To be presented at the 5 th International Workshop on HIV Transmission Evaluation of the Early Infant Diagnosis (EID) protocol in the Prevention of Mother to Child Transmission (PMTCT) program in a resource-limited setting in Rwanda Ali Kwizera 1 , Theogene Habiyambere 1 , Jean Claude Uwimbabazi 2 ,Louiselle LeBlanc, MD 1 ,Cyprien Baribwira, MD 1 : 1. University of Maryland School of Medicine, Institute of Human Virology, AIDSRelief Rwanda, 2. National Reference Laboratory-Kigali Rwanda THE 5 th HIV Transmission Workshop, Vienna Austria
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To be presented at the 5th International Workshop on HIV Transmission
Evaluation of the Early Infant Diagnosis (EID) protocol in the Prevention of Mother to Child Transmission (PMTCT)
program in a resource-limited setting in Rwanda
Ali Kwizera1, Theogene Habiyambere1, Jean Claude Uwimbabazi2,Louiselle LeBlanc, MD1,Cyprien Baribwira, MD1: 1. University of Maryland School of Medicine, Institute of Human Virology, AIDSRelief Rwanda, 2. National Reference Laboratory-Kigali Rwanda
THE 5th HIV Transmission Workshop, Vienna Austria
To be presented at the 5th International Workshop on HIV Transmission
AIDSRelief - Rwanda
PEPFAR-funded implementing partner in Rwanda since 2004
Adult and Pediatric HIV and OI Care and Treatment
Prevention and PMTCT with community component
Laboratory Support: Emphasis on simple laboratory techniques to improve care and reduce mortality
Supporting 19 health facilities in Nyamasheke District and 1 health facility in Burera District
To be presented at the 5th International Workshop on HIV Transmission
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PROVINCE DE L'EST
PROVINCE DU SUD
PROVINCE DE L'OUEST
PROVINCE DU NORD
VILLE DE KIGALI
KAYONZA
GATSIBO
KIREHE
NYAGATARE
RUSIZI
RUTSIRO
BUGESERA
NGOMA
KARONGI
HUYE
GICUMBI
NYAMAGABE
NYAMASHEKENYANZA
NYARUGURU
BURERA
GAKENKE
KAMONYI
GISAGARA
MUHANGA
RULINDO
RUHANGO
NYABIHU
MUSANZE
RWAMAGANA
NGORORERO GASABO
RUBAVU
KICUKIRONYARUGENGE
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Légende" Bureau de la Province
Limite de la région et la Ville de KigaliLimite de DistrictParcLac
PROVINCE DE L'ESTPROVINCE DE L'OUESTPROVINCE DU NORDPROVINCE DU SUDVILLE DE KIGALI
Sample Collection, not yet 100% still needs improvement
Transport systems necessitating the need to follow-up all collected DBS samples to NRL to minimize the turnaround time
To be presented at the 5th International Workshop on HIV Transmission
Interventions and solutions
Coverage, follow-up and testing of all infants still not 100%
Possibility of home-testing/ in immunization setting
Education with community workers
Peri-natal education at health center
Relatively long turnaround time
Advocate for Increased number of tests done
Work more closely with the Rwanda National Reference lab
Adopting the new NRL strategy for DBS/PCR HAART coverage:
Education on pediatric HIV
To be presented at the 5th International Workshop on HIV Transmission
Conclusions
Implementation and monitoring of pre/peri-natal prevention programs must remain a priority to eliminate mother-to- child transmission, which remains unacceptably high in non-HAART PMTCT
Efforts must be focused on ensuring timely diagnosis to provide treatment early and reduce mortality
The 6 week turn around reinforces the need for laboratory quality systems improvements
To be presented at the 5th International Workshop on HIV Transmission