Integrating Early Infant
Diagnosis in PMTCT Services
through EID Care Points at rural
health facilities in Uganda
:Lesson learned
• Maria Najjemba/District Nursing Officer
• Mayuge District, Uganda
1
INTRODUCTION
• The improvement work was done in 5 Health
facilities offering PMTCT and Pre ART/ART
service in Mayuge a rural district in Eastern
Uganda – Africa.
• The Intervention was tested by the District
Health Department working with the Health
Unit Health workers.
• The clients were mothers on the PMTCT
Program and the exposed infants.
PROBLEM OVERVIEW
• Weak linkages existed between PMTCT and Early
Infant Diagnosis.
• The number of HIV pregnant mothers(169) was
high and that of exposed infants cared for (56)
was low (Baseline).
• Exposed babies missed being tested or getting the
necessary care.
• Little knowledge on how effective the PMTCT
service were.
INTERVENTION
• Trained health workers in Quality Improvement
and supported mentoring and coaching.
• Established EID Care points with the help of
implementing partners
• Introduced referral forms to the EID care point at
all expected entry points for exposed infants.
• Introduced referral forms in Ante Natal Care and
gave appointments at 6 weeks after the Expected
Date of Delivery.
• Infants followed up through phone calls and home
RESULTS
BABIES TESTED
SERO STATUS OF BABIES TESTED
200
180
160
140
120
NUMBERS 100
80
60
40
20
0
7.60
HIV NEGATIVE
HIV POSITIVE
92.40
SEPT 2009 FEB 2010
MARCH - AUG
2010
PERIOD
HIV POSITIVE IN RELATION TO PMTCT
80
70
60
50
PERCENTA
40
GE
30
20
10
0
No PMTCT Single dose PMTCT Reg
regimen
NV
+Mixed
Feeding
RELATION TO PMTCT
LESSONS LEARNED
• If mothers of exposed infants are mobilized, they
are willing to take up the required services.
• EID care points are good for measuring the impact
of a PMTCT program.
• Small changes can also make improvements. EID
care points do not cost much to establish yet they
provide an opportunity to improve on the care of
the exposed infants.
CONCLUSION
• If pregnant mothers are counselled well during
Ante Natal care on PMTCT and the required
regimen are given, there are higher chances of
having HIV Negative infants.
• The easiest way to know this is through testing
the exposed infants which can be easily done
through the EID Care points.
ACKNOWLEDGEMENT
• USAID Health Care Improvement Project –
Training, sponsorship
• Ministry of Health
• Mayuge District Local Government
• Implementing Partners (STAR-EC)
• Team members to the Conference
• My Family
THANK YOU FOR GIVING ME
THE OPPORTUNITY TO
SHARE WITH YOU