4.3% in 2009 and the prevalence of HIV in newborns was 23.3% in 2010. To date, no study has been ... more 4.3% in 2009 and the prevalence of HIV in newborns was 23.3% in 2010. To date, no study has been done in the DRC, specifically Kinshasa, to explore the PMTCT national protocol. Purpose The study aimed at evaluating compliance with the PMTCT national protocol in the selected PMTCT sites of Kinshasa Methodology A quantitative approach was employed in this study with a total of 76 health care providers, specifically nurses, and 179 records of HIV+ women in 18 PMTCT sites selected in Kinshasa. A health care provider self-reporting questionnaire and review of the records of HIV+ women were used for compliance assessment. Data collected was analysed using the SSPS package, Version 19.0 and MS Excel 2007. Results This study found that nurses and HIV+ women were non-compliant (less than 80%) with the PMTCT national protocol. The score of compliance/non-compliance decreased through the continuum of PMTCT care with a peak in labour and delivery for HIV+ women. Some factors were associated with nurses and HIV+ women's compliance or non-compliance with PMTCT national protocol. The non-compliancy of nurses and HIV+ women found in this study goes beyond the improvement of compliance with PMTCT national protocol and necessitates full and sustainable integration of PMTCT in maternal, newborn and child health services.
Background: Cryptococcal Meningitis (CM), is the second leading cause of HIV-related mortality in... more Background: Cryptococcal Meningitis (CM), is the second leading cause of HIV-related mortality in Uganda after TB. A CD4 cell count triggered CRAG screening algorithm and pre-emptive therapy is the mainstay of prevention of CM. The recent absolution of routine CD4 monitoring for stable patients on Highly Active Antiretroviral Therapy (HAART) has shifted this trigger to suspected virological failure.Objective: To assess the performance of Viral Load (VL) as a marker for CRAG screening among patients on HAART at an HIV clinic in Mulago National Referral HospitalMethods: This was a cross sectional diagnostic study conducted at the Baylor Uganda Centre of Excellence HIV clinic in Mulago National Referral hospital. Records of 798 HIV positive patients aged 10 years and above, on HAART for at least 6month, with at least one viral load and a corresponding serum CRAG done between January 2017 and December 2018 were extracted from the Electronic Medical Records. The test under evaluation was...
Background: We examined the association between EFV and non-EFV based ART regimens and pregnancy ... more Background: We examined the association between EFV and non-EFV based ART regimens and pregnancy outcomes among women who were on HCI in a peri-urban HIV clinic in Tororo, Uganda. Methods: We reviewed and extracted routinely collected data from the TASO Tororo HIV clinic family planning register. All women >18 years of age and on ART who received HCI between January, 2012 and June, 2014 were included in the study. Results: Of the 148 women reviewed 9 (6.1%) conceived. All women who conceived were on an EFV-based regimen, while none of the women on non-EFV based regimens conceived (p=0.0003). Conclusion: We observed a significant association (p=0.0003) between HIV-positive HCI users on EFV-based ART regimens as compared to HIV-positive HCI users on non-EFV based ART regimens. Variables EFV-based regimen Non-EFV based regimen P-value Total 62 (42%) 86 (58%) 0.734 Age (years) 34 (IQR 22-48) 33.9 (22-46) 0.435 Weight (Kilograms) 58 (IQR 28-95) 57.8 (29-94) 0.540 Duration on ART (months) 33.3 (IQR 17-86) 30.3 (IQR 16-70) 0.889 Table 1: Characteristics of the study population.
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Papers by Ronald oceng