235104 Successful Integration of PMTCT Services into Maternal and Child Health Services in Nigeria

Monday, October 31, 2011

Adetiloye Oniyire, MEDICAL DOCTOR-MPH, MBBS , Jhpiego Office in Nigeria, JHPIEGO-JOHNS HOPKINS SCHOOL OF PUBLIC HEALTH, Abuja, Nigeria
Background: Jhpiego is implementing a CDC-funded Prevention Project (PMTCT/HCT) in 12 hospitals in Nigeria. In this same hospital, Jhpiego is also implementing a USAID supported Maternal and Child Health Integrated Program (MCHIP). MCHIP services include focused antenatal care, maternal and child follow-up services, and family planning services while the PMTCT/HCT services include PMTCT interventions, community mobilization and outreach. Because of clients demand for access to PMTCT services at the same point as ANC-MCHIP services, these two separate projects were successfully integrated in all the sites. Methodology: Data for specific service indicators in the 12 facilities were captured one-year before and one-year after the integration of the PMTCT programs into the other existing maternal and child health programs and were compared.

Results: One-year before PMTCT integration, 36% of ANC clients had 4 or more ANC visits during their pregnancy in the 12 facilities but after integration the percentage increased to 86% (p<.001). In addition, before the integration, only 15% of clients were counseled and tested for HIV during their pregnancy but 73% after the integration (p<.001).Finally, 17% of clients accessed family planning services prior to integration but 63% after the integration accessed family planning services (p<.001). Conclusion: The results of the analysis before and after the integration of PMTCT services into MCHIP resulted in improved ANC attendance, an increase in counseling and testing for HIV during pregnancy, and increased uptake in family planning services. Integration allowed the clients to seek more services at one point of care in the same facilities.

Learning Areas:
Administer health education strategies, interventions and programs
Administration, management, leadership
Assessment of individual and community needs for health education
Basic medical science applied in public health
Biostatistics, economics
Program planning

Learning Objectives:
The abstaract demostrates the importance of integrating PMTCT services into other Maternal and Child Health Program as against the stand alone approach.

Keywords: HIV/AIDS, Access to Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: PERSONAL STATEMENT: Over the years, (1997 – to date), I have functioned in the public and private sectors in various capacities ranging from patient care and support, project implementation, participation and facilitation, program supervision, patient management, behavioral change communication and intervention programs. I believe I have the confidence to apply my skills as well as the enthusiasm and self-motivation to acquire and learn more. I am capable of taking responsibility and very passionate about caring for women and children. Loyalty towards my clients is an utmost concern to me. I have acquired enough research structured knowledge and skills either through practice or by the way of training to function effectively in any capacity as it relates to infectious diseases especially HIV/AIDS and other STIs and I’m still very passionate to learn and to be more effective and efficient. BIODATA DATE OF BIRTH: 21ST AUGUST 1968 PLACE OF BIRTH: Idogun Ondo State STATE OF ORIGIN: Ondo NATIONALITY: Nigerian SEX: Male MARITAL STATUS: Married NO OF CHILDREN: Two CONTACT ADDRESS: Block G3 Flat 1 owner’s occupier Estate Kubwa FCT Abuja, Nigeria TELEPHONE: +234-805-2112-581 +234-803-4463-508 EMAIL:oniyireadetiloye@yahoo.com EDUCATIONAL QUALIFICATIONS/AWARDS • Masters of Public Health ( MPH ) University of Benin, Nigeria 2002/2003 – 2005 • Bachelor of Medicine, Bachelor of Surgery ( MBBS ) University of Ilorin, Nigeria. 1990 - 1997 • West African School Certificate ( O’ Level) 1981 – 1986 • Certificate for leadership at all levels award in AIDS service delivery, May 2008, Boston USA. PROFESSIONAL AFFLIATED BODIES • Member- Infectious disease society of America (Registration number #26455)2008. • Association of Community Health Physician of Nigeria (ACPN)-Member • Nigeria Medical Association (NMA) - Member • International AIDS Society-Member • Global Health Council-Member PROFESIONAL WORK EXPERIENCE 2009-TILL DATE HIV PROJECT DIRECTOR JHPIEGO-An affiliate of Johns Hopkins University 2007-2009 CLINICAL CARE ADVISOR MSH-ACT PROJECT 2005 – 2007 Senior medical/programme officer HIV/AIDS Unit HMB FCTA Abuja 2004- 2005 Senior Medical Officer Kubwa General Hospital Kubwa Abuja 2001 – 2004 Medical Officer Wuse General Hospital 2004 – until 2007 Consultancy National Program on Immunization 2000 – 2001 Medical Officer • Abuja Clinic FCT,Abuja • Erada Clinic FCT,Abuja • Arewa Specialist Hospital FCT, Abuja 1999 – 2000 Medical Officer Tsafe General Hospital, Zamfara State 1998 – 1999 Medical Officer Specialist Hospital Akure, Ondo state • Work as a medical officer in a private hospital set up TRAININGS, COURSES AND WORKSHOPS • Participated And Presented 2 Abstracts at the 18th International AIDS Society Conference in Vienna-Austria July 2010 • Participated And Presented Abstracts at the 5th National Conference on HIV/AIDS in Abuja- Nigeria May 2010 • Training course on the Fundamentals of Project Management in London-May 2010. • Participated in an international course on sexual health and AIDS prevention for Adolescent at the OFRI international training center in Jerusalem state of Israel October 27th to November 22nd 2008. • Participated in the international course on HIV care, treatment and prevention with research in HIV care and prevention 8th September to 3rd October 2008 organized by Infectious Disease Society of America in collaboration with Makarere University at Kampala-Uganda • Participant at the Nigeria HIV/AIDS summit 1st-5th April 2007 at international conference center Abuja. • Leadership,managemet and sustainability training by Management Sciences for Health(MSH) in 2007 • Facilitator/participants in pediatrics ART training by Management Sciences for Health in 2007. • Training in Human Dynamics and team building by licensed Human Dynamic Trainers from Canada in conjunction with (MSH)2008 • Member technical working group on care, treatment, prevention and support for FCT strategic work plan development on HIV/AIDS for 2007-2011 by FACA/SNR 28th March-5th April 2007 at childa hotel Abuja. • Represented MSH as a member of global interagency task force team to Kaduna for situational analysis and technical support on PMTCT and pediatrics ART services with the aim of scaling up in Nigeria-October 2007.(led the infant feeding committee) • Facilitator at the update course on diagnosis, treatment and management of HIV/AIDS and STI at national assembly clinic 28th Feb-2nd March 2007 at national assembly complex. • Pediatric ART Training Family Health International/GHAIN 2006 • Comprehensive ART Training Family Health International/GHAIN • 4th National conference on HIV/AIDS May 2004 Abuja Nigeria. • 14TH International Conference on AIDS and STIs in Africa (ICASA) Abuja December 2005 • PMTCT at glance training for CSOs, FBOs & NEPWHAN at Jos, Plateau state by ENHANSE-USAID 22nd -24th, 2007. • Adherence training for ARV, Asokoro General Hospital 11th – 13th May 2006 by Institute of Human Virology Nigeria • Prevention of Mother to Child Transmission of HIV/ AIDS course organized at National Hospital by Institute of Human Virology in conjunction with USAID Jan 2006. • Training on voluntary confidential counseling and testing at Maitama General Hospital Federal Ministry of Health Nov 2005.
Any relevant financial relationships? No

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.