TITLE:
The Eradication of the Immunodeficiency Virus Human (HIV/AIDS) Transmission from Mother-to-Child (ETMC) in the Maternity Ward at the Ratoma Medical Centre, Conakry, Guinea
AUTHORS:
Boubacar Siddi Diallo, Mamadou Samba Keita, Ibrahima Sory Balde, Mamadou Hady Diallo, Ibrahima Conte, Ousmane Balde, Ibrahima Sylla, Oumou Hawa Bah, Moussa Kante, Telly Sy, Yolande Hyjazi, Namory Keita
KEYWORDS:
Catch-Up, HIV, Work Room
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.5,
May
27,
2019
ABSTRACT: Objectives: The objectives of this
article are to: 1) Determine the
prevalence of parturient that escapes from the ETME, 2) Determine
the rate of acceptability or non-acceptability of the HIV tests, 3) Describe
the epidemiological profile and 4) Describe the factors explaining the lack of
screening during pregnancy. Methodology: This report is based on an eventual descriptive study carried
out in the Maternity Ward at the Ratoma Medical Centre for the past six months. The study took place over six (6) months from June 15 to December 15,
2016. The
data were collected by individual interviews using a data collection sheet and
prenatal consultation booklet that were administered to parturients in their language of
comprehension. Each unscreened parturient received in the delivery room or in
immediate postpartum received pre- and post-test HIV/AIDS counseling with immediate announcement of the
outcome for all those who accepted the principle. For parturients who were in
the active phase of work, counseling/testing was done in the immediate
postpartum period. The data were manually collected from the pre-established
fact sheets, captured using the Word, Excel and PowerPoint software packages of
the 2007 Office and analyzed by the Epi-Info software (version 3.5.4). The
limitations of the study were the lack of adequate room for the HIV testing
council, the refusal of HIV testing by some parturients and the lack of
achievement of CD4 levels in the hospital laboratory. Outcomes: The survey indicated that
out of the 41.80% (177/423) of pregnant women that have recently given birth,
ignore their HIV status. About 36.90% (66/177) rejected the screening and the
6.4% (7/111) that accepted were HIV/AIDS positive. The epidemiological study
revolved around the following categories of women aged between 24 and 33
(42.85%), 1) Married (100%), 2) Housewives (57.14%), 3) Out-of-school (57.14),
4) Lack prenatal follow-up (42.85%), 5) Ignorance of the existence of HIV
(71.42%). Reason Invoked for the Unawareness: No screening was proposed
for prenatal follow-up (90.40%). Conclusion: The HIV testing approach in
the work room could serve as a catch-up strategy to reduce vertical
transmission and thus increase the operational coverage of the PMTCT service.
The upgrading providers of basic facilities
would be necessary in order to offer the HIV screening in refocused prenatal
consultations, which could reduce the catch-up/contamination in the work
room.