153838 Optimizing Prevention: A Comprehensive PMTCT Program in Mombasa, Kenya

Wednesday, November 7, 2007: 2:30 PM

Lara Christine Bishay, BA , School of Medicine, New York University, New York, NY
Nicholas P. Gavin, BA , NYU School of Medicine, New York, NY
Sumathi Sivapalasingam, MD , Center for AIDS Research, NYU School of Medicine, New York, NY
Maura Laverty, RN , Center for AIDS Research, NYU School of Medicine, New York, NY
Beatrice Wangechi, MD , Comprehensive Care Centre, Bomu Medical Center, Mombasa, Kenya
Aabid Ahmed, MD , Comprehensive Care Centre, Bomu Medical Center, Mombasa, Kenya
The primary goal of any prevention of mother to child transmission (PMTCT) program is to reduce and avoid HIV-related morbidity and mortality in both mother and child. Since its inception in 2004, the PMTCT program at Bomu Medical Centre, in Mombasa Kenya, has strived to provide the best possible care and counseling to HIV+ pregnant women enrolled in treatment at its comprehensive care center (CCC). As of July 12th, 2006, 158 women have benefited from Bomu's PMTCT program. While the majority of enrolled women received care according to Kenyan Guidelines, gaps in monitoring pregnancies and following up with treatment of exposed infants has left many infants unaccounted for and/or without proper care. In June 2006, a working group was convened to discuss viable methods for implementation of a standardized, effective, and comprehensive PMTCT program. The goal of the working group was to identify programmatic inconsistencies in the treatment of HIV positive pregnant women and their children, integrate PMTCT and HIV treatment and care services, and formalize workable solutions. Guidelines were created that ensured constant continuity of care between Bomu's CCC, the antenatal clinic, and the maternity ward. Also, a counseling regimen was developed for women who entered the program. Such counseling included discussions of modes of mother-to-child transmission, antiretroviral therapy adherence, nutritional recommendations including infant feeding, and options for delivery (ie. Cesarean section). Finally clinical and administrative guidelines were developed to insure consistent and continuous care.

Learning Objectives:
Skills participants will be expected to acquire: 1. Evaluate a comprehensive prevention of mother-to-child transmission (pMTCT) program in a developing country. 2. Identify significant barriers to successful implementation of a pMTCT program 3. Construct an appropriate human resource infrastructure to overcome these barriers

Keywords: HIV/AIDS, Maternal and Child Health

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: N/A

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.