Accelerating hiv prevention among women and children, case study at nyahururu hospital laikipia moh

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Accelerating HIV Prevention Among

Women And Children, Case

Study At Nyahururu Hospital

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• Nyahururu hospital is a tier 4 hospital in Laikipia

West sub county ,Laikipia County in Rift valley

• The hospital serves Laikipia Nyandarua and Nakuru

counties with a catchment population of 41,053

persons

• HIV counseling and testing services are fully offered

to mothers admitted in the maternity with no HIV test

done, due for a retest

INTRODUCTION

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• This also targets the spouses/partners of the index

client

• There is a good referral and linkage system between

the maternity and the PMTCT clinic in the facility

where the HIV positive clients and the HEI are

followed up

INTRODUCTION….

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www.chskenya.org BACKGROUND• Over 90% of pediatric HIV infections are from mother

to child transmission

• Transmission occurs during the ANC, labour and

delivery and during the breastfeeding period

• The WHO among many interventions to prevent

MTCT of HIV also recommend HIV retesting of

previous HIV negative pregnant women in the 3rd

trimester, during labour and delivery and the breast-

feeding period

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• This strategy is meant to pick out new HIV infections

that may have occurred which offers an opportunity to

provide life saving interventions through PMTCT for

mother and baby that is geared towards elimination of

mother to child transmission of HIV

BACKGROUND….

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METHODS AND MATERIALS• A retrospective review of health records was done on

MOH registers (405,406 and 333) and compared to

the reporting tools on the MOH (711 and 731) were

reviewed between June 2014 to May 2015

• The index client was a pregnant woman admitted in

the maternity during the review period

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• A Total of 3975 were admitted during June 2014 and

May 2015, 2506 clients were due for a HIV re-test

and were retested, 27 new HIV infections of which 24

were women and 3 partners were identified

• There was 100% referral and linkage to the PMTCT

clinic within the facility and interventions as per the

new guidelines were provided to the mothers,

partners and HIV exposed infants

FINDINGS

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• Testing of new mothers and re-testing during 3rd

trimester, labour and delivery and postnatal is

important in elimination of mother to child

transmission of HIV (eMTCT)

DISCUSSION

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• Institutions and stakeholders should maximize on

re-testing of pregnant and breast feeding clients as

an important strategy in elimination of mother to

child transmission

RECOMMENDATION

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• 27(1.08%) Tested HIV positive and were provided

with interventions and enrolled for further follow-up

• Discordant couples were also enrolled into care and

are on follow-up

• HIV positive Mothers, partners and HIV exposed

infants were linked and enrolled in the integrated

eMTCT clinic for the care and follow-up

CONCLUSION

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• Laikipia County -HMT

• Laikipia West Sub-county- HMT

• Nyahururu Hospital- HMT

• Nyahururu Hospital Maternity and MCH staff

• Centre for Health Solutions-Kenya(CHS)

• All co-authors

ACKNOWLEDGEMENT

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12

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Thank you!Centre for Health Solutions –

Kenya

@chskenya

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