Research Article
Volume 8 Issue 3 - October 2018
DOI: 10.19080/JCMAH.2018.08.555738
J Complement Med Alt Healthcare
Copyright © All rights are reserved by Yibeltal Siraneh Belete
Uptake of Prevention of Mother to Child HIV
Transmission (PMTCT) Option B+ ART Program
among Pregnant and Lactating Mothers Attending
Ante Natal Care (ANC) Clinic at Jimma University
Specialized Hospital, Southwest Ethiopia
Yibeltal Siraneh*
Faculty of Public Health, Department of Health Economics, Jimma University, Ethiopia
Submission: September 17, 2018; Published: October 26, 2018
*Corresponding author: Yibeltal Siraneh Belete, Department of Health Economics, Management and Policy, Faculty of Public Health, Institute of
Health, Jimma University, Ethiopia; Tel: ; Email:
J Complement Med Alt Healthcare J 8(3): JCMAH.MS.ID.555738 (2018) 001
Introduction
PMTCT Option B+ is a new program that Provide for all
HIV-positive pregnant or breastfeeding women with a course of
anti-retroviral drugs to prevent mother-to-child transmission. A
triple-drug anti-retroviral regimen should be taken throughout
pregnancy, delivery and breastfeeding - continuing for life,
regardless of CD4 count or clinical stage [1].
If the mother is breastfeeding, she should also continue to
take the triple-drug anti-retroviral regimen until 1 week after
breastfeeding has finished. Eligibility is determined at a country
level. WHO recommends women with a CD4 count of ≤ 500 cells/
mm
3
(or clinic stage 3 or 4) should continue taking anti-retroviral
treatment for life. This course of medication should be permanent
and taken every day in order to postpone the development of HIV
into AIDS. HIV-exposed infants all infants born to HIV positive
mothers should receive a course of medication for PMTCT, which
is linked to the drug regimen that the mother is taking and the
infants feeding method. If Breastfeeding, The infant should receive
Abstract
Background: Prevention of mother to child transmission (PMTCT) Option B+ ART program provide all HIV-positive pregnant or breastfeeding
women with a course of anti-retroviral drugs to prevent mother-to-child transmission. A triple-drug anti-retroviral regimen should be taken
throughout pregnancy, delivery and breastfeeding - continuing for life, regardless of CD4 count or clinical stage. However, uptake and uptakeof
this new approach, among HIV positive pregnant and lactating mothers was not studied in Jimma university specialized hospital; Hence the
objective of this study was to assess uptake of PMTCT option B+ ART program among pregnant and lactating mothers attending anti natal care
(ANC) clinic at Jimma University specialized hospital.
Methods: An institution based cross sectional descriptive study was conducted with the aim of assessing uptake of PMTCT option B+ ART
program among HIV positive pregnant & lactating mothers attending ANC clinic at Jimma University specialized hospital from May 01 to May 30,
2014. All HIV positive pregnant & lactating mothers (40) who visited ANC clinic had been interviewed by trained nurse using pretested, closed
ended structured questionnaire after respondent consent was taken. Data analysis was done using SPSS 16.0 computer software. Finally data was
presented in statement and tables.
Results: Out of 40 pregnant and lactating HIV positive mothers included in the study, almost all of them were found in the age group of
18-35years (92.5%) and more than half are literate 25 (62.5%) & their income per month is less than 900 birr (72.5%) as well as 67.5% of
them are house wife who were married (80%). Twenty eight (87.5%) of them accepted their HIV positive status due to their history of different
exposures and 82.5% of them were tested during first trimester and almost all of them were using PMTCT option B+ ART service (90%), and their
reason why they accept was for protection of their baby from HIV (38.71%) and followed by due to having knowledge after counseling (34.41%).
About two-fifth of mothers were using condom as one contraceptive method. There is association between initial acceptance of HIV positive test
result and uptake of PMTCT option B+ ART services.
Conclusion: almost all of HIV positive pregnant & lactating mothers have accepted their HIV positive status. Two third of them were tested
at first trimester, and the uptake of PMTCT option B+ ART service is very high at ANC clinic in Jimma University specialized hospital. So, this new
PMTCT option B+ ART program should continue with pre and post-test counseling along with ANC follow up.
Keywords: PMTCT option B+; Uptake; Pregnant and lactating mothers; ANC clinic; JUSH