National Agency for the Control of AIDS, Nigeria

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Presentation transcript:

National Agency for the Control of AIDS, Nigeria CONTRIBUTION OF PRIMARY HEALTHCARE CENTRES TO PMTCT COVERAGE IN NIGERIA Babayemi Olakunde, Tolulope Oladele, Kenneth Alau, Matthias Alagi, Sabastine Wakdok, Ibrahim Mamadu National Agency for the Control of AIDS, Nigeria

BACKGROUND Prevention of mother-to-child transmission of HIV (PMTCT) commenced 2002 in Nigeria PMTCT services decentralized to primary healthcare centres (PHCs) in 2010 as an implementation strategy to improve PMTCT coverage Activated PHCs provide antiretroviral (ARV) prophylaxis to HIV positive pregnant women as well as early infant diagnosis(EID) services for HIV exposed infants PHCs are also involved in community outreaches to increase uptake of PMTCT

BACKGROUND (2) Underutilization of primary healthcare services Loss of public confidence in PHCs Study objective: To review the performance of the PHCs in PMTCT service delivery

METHODOLOGY A retrospective review of service data One year data was reviewed (January-December 2014) Limited to Global Fund (GF) supported public health facilities Key indicators along the PMTCT cascade were assessed

RESULT 986 public health facilities provided PMTCT services 75% (744) of these were PHCs 1,233,149 pregnant women counselled, tested, and received result 53% (658,160) were in PHCs 10,070 women tested positive 40% (4,034) of these women were those tested in PHCs 0.6% positivity rate

RESULT (2) 93% (3,752) of those women found positive in PHCs received ARV prophylaxis 36% of all positives who received ARV prophylaxis were from PHCs 15% (568) of women who received ARV prophylaxis in PHCs delivered there 23% of all deliveries by women who received ARV occurred in PHCs 91% (517) of infants had a Polymerase Chain Reaction(PCR) test within 2 months of life 18% of all infants who had PCR within 2 months were infants from PHCs

53%

CONCLUSION The contribution of PHCs to PMTCT coverage in GF sites in Nigeria ranges from as low as 18% in the provision of EID services to as high as 53% of all women counselled, tested, and received result PHCs recorded minimal loss to follow up along the cascade except for number of women who delivered in the facilities Efforts should be directed towards improving uptake of facility delivery and strengthening tracking/follow-up at the PHCs

THANK YOU