2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 53%

10. 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

11. THANK YOU