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Abstract
Outcome of care in a MTCT-PLUS model of care in Uganda
Kabugo C.1, Buzaalirwa L.2, Okong P.3, Munduru B.1
Introduction: Globally efforts to reduce HIV transmission are tremendous, aiming at increasing access to prevention and care. Despite these efforts the disease burden remains high with UNAIDS reporting 4.3 million new infections in 2006, 65% occurring in sub-Saharan Africa.
The Uganda 2004/2005 national HIV/AIDS sero-behavioral survey showed 12% prevalence among women 30-34 years. This has implications for mother to child transmission of HIV.
By December 2005, only 15% of HIV infected pregnant women were identified of with 10% receiving the complete PMTCT package. Although access to care improved nationally, utilization of HIV services by males remains low. The "MTCT-Plus model" is one strategy to improve utilization of care, with an HIV positive woman as the entry point for the family.
Broad objective: To document key outcomes of MTCT Plus care programme in an urban setting in Uganda.
Specific objectives: To assess progress made in
A) Client retention within the program
B) prevention of transmission to newborn
C) Key clinical outcomes for clients
Methodology: Descriptive retrospective analysis of a cohort HIV positive mothers, spouses and children enrolled over a four year period.
Data analysis was done in Microsoft Excel 2003(2), and summarized as graphs.
Results:
[Figure 1: Annual client enrollment ]
Figure 1: client enrollment during 2003 and 2004 steadily increased, however from 2005 we observe a decline. Overall there are fewer males, with a stable enrollment rate.
[Figure 2: Pediatric HIV Test Results]
From figure 2, we observe negligible deaths among children. Over 2/3 of exposed children are HIV negative
[Figure 3: Retention within the program]
Figure 3: overall retention within the program is good. Total loss from the program is less than 15%
Conclusion: We observe the benefits of providing family-based care, like higher than national proportions of male involvement, return for follow-up and prevention of MTCT of HIV.
4th IAS Conference on HIV Pathogenesis, Treatment and Prevention
Abstract no.
TUPEC031
Suggested Citation
"KabugoC., et al.
Outcome of care in a MTCT-PLUS model of care in Uganda.
Poster exhibition:
4th IAS Conference on HIV Pathogenesis, Treatment and Prevention:
Abstract no.
TUPEC031"
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