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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Integrating prevention of mother-to-child HIV transmission into routine antenatal care: The key to program expansion in Cameroon
Journal of Acquired Immune Deficiency Syndromes, Volume 40, No. 4, Year 2005
Notification
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Description
Summary: With funds from Elizabeth Glaser Pediatric AIDS Foundation, the Cameroon Baptist Convention Health Board implemented a program to prevent mother-to-child transmission of HTV-1 (PMTCT) as part of its routine antenatal care, with single-dose maternal and infant peripartum nevirapine (NVP) prophylaxis of HIV-positive mothers and their babies. Nurses, midwives, nurse aides, and trained birth attendants counseled pregnant women, obtained risk factor data, and offered free HIV testing with same-day results. From February 2000 through December 2004, this program rapidly expanded to 115 facilities in 6 of Cameroon's 10 provinces, not only to large hospitals but to remote health centers staffed by trained birth attendants. We trained 690 health workers in PMTCT and counseled 68,635 women, 91.9% of whom accepted HIV testing. Of 63,094 women tested, 8.7% were HIV-1-positive. Independent risk factors for HIV-1 infection included young age at first sexual intercourse, multiple sex partners, and positive syphilis serology (P < 0.001 for each). We counseled 98.7% of positive and negative mothers on a posttest basis. Of 5550 HIV-positive mothers, we counseled 5433 (97.9%) on single-dose NVP prophylaxis. Consistent training and programmatic support contributed to rapid upscaling and high uptake and counseling rates. Copyright © 2005 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Welty, Thomas K.
United States, Flagstaff
Cameroon Baptist Convention Health Board
Bulterys, Marc G.
United States, Atlanta
National Center for Hiv, Viral Hepatitis, Std, and tb Prevention
Zambia, Lusaka
Cdc Global Aids Program
Welty, Edith R.
Unknown Affiliation
Tih, Pius Muffih
Unknown Affiliation
Ndikintum, George
Unknown Affiliation
Nkuoh, Godlove N.
Unknown Affiliation
Nkfusai, Joseph F.
Unknown Affiliation
Kayita, Janet
United States, Durham
Fhi 360
N’kengasong, John Nkemngong
United States, Atlanta
National Center for Hiv, Viral Hepatitis, Std, and tb Prevention
Cote D'ivoire, Abidjan
Project Retro-ci Abidjan
Wilfert, Catherine M.
United States, Washington, D.c.
Elizabeth Glaser Pediatric Aids Foundation
Statistics
Citations: 81
Authors: 10
Affiliations: 6
Identifiers
Doi:
10.1097/01.qai.0000163196.36199.89
ISSN:
15254135
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Locations
Cameroon
Participants Gender
Female