| dc.contributor |
Epicentre, Paris, France; Medecins Sans Frontieres, Kampala, Uganda; Arua Regional District Hospital, Ministry of Health, Arua, Uganda; Medecins Sans Frontieres, Paris, France |
|
| dc.creator |
Ahoua, Laurence |
|
| dc.creator |
Ayikoru, Harriet |
|
| dc.creator |
Gnauck, Katherine |
|
| dc.creator |
Odaru, Grace |
|
| dc.creator |
Odar, Emmanuel |
|
| dc.creator |
Ondoa-Onama, Christine |
|
| dc.creator |
Pinoges, Loretxu |
|
| dc.creator |
Balkan, Suna |
|
| dc.creator |
Olson, David |
|
| dc.creator |
Pujades-Rodríguez, Mar |
|
| dc.date |
2010-07-13 |
|
| dc.date.accessioned |
2017-01-31T07:25:54Z |
|
| dc.date.available |
2017-01-31T07:25:54Z |
|
| dc.identifier |
J. Trop. Pediatr. 2010;56(1):43-52 |
|
| dc.identifier |
1465-3664 |
|
| dc.identifier |
19602489 |
|
| dc.identifier |
10.1093/tropej/fmp054 |
|
| dc.identifier |
http://hdl.handle.net/10144/120332 |
|
| dc.identifier |
http://fieldresearch.msf.org/msf/handle/10144/120332 |
|
| dc.identifier |
Journal of tropical pediatrics |
|
| dc.identifier.uri |
http://dspace.mediu.edu.my:8181/xmlui/handle/10144/120332 |
|
| dc.description |
Prevention of mother-to-child transmission (PMTCT) is essential in HIV/AIDS control. We analysed 2000-05 data from mother-infant pairs in our PMTCT programme in rural Uganda, examining programme utilization and outcomes, HIV transmission rates and predictors of death or loss to follow-up (LFU). Out of 19,017 women, 1,037 (5.5%) attending antenatal care services tested HIV positive. Of these, 517 (50%) enrolled in the PMTCT programme and gave birth to 567 infants. Before tracing, 303 (53%) mother-infant pairs were LFU. Reasons for dropout were infant death and lack of understanding of importance of follow-up. Risk of death or LFU was higher among infants with no or incomplete intrapartum prophylaxis (OR = 1.90, 95% CI 1.07-3.36) and of weaning age <6 months (OR 2.55, 95% CI 1.42-4.58), and lower in infants with diagnosed acute illness (OR 0.30, 95% CI 0.16-0.55). Mother-to-child HIV cumulative transmission rate was 8.3%, and 15.5% when HIV-related deaths were considered. Improved tracking of HIV-exposed infants is needed in PMTCT programmes where access to early infant diagnosis is still limited. |
|
| dc.language |
en |
|
| dc.relation |
http://www.ncbi.nlm.nih.gov/pubmed |
|
| dc.rights |
Published by Oxford University Press
Archived on this site with kind permission from Oxford University Press |
|
| dc.title |
Evaluation of a 5-year programme to prevent mother-to-child transmission of HIV infection in Northern Uganda |
|
| dc.type |
Article |
|