Transcript Current status of the National PMTCT and Pediatric HIV

Current status of the National
PMTCT and Pediatric HIV
Programme in Uganda
Dr. Musinguzi Henry
M&E Program Officer-PMTCT
STD/ACP-MoH
7/7/2015
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Introduction
Estimated that 1.4m pregnancies/yr
 ≈ 91,000 (6.5%) of these are HIV+ve
≈30% of these transmit HIV to their
Babies if there is no intervention
Results into 27,300 babies infected
through MTCT
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PMTCT Goal and Objective
Program Goal:
To achieve a new generation that is free of HIV
and AIDS in Uganda
Broad Objective:
To reduce mother to child transmission of HIV by
50% by the year 2010
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Achievements and Targets
Indicator
07/08
08/09
2010 target
achievements achievements
Proportion of H/F's up to HC III
offering PMTCT services
59.5%
68.7%
80%
Proportion of pregnant women
tested for HIV
43.0%
44.0%
90%
Proportion of HIV +ve pregnant
women received ARV's for PMTCT
42%
36.8%
90%
Proportion of HIV exposed babies
received ARV’s for PMTCT
18%
17.3%
30%
Proportion of partners tested
4%
8.8%
25%
Proportion of exposed babies
tested
12%
19.4%
80%
Proportion of H/F's offering EID
28%
47.4%
%
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Geographical Coverage
Health facility
Total number
Coverage by
June 08
Coverage by
June 09
Hospitals
113
102
104
HC IV’s
161
159
141
HC III’s
955
385
607
HC II’s
1887
86
256
Total (up to HC III)
1229
646 (52.5%)
846 (68.7%)
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Population Coverage
800,000
700,000
672,980
669,000
610,877
600,000
500,000
400,000
300,000
200,000
100,000
35,879
33,523
HIV +ve
ARV Mum
15,767
0
New ANC
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Counselled
Tested
ARV baby
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ARV use for PMTCT
FY 2007/08
FY 2008/09
HAART,
11%
HAART
16%
Combinatio
n,
12%
sdNVP 53%
sdNVP,
77%
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Combinatio
n,
31%
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Challenges I
Delays in reporting/quality of reports
Irregular & inadequate logistics & supplies
Low uptake of efficacious regimens
High cost of CD4 testing (11,000/=)
Delay of PCR-DNA results (EID)
Delay to initiate/poor access to Paed. ART
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Challenges II
Human resource constraints
Loss to follow up of clients in the ANC-PNC
cascade
Poor coordination of & among IP’s
Weak linkages btn HF’s and community
Low male involvement
Lack of safer infant feeding options (AFASS)
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Way forward
Data validation/collection during SS
Technical Assistance to health workers
Providing & use of internet (e-mails) to
send reports
Partners to support follow up of
mothers& babies
Streamline procurement and distribution
of HIV related products
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Way Forward
Training of health workers
Scaling up EID services
Promote & accelerate use of efficacious ARV
regimens
Strengthen PMTCT-ART linkages
Revise & update policy guidelines
Bye-laws and campaigns for male involvement
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Acknowledgements
Special thanks to UNICEF for the support
to MoH & the Districts.
Other partners include but not limited to;
EGPAF, PREFA, NUMAT, JCRC and Baylor
College, ICOBI, THETA.
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Thank you for
listening
to me
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