Prevention and assumption of responsibility of the children born mothers infected by the VIH with the Center of Health of Reference (CSRéf) of commune IV of the district of Bamako.

Abstract

Mother-to-child transmission is the leading cause of infection in children, and can occur during pregnancy, delivery or breastfeeding. In developed countries, the risk of mother-to-child transmission has been reduced to less than 1% through the widespread use of antiretroviral therapy (ART) in pregnant women and children exposed to HIV. The objective of this study is to describe the quality of PMTCT in the CSRef of Commune IV of the Bamako district. We conducted a cross-sectional study on data from January 2013 to December 2014, which was collected from February to April 2016, using all records of infants born to HIV-positive mothers as well as those of their mothers. The data were analyzed by SPSS version 16. The protection of the information collected on the subjects was guaranteed. In this study, 55.6% mothers were out of school, 71.1% diagnosed before pregnancy with an undetectable viral load in 38.9%. All were on ARV with 92.2% of adherence. In 98.3% of children, PCR1 was performed before the age of 2 months after birth and PCR2 after 6 months of birth in 90.0% of children, almost 99% received ARV and cotrimoxazole at birth and cotrimoxazole after 4 weeks, but 91.7% had a neonatal infection. PCR1 was positive only for 2.8%. We lost 2.2%. Efforts should be made to improve the statistics for achieving the objectives of the fight against HIV and AIDS.