An effective prevention of mother to child transmissions pmtct programme requires mothers and their babies to. The rri was conducted between april and june 2011 at 119 health facilities in five districts in nyanza province, kenya. Integrated prevention of mothertochild transmission of. The nihpepfar pmtct implementation science alliance aims to support effective implementation of evidencebased interventions to prevent mothertochildtransmission of hiv pmtct. Experiences from implementing quality improvement in kenya july 2017 this guidance product was prepared by university research co. Ongoing challenges in providing pmtct in kenya and malawi. Despite expansive scaleup of prevention of mothertochild transmission pmtct of hiv services in kenya over the last decade, kenya remains one of the countries contributing to high numbers of children living with hiv globally and is among the 22 pmtct global plan priority countries. Acknowledgement goes to members of the pmtct policy advisory group for their valuable input and comments.
The alliance is funded by ogac and led by the center for global health studies cghs at fogarty, and nihs national institute of child health and human development nichd. Prevention of mother to child transmission pmtct western. Therefore, the national pmtct program priority strategy works in collaboration with family health departments at. Ministry of public health and sanitation, kenya po box 1936100200 nairobi, kenya tel. Government has committed itself to announcing a new protocol for the prevention of mother to child transmission pmtct programme within the next two weeks. Factors influencing access and utilization of prevention of mother to child transmission pmtct of hiv services in sudan almutaz k. Sep 28, 2017 improving pmtct in kenya resource september 28, 2017 in 20, the usaid applying science to strengthen and improve systems assist project supported the national aids and sti control program nascop to launch the partnership for hiv free survival phfs initiative in kenya to apply quality improvement qi to drive the national elimination of. Guidelines for prevention of mother to child transmission pmtct of hivaids in kenya7 acknowledgements t he fourth edition of guidelines for prevention of mothertochild transmission of hiv aids in kenya is a result of efforts of many individuals and organizations in the country. The alliance is funded by ogac and led by the center for global health studies cghs at fogarty, and nihs national institute of child health and human development. However, despite some gains in the prevention of mothertochild transmission of hiv pmtct in subsaharan africa, mothertochild transmission rates are still high. Strengthening the integration of pmtct within mnch services. Progress in reducing mothertochild transmission of hiv has been dramatic since the introduction in 2011 of the global plan towards the elimination of new hiv. The study evaluated the availability of pmtct service, availability and adequacy of qualified service providers and materials, the level of utilization of pmtct services and factors that influenced the utilization of pmtct service. Many hivpositive pregnant women and infants are still not receiving optimal services, preventing the goal of eliminating mothertochild transmission mtct and improving maternal child health overall.
The prevention of mothertochild transmission pmtct of hiv has played an important role in this campaign and in ensuring increased maternal and child survival. Pmtct technical advisor centre for health solutions kenya. Nairobi, kenya see all 2 jobs in nairobi, kenya application. For the first time, the elimination of mothertochild transmission of hiv is considered a realistic public health goal and an important part of the campaign to achieve the united nations millennium development goals mdgs 4, 5 and 6. Prevention of mothertochild transmission of hiv in kenya.
May 12, 2014 the prevention of mothertochild transmission of human immunodeficiency virus hiv is lauded as one of the more successful hiv prevention measures. National pmtct program annual report 2012 page 5 executive summary the government of swaziland has given high priority to the prevention of mothertochild transmission of hiv pmtct and according to the latest data, significant progress has been made in delivering pmtct services in swaziland. Wcp 20 pmtct clinical guidelines update final readonly. Using structured and in depth interviews this study examined enabling factors that enhance utilization of and. Improving pmtct in kenya resource september 28, 2017 in 20, the usaid applying science to strengthen and improve systems assist project supported the national aids and sti control program nascop to launch the partnership for hiv free survival phfs initiative in kenya to apply quality improvement qi to drive the national elimination of. According to unaids estimates, more than 90 percent of children who acquire the virus through mothertochild transmission, do so. Technical capacity assessment prevention of mother to. Pmtct guidelines is intended as a handson tool providing guidance for individuals working on pmtct in different sectors public, private or ngo on how to provide standardized and highquality services. High pmtct program uptake and coverage of mothers, their. According to the 2003 national hiv surveillance report, hiv prevalence among adults aged 1549 years stood at 9.
Pmtct the cidrz pmtct programme supporting the government of the republic of zambia aims to eliminate paediatric hiv through the provision of familycentered, comprehensive and integrated quality safe motherhood services. To view adobe pdf files, download current, free accessible plugins from adobes website. Barriers to uptake and effective integration of pmtct into. Guidelines for prevention of mother to child transmission. Communitybased activities complement pmtct programs in kenya. The programs have been effective but hindered by high dropout rates of mothers due to stigma associated with comprehensive care clinic ccc 3. Strategic challenges of pmtct program implementation in ethiopia article pdf available in journal of the international association of physicians in aids care jiapac 103. In kenya, mothertochild transmission is considered one of the greatest health challenges and scaling up pmtct services is crucial to its elimination by 2015.
The western cape pmtct clinical guidelines update was adapted from the sa national pmtct guidelines dated march 20. The prevention of mothertochild transmission pmtct of hiv has played an important role in this campaign and in ensuring increased. Review of implementation plans showed that countries chose. Barriers to prevention of mothertochild transmission of hiv services in uganda article pdf available in journal of biosocial science 422. Kenya began implementing pmtct programmes as standalone programs in 2002 and has committed itself to elimination of mothertochild hiv transmission by 2015. Process documentation and monitoring outputs, has been prepared and submitted in fulfillment of the requirements of the maksphcdc fellowship program and has not been submitted for any academic qualifications. A rapid results initiative rri approach was utilized to address key challenges in delivery of prevention of mtct pmtct services including highly active antiretroviral therapy haart. Barriers to uptake and effective integration of pmtct into srh services in selected health facilities in nairobi county, kenya. Mothertochild transmission mtct is by far the largest source of hiv infection in children below the age of 15 years. The prevention of mothertochild transmission of human immunodeficiency virus hiv is lauded as one of the more successful hiv prevention measures. A good ghe session will provide enough time to answer any questions the clients may have, provide answers to questions and clarify any information if necessary.
National consolidated guidelines for the prevention of. Prevention of mothertochild transmission pmtct programmes o. Continue reading for an overview of the pmtct approach and world visions integrated communitypmtct c pmtct approach, then download key resources for indepth detail and support. This is an interactive forum for healthcare workers, policymakers and other stakeholders involved in pmtct activities in tanzania for sharing their. May 12, 2014 however, despite some gains in the prevention of mothertochild transmission of hiv pmtct in subsaharan africa, mothertochild transmission rates are still high. The study was to evaluate the pmtct of hiv and aids programme in umuahia hospitals. The pmtct and infant feeding guidelines were developed in coordination with the new who guidelines on adult and adolescent art and paediatric art.
World sees hope in ending mothertochild hiv transmissions video voice of america, july 20, 2016. Utilization of prevention of hiv transmission from mother to. Utilization of prevention of hiv transmission from mother to child services in kenyas pastoralist communities of northern kenya christine o. Pmtct centre for infectious disease research in zambia. Pmtct technical advisor 08chspmtct2018 pmtct technical advisor 08chspmtct2018 centre for health solutions kenya chs is an indigenous, notforprofit organisation that utilises local expertise and strategic partnerships to ensure the implementation of evidenceinformed solutions and interventions to existing and emerging.
Progress in reducing mothertochild transmission of hiv has been dramatic since the introduction in 2011 of the global plan towards the. In kenya, the burden of hivaids continues to increase and requires urgent and welltargeted multisectoral approach. In kenya, fear of disclosure and stigma prevent many women from following recommended practices, and a lack of resources and motivation limit womens abilities to access available pmtct services. Utilization of prevention of hiv transmission from mother.
Disease transmission, vertical prevention and control. Ndonga e, nganga z, muniu e, karama m, matu m 2014 barriers to uptake and effective integration of pmtct into srh services in. Prevention of mothertochild transmission pmtct of hiv. Introducing an integrated supervision tool and standardsbased quality improvement approach to improve the quality of integrated service pmtct environment prior to 2004, pmtct was not integrated into fanc services in kenya. Home pmtct technical advisor 08chspmtct2018 pmtct technical advisor 08chspmtct2018 centre for health solutions kenya chs is an indigenous, notforprofit organisation that utilises local expertise and strategic partnerships to ensure the implementation of evidenceinformed solutions and interventions to existing and emerging. Access the full june 30, 2016 news release nihled effort uses implementation science approaches to reduce mothertochild hiv transmission from nih. Towards elimination of mothertochild transmission of hiv. Particular attention should be paid to the interaction between antiretroviral and antituberculosis drugs 4. Since the national pmtct program began in 2002, more. I declare that factors influencing the utilisation of pmtct services in the federal capital territory of nigeria is my work and that all the sources used or quoted have been indicated and acknowledged. Zambia consolidated guidelines for treatment and prevention of hiv infection. Using structured and indepth interviews this study examined enabling factors that. In collaboration with the project team and stakeholders, provide technical leadership and management of afya. The guideline therefore, promotes the integration of pmtct with maternal, newborn and child health provision of, art, family planning, sti and tb services.
Pmtct prevention of mothertochild transmission rthb roadtohealth booklet tb tuberculosis tbm tb meningitis tdf tenofovir vl viral load. Dots directly observed therapy, short course pmtct prevention of mothertochild transmission of hiv efv efavirenz pnc postnatal care. This is an interactive forum for healthcare workers, policymakers and other stakeholders involved in. This policy document seeks to provide continued guidance towards successful reduction of mother to child transmission. Improving prevention of mother to child transmission of hiv care. It is of paramount importance to note that pmtct has the potential to be the engine for strengthening delivery of comprehensive, integrated health care. Our findings of high coverage of pmtct services are in line with findings from kenya where 92% of the women attending anc tested and 90% received prophylaxis. In 2004, pmtct was integrated into anc and scaled up to over half of kenyas facilities by 2007. Okech phd united states international university, africa nairobi, kenya abstract in many world economies including kenya, hivaids is considered as one of the leading cause of deaths. Further, i duly proclaim this work has not bee n submitted before for any degree elsewhere. Hiv testing algorithm for rapid testing in adults and children over 18 months 22 figure 8.
Anc hiv prevalence by regional variation 5 table 2. Republic of zambia ministry of health directorate of clinical care and diagnostic services 2016. Elimination of mothertochild transmission unicef data. Improving prevention of mother to child transmission of hiv. High pmtct program uptake and coverage of mothers, their par. This brief presents the results, examining alternative implementation scenarios in kenya over the period 20122016 and comparing infections averted and total cost. Guidelines for prevention of mothertochild transmission of. Antiretroviral drugs for treating pregnant women and preventing hiv infections in infants. Pdf strategic challenges of pmtct program implementation. Number of sites providing pmtct from 2003 2010 17 figure 6. In kenya, mothertochild transmission is considered one of the greatest health. Improving prevention of mother to child transmission of. Nihpepfar pmtct implementation science alliance fogarty.
Ongoing systemic issues are affecting the implementation of the 2010 world health organisation who guidelines on prevention of mothertochild transmission pmtct programmes in kenya, according to a study presented at the 17th international conference on aids and stis in africa icasa, held in cape town, south africa, from 7 to 11 december 20. Mothertochild transmission of hiv is the most common way young children contract the virus and happens when hiv is passed from a mother to her unborn baby during pregnancy, birth or breastfeeding. Idris sudan 48th international course in health development september 19, 2011 september 7, 2012 kit royal tropical institute development policy and practice vrije universiteit amsterdam. Viral load monitoring and management during antenatal and postnatal care algorithm developed by drs g. A rapid results initiative rri approach was utilized to address key challenges in delivery of prevention of mtct pmtct services including highly active antiretroviral therapy haart uptake for women and infants. The south african pmtct programme, conceptualized in 2000, has been implemented at pilot sites since 2001, and nationally since 2002. The guidelines are also meant for programme managers and health care providers to ensure quality services across.
Guidelines for prevention of mothertochild transmission. Technical capacity assessment prevention of mother to child. This is an update of the national pmtct policy and guideline. Using implementation science to reduce mothertochild. Pmtct centers in nairobi chandaria next to kikuyundonyo junction p. The technical working group on pmtct led these efforts. New guidance on prevention of mothertochild transmission. With continued efforts to reach women with pmtct services, and renewed commitment to addressing loss to followup of children, kenya can meet its national targets for pmtct. Title page evaluation of prevention of mother to child.