Follow-up survey of women who have undergone a prevention of mother-to-child transmission program in a resource-poor setting in South Africa

J Assoc Nurses AIDS Care. Nov-Dec 2008;19(6):450-60. doi: 10.1016/j.jana.2008.05.006.

Abstract

The aim of this study was to investigate the implementation of a prevention of mother-to-child transmission (PMTCT) program and to evaluate the uptake and adherence to single-dose nevirapine in a cohort sample that had undergone PMTCT in five public clinics in a resource-poor setting, Quakeni Local Service Area, O.R. Tambo District in the Eastern Cape, South Africa. Results indicated that 116 women (15.3% of the sample) were infected with HIV, 642 (84.7%) were uninfected, and 552 (42.1%) had an unknown HIV status. Almost all of the women had received information about HIV and HIV testing prenatally, but 552 (42%) had not been tested for HIV, and their HIV status was unknown. Only 66 (57%) of the HIV-infected pregnant women had been provided with nevirapine. It is recommended that the quality of HIV counseling be improved and the program of maternal self-medication with nevirapine tablets at onset of labor and maternal provision of nevirapine syrup to newborns be encouraged.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Breast Feeding
  • Cohort Studies
  • Data Collection
  • Disease Transmission, Infectious / prevention & control*
  • Female
  • Follow-Up Studies
  • HIV Infections / prevention & control*
  • Health Care Rationing*
  • Humans
  • Infant Food
  • Infant, Newborn
  • Nevirapine / administration & dosage*
  • Pregnancy
  • Pregnancy Complications, Infectious / prevention & control*
  • Reverse Transcriptase Inhibitors / administration & dosage*
  • South Africa

Substances

  • Reverse Transcriptase Inhibitors
  • Nevirapine