Abstract
Evaluation of the effectiveness of the mother-to-child HIV Prevention Program, in Benin in 2016 reported a national rate of 6.7%. The Region of Couffo, within 12 Regions (departments) in the country, had the highest rate of transmission, which was 16.1%. The study aimed to determine transmission rate during pregnancy and delivery as well as the factors associated with it. This is a retrospective and analytical study based on a sample of seventy (70) babies born to HIV-infected mothers in 2016 in Couffo. Key findings showed, there is a perinatal transmission of five percent (5%) and the factors associated with this transmission are: delay in carrying out first antenatal visits at the health facility, low frequency of visits performed versus number requested and appropriate time, poor health condition of mothers during pregnancy, absence or late start of antiretroviral care and treatment during pregnancy, irregular intake of intermittent presumptive treatment at sulfadoxine-pyrimethamine to prevent malaria, a short antiretroviral therapy (less than three months) for mothers before delivery and the default in cleaning mother’s genital tract with betadine after the woman’s water broke.
Highlights
IntroductionAiming to eliminate new HIV infections among children and keep their mothers alive, UNAIDS has put in place a global action plan in which many countries in-
There is a perinatal transmission of five percent (5%) and the factors associated with this transmission are: delay in carrying out first antenatal visits at the health facility, low frequency of visits performed versus number requested and appropriate time, poor health condition of mothers during pregnancy, absence or late start of antiretroviral care and treatment during pregnancy, irregular intake of intermittent presumptive treatment at sulfadoxine-pyrimethamine to prevent malaria, a short antiretroviral therapy for mothers before delivery and the default in cleaning mother’s genital tract with betadine after the woman’s water broke
Community Health workers, in this case, Mediators working at PMTCT sites who were trained and had expertise in giving continuous care and treatment to HIV-infected people, were called upon for the active research of the women concerned by the study
Summary
Aiming to eliminate new HIV infections among children and keep their mothers alive, UNAIDS has put in place a global action plan in which many countries in-. A mid-term evaluation of the implementation of that plan in Benin in 2014 revealed a residual mother-to-child transmission rate of HIV at the national level of 7.62% [2] and in 2016, at the end of implementation the rate was 6.70% [3]. To help understand the situation in Couffo, this study is initiated and is focused on HIV transmission during pregnancy and delivery. It aims to study the factors associated with this transmission. It involves: the determination of the rate of HIV infection transmission from mother-to-child during pregnancy and delivery in the Couffo in 2016; the identification of the factors associated with this transmission in the Couffo in 2016
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