hiv positive lactating mothers a missed opportunity in the roll out of the emtct strategy in uganda

POSTER PRESENTATION Open Access HIV positive lactating mothers a missed opportunity in the roll out of the eMTCT strategy in Uganda Lillian Ayebale * , Pamella Bakabulindi, Erasmus Tanga From Abstracts from International Symposium HIV and Emerging Infectious Diseases 2014 Marseille, France. 21-23 May 2013 Introduction Although Uganda has embraced the strategy of EMTCT by 2015, the strategy focuses mainly on HCT for first ANC visit with less attention on mothers who never attend ANC, deliver in the community and are lactating with unknown status which creates a missed opportunity. The supporting public sector work places Expand Action and Responses to HIV (SPEAR) Project with funding from USAID, has piloted PMTCT/HCT camps/outreaches as an intervention to bridge this gap in their target population. Materials and methods SPEAR supports a given Health Facility to offer outreach services. A two-three days wellness camp that offers HCT, ANC, PNC, FP, Immunization, and general health education is organized in the barracks over a weekend. Prior community mobilization in target barracks that included a film van and door to door mobilization by VHT is carried out. Results 559 mothers had HCT during the five camps held at dif- ferent locations. Of these 103 were pregnant mothers and 456 were lactating mothers. Of the 103, 76 were 1st ANC visits and of the 456 lactating mothers, 306 were receiving 1st HCT since pregnancy and birth of current child. 8 pregnant and 30 lactating mothers were HIV positive. Conclusion Most lactating mothers do not receive HCT for PMTCT and are at a higher risk of transmitting to their babies. About half of the population of pregnant mothers do not attend ANC during pregnancy and deliver in the community unattended by a professional health worker. Recommendation There is need to roll out provider initiated HCT not only at the health facilities, but also at community level for pregnant and lactating mothers in Uganda, for Uganda to achieve virtual EMTCT by 2015. Published: 23 May 2014 doi:10.1186/1471-2334-14-S2-P24 Cite this article as: Ayebale et al.: HIV positive lactating mothers a missed opportunity in the roll out of the eMTCT strategy in Uganda. BMC Infectious Diseases 2014 14(Suppl 2):P24. Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online submission • Thorough peer review • No space constraints or color ﬁgure charges • Immediate publication on acceptance • Inclusion in PubMed, CAS, Scopus and Google Scholar • Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit Research Triangle Institute International, Kampala, Uganda Ayebale et al. BMC Infectious Diseases 2014, 14(Suppl 2):P24 http://www.biomedcentral.com/1471-2334/14/S2/P24 © 2014 Ayebale et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http:// creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Page 1: HIV positive lactating mothers a missed opportunity in the roll out of the eMTCT strategy in Uganda

POSTER PRESENTATION Open Access

HIV positive lactating mothers a missed opportunityin the roll out of the eMTCT strategy in UgandaLillian Ayebale*, Pamella Bakabulindi, Erasmus Tanga

From Abstracts from International Symposium HIV and Emerging Infectious Diseases 2014Marseille, France. 21-23 May 2013

IntroductionAlthough Uganda has embraced the strategy of EMTCTby 2015, the strategy focuses mainly on HCT for firstANC visit with less attention on mothers who neverattend ANC, deliver in the community and are lactatingwith unknown status which creates a missed opportunity.The supporting public sector work places Expand Actionand Responses to HIV (SPEAR) Project with fundingfrom USAID, has piloted PMTCT/HCT camps/outreachesas an intervention to bridge this gap in their targetpopulation.

Materials and methodsSPEAR supports a given Health Facility to offer outreachservices. A two-three days wellness camp that offersHCT, ANC, PNC, FP, Immunization, and general healtheducation is organized in the barracks over a weekend.Prior community mobilization in target barracks thatincluded a film van and door to door mobilization byVHT is carried out.

Results559 mothers had HCT during the five camps held at dif-ferent locations. Of these 103 were pregnant mothers and456 were lactating mothers. Of the 103, 76 were 1st ANCvisits and of the 456 lactating mothers, 306 were receiving1st HCT since pregnancy and birth of current child.8 pregnant and 30 lactating mothers were HIV positive.

ConclusionMost lactating mothers do not receive HCT for PMTCTand are at a higher risk of transmitting to their babies.About half of the population of pregnant mothers donot attend ANC during pregnancy and deliver in thecommunity unattended by a professional health worker.

RecommendationThere is need to roll out provider initiated HCT not onlyat the health facilities, but also at community level forpregnant and lactating mothers in Uganda, for Uganda toachieve virtual EMTCT by 2015.

Published: 23 May 2014

doi:10.1186/1471-2334-14-S2-P24Cite this article as: Ayebale et al.: HIV positive lactating mothers a missedopportunity in the roll out of the eMTCT strategy in Uganda. BMC InfectiousDiseases 2014 14(Suppl 2):P24.

Submit your next manuscript to BioMed Centraland take full advantage of:

• Convenient online submission

• Thorough peer review

• No space constraints or color figure charges

• Immediate publication on acceptance

• Inclusion in PubMed, CAS, Scopus and Google Scholar

• Research which is freely available for redistribution

Submit your manuscript at www.biomedcentral.com/submit

Research Triangle Institute International, Kampala, Uganda

Ayebale et al. BMC Infectious Diseases 2014, 14(Suppl 2):P24http://www.biomedcentral.com/1471-2334/14/S2/P24

© 2014 Ayebale et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction inany medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

http://creativecommons.org/licenses/by/4.0

http://creativecommons.org/publicdomain/zero/1.0/

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