257757 Lessons Learnt from the Integration of a Family Planning Program into PMTCT Services in Nigeria

Monday, October 29, 2012

Adetiloye Oniyire, Medical Doctor-MBBS, MPH , 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 15 public hospitals in Nigeria. After 2-years of project implementation, assessments carried out in 5-randomly selected hospitals indicated that: 20% of the HIV+ clients among the antenatal clinic attendees became pregnant and reported back for ANC in less than 2-years; 30% after 2-years; 25% reported not pregnant; 6% died and 16% were unaccounted for. As a result of these statistics, Family Planning (FP) became an integrated component of Jhpiego's PMTCT program, by incorporating FP training into PMTCT trainings, strengthening FP health education during ANC, and by locating FP/ANC clinics side by side with improved referral linkages. Methodology: An equal number of HIV+ pregnant women from 5-randomly selected facilities were selected, monitored and followed-up to ascertain the following outcomes: became pregnant, not pregnant, died and unaccounted for after their last deliveries. These data were captured over equal periods before and after the integration of FP/ PMTCT programs

Results: Before FP integration, 20% of the HIV+ pregnant clients returned for ANC within the first two years of their last deliveries compared to 5% after the integration(p<.05). In addition, before the integration, 30% of clients were pregnant two-years after their last deliveries compared to 10% after integration (p<.05). Similarly, 25% of the women remain non-pregnant compared to 70% before and after the integration (p<.001). Conclusion: The results of this study significantly demonstrates an improved birth spacing among HIV+ pregnant women, PMTCT/FP services should therefore be an integrated program as much as possible .

Learning Areas:
Administration, management, leadership
Basic medical science applied in public health
Biostatistics, economics

Learning Objectives:
Demonstrate the effect of integrating both Family Planning and (PMTCT) Prevention of Mother to Child Transmission of HIV program Describe the advantages of Family Planning ie birth spacing for HIV positive mothers

Keywords: Family Planning, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I'm a public health physician, currently working as HIV/AIDS Project Director with Jhpiego-an affiliate of Johns Hopkins University project in Nigeria. I have worked at various levels of project's implementations and interventions. I presented at many conferences in the past including the last two IASC conferences (Vienna and Rome),Last GHC in DC to mention but few.I have attended many trainings in public health especially in HIV/STIs in many Courtiers like Uganda, Nigeria,Isreal and Ghana
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.