Improving national prevention of mother-to-child (PMTCT) services in South Africa has been challenging. PMTCT outcomes were analysed at 58 primary and secondary level antenatal facilities across seven high HIV-burden sub-districts in three provinces, over an 18 month period during which new South African PMTCT clinical guidelines were implemented and a nurse quality mentor program was expanded. Early infant HIV DNA polymerase chain reaction test positivity reduced by 75.2% from 9.7% (CI: 8.1%-11.5%) to 2.4% (CI: 1.9%-3.1%); p<0.0005. HIV test positivity at 18 months of age decreased by 64.5% from 10.7% (CI: 7.2-15.1%) to 3.8% (CI: 2.4-5.6%); p<0.0005. PMTCT outcomes have improved substantially at these facilities.
Ashraf Grimwood, Khethimpilo, South Africa
Geoffrey Fatti, Khethimpilo, South Africa
Eula Mothibi, Khethimpilo, South Africa
Brian Eley, Paediatric Infectious Diseases Unit, Red Cross War Memorial Children’s Hospital, Department of Pediatrics and Child Health, University of Cape Town, Cape Town, South Africa
Debra Jackson, School of Public Health, University of Western Cape, Cape Town, South Africa
prevention of mother to child transmission of HIV, outcomes, health systems, Public Health
Cite this article
South African Medical Journal 2012;102(2):81-83.
Date submitted: 2011-09-19
Date published: 2012-01-27
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