Efeutmecheh Sangong Rose, Tiotsia Tsapi Armand, Djeunang Dongho Ghyslaine Bruna, Fokam Joseph, Azeufack Ngueko Yannick, Bell Pallawo Isidore, Zogning Makemjio Eméline, Jagni Semengue Ezéchiel Ngoufack, Bouting Mayaka Georges, Azetsop Jacquineau, Ercoli Lucia, Colizzi Vittorio, Panà Augusto, Russo Gianluca, Sanou Sobze Martin
Department of Biomedical Sciences, Faculty of Science, University of Dschang, PO Box 67 Dschang, Cameroon.
Department of Infectious Disease and Public Health, "Sapienza" University of Rome, Italy.
Ig Sanita Pubbl. 2018 Jul-Aug;74(4):337-347.
High rates of lost to follow-up (LTFU) in the Prevention of Mother-To-Child Transmission of HIV (PMTCT) programs in Cameroon will only contribute in hindering the successful implementation of the program. The objective of this study was to determine the reasons of LTFU of mother-child pairs enrolled in the PMTCT program in Dschang District Hospital (DDH): Cameroon. Methods: A retrospective cohort study was carried out in HIV+ exposed children delivered in the DDH from1st Jan 2012 - 31st Dec 2014, who were greater than or equal to 18 months at the study period (1st August - 30th September 2016) and whose mothers were enrolled in the PMTCT program for at least 3 months. Children were considered LTFU if they did not return to the hospital for the establishment of their HIV status at 18 months. A complementary cross-sectional study was done whereby a structured questionnaire was administered to the LTFU group via telephone calls, in order to determine the causes of LTFU. Data was collected from hospital registers and analyses done using Epi info 7.1.3.3 software. Results: A total of 141 mother-child pairs were eligible for the study, 76 were reachable via phone calls and 36 (47.37%) met the case definition of LTFU. Out of the 36 (47.37%) children LTFU, lack of information, 19(65.52%); lack of support from male partners, 4(11.11%); Poor behavior of health personnel, 2 (5.56%); forgetfulness, negligence/time wasting, unavailability of results, fear of child being infected, and family problems were all listed at equal proportions of, 3(6.90%) as well as financial problem, 1 (2.78%) were all causes of LTFU identified in this study.
喀麦隆预防母婴传播艾滋病毒（PMTCT）项目中高失访率只会阻碍该项目的成功实施。本研究的目的是确定喀麦隆恩冈代雷区医院（DDH）参加PMTCT项目的母婴对失访的原因。方法：对2012年1月1日至2014年12月31日在DDH出生的艾滋病毒暴露儿童进行回顾性队列研究，这些儿童在研究期间（2016年8月1日至9月30日）年龄大于或等于18个月，其母亲参加PMTCT项目至少3个月。如果儿童在18个月时未返回医院确定其艾滋病毒感染状况，则被视为失访。开展了一项补充横断面研究，通过电话向失访组发放结构化问卷，以确定失访原因。数据从医院登记册收集，并使用Epi info 7.1.3.3软件进行分析。结果：共有141对母婴符合研究条件，76对可通过电话联系上，36对（47.37%）符合失访的病例定义。在36例（47.37%）失访儿童中，信息缺乏占19例（65.52%）；男性伴侣缺乏支持占4例（11.11%）；卫生人员行为不当占2例（5.56%）；遗忘、疏忽/浪费时间、结果未可得、担心孩子被感染以及家庭问题均占3例（6.90%）；经济问题占1例（2.78%），这些都是本研究中确定的失访原因。
