Integrating prevention of mother-to-child HIV transmission into routine antenatal care: the key to program expansion in Cameroon.

摘要: With funds from Elizabeth Glaser Pediatric AIDS Foundation, the Cameroon Baptist Convention Health Board implemented a program to prevent mother-to-child transmission of HIV-1 (PMTCT) as part its routine antenatal care, with single-dose maternal and infant peripartum nevirapine (NVP) prophylaxis HIV-positive mothers their babies. Nurses, midwives, nurse aides, trained birth attendants counseled pregnant women, obtained risk factor data, offered free HIV testing same-day results. From February 2000 through December 2004, this rapidly expanded 115 facilities in 6 Cameroon's 10 provinces, not only large hospitals but remote health centers staffed by attendants. We 690 workers PMTCT 68,635 91.9% whom accepted testing. Of 63,094 women tested, 8.7% were HIV-1-positive. Independent factors for infection included young age at first sexual intercourse, multiple sex partners, positive syphilis serology (P < 0.001 each). 98.7% negative on posttest basis. 5550 mothers, we 5433 (97.9%) NVP prophylaxis. Consistent training programmatic support contributed rapid upscaling high uptake counseling rates.