柬埔寨班迭棉吉省预防母婴传播艾滋病毒服务评估
Assessment of Prevention of Mother-to-Child Transmission HIV Services in the Bantey Meanchey Province in Cambodia.
作者信息
Sau Mealiny Sokun, Balamane Maya, Lurie Mark, Harwell Joseph, Welle Emily, Mean Chhivun, Cu-Uvin Susan
机构信息
National Center for HIV/AIDS Dermatology and STDs, Phnom Penh, Cambodia.
School of Public Health, Brown University, Providence, RI, USA
出版信息
J Int Assoc Provid AIDS Care. 2016 Jul;15(4):345-9. doi: 10.1177/2325957415599208. Epub 2015 Sep 3.
BACKGROUND
Elimination of pediatric HIV requires a robust program for the prevention of mother-to-child transmission (PMTCT). The goal of this study was to assess the implementation of these services in Cambodia.
METHODS
This prospective study was conducted in Bantey Meanchey at 2 sites. Staff reviewed daily clinic and laboratory registration logs to gather data on PMTCT service access among antenatal women.
RESULTS
A total of 12 140 pregnant women received antenatal care. Only 4034 (33.2%) received pre-HIV test counseling. Of which 3407 (84.5%) received an HIV test. Eighteen (94.7%) of 19 women testing HIV-seropositive received triple-combination antiretroviral (ARV) medication. Fifteen HIV-exposed infants were delivered during the study. One infant tested HIV positive and is on ARV medication.
CONCLUSION
Acceptance for HIV testing was high among women who received pretest counseling. An increase in the number of counselors may improve the rates of HIV testing. Follow-up mechanisms targeting mother-baby pairs should focus on increasing timely service uptake in the public sector.
背景
消除儿童艾滋病需要一个强有力的预防母婴传播（PMTCT）项目。本研究的目的是评估柬埔寨这些服务的实施情况。
方法
这项前瞻性研究在班迭棉吉的2个地点进行。工作人员查阅每日诊所和实验室登记日志，以收集关于产前妇女获得PMTCT服务的数据。
结果
共有12140名孕妇接受了产前护理。只有4034名（33.2%）接受了HIV检测前咨询。其中3407名（84.5%）接受了HIV检测。19名HIV血清学阳性女性中有18名（94.7%）接受了三联抗逆转录病毒（ARV）药物治疗。研究期间有15名暴露于HIV的婴儿出生。1名婴儿HIV检测呈阳性，正在接受ARV药物治疗。
结论
接受检测前咨询的女性中对HIV检测的接受度较高。增加咨询人员数量可能会提高HIV检测率。针对母婴对的随访机制应侧重于提高公共部门及时接受服务的比例。
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