（PMTCT）项目已实施五年多，并已扩展到其他地点。该研究使用国家关键指标评估了该项目的服务利用情况和绩效。回顾了2002年7月至2007年6月期间登记的妇女的产前和分娩记录。共有51952名妇女进行了首次产前检查并接受了HIV检测前咨询。其中，51614名（99.5%）接受了HIV检测，49134名（95.2%）返回获取检测结果。在接受检测的患者中，2152名（4.2%）被确定为HIV阳性。接受HIV检测的阳性患者的伴侣有361名（16.7%），其中87名（18.6%）检测呈阳性。共有942例分娩，其中分别有39.2%的母亲和95.2%的婴儿接受了抗逆转录病毒药物预防。总体而言，85.8%（788/918）的母亲选择配方奶作为婴儿喂养方式。在303名符合ELISA检测条件的婴儿中，68.3%前来接受检测，17名（8.7%）检测呈阳性。该项目取得了进展，体现在获得预防母婴传播服务的新客户数量增加。然而，伴侣检测以及母婴对的随访仍然是严峻的挑战，值得特别关注。
