Evolution of the Prevention of Mother to Child Transmission (PMTCT) in Antenatal Visits in Mozambique, 2012-2015

  • Maternal and child health
  • Viral hepatitis and HIV
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Background: HIV disproportionally affects women, with 25% of new infections in Sub-Saharan African occurring among women of childbearing years. The immediate initiation of antiretroviral therapy (ART) for women who test HIV positive (HIV+) during their first antenatal consultation (ANC) visit was a strategy introduced to control the HIV epidemic and decrease vertical transmission. The objective of this study is to analyze the evolution of PMTCT coverage during ANC for the period 2012 to 2015.
Methods: We performed a cross-sectional descriptive analysis of PMTCT data reported to the national monitoring system, Modulo Basico, from 2012-2015. Variables of interest were HIV status, prophylactic provision, and partner test Results:. Frequencies and proportion were calculated using Microsoft Excel and the Results: were presented in tables and graphs. Coverage Results: were constructed using data from the spectrum statistical package that modeled expected number of HIV+ pregnant women for each year of analysis.
Results: In 2012, the national PMTCT coverage was 80% and increased to 97% in 2014, with a slight decrease in 2015 to 94%. There was an increase in the total number of HIV+ pregnant women who received ART in ANC from 11,923 (9%) in 2012 to 91,317 (91%) in 2015. For the period2012–2015,therewasadecreaseinazidovudine (AZT)prophylaxisfrom77,064(58%)to 8,506 (8%). During this same period, partner testing increased from 6% to 36%, while HIV positive status of partners decreased from 15% to 4% during the period under consideration.
Conclusion: There was a considerable change of both PMTCT coverage and ART provision from 2012 to 2014, with a slight decreased in 2015 due to changes in Spectrum calculations. These improvements highlight the importance of Option B+ introduction and further analysis is required to assess whether there was a corresponding decrease in vertical transmission during this period.

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