MANAGEMENT STRATEGY TO PREVENT MOTHER-TO-CHILD TRANSMISSION OF HIV/AIDS: RHC OF DALOA

Abba P. Obouayeba*, Yapi G. Yayé, Bognan A. A. J. Ackah, Tanoh H. Kouakou, Allico J. Djaman and Jean D. N. Guessan

ABSTRACT

Aims: Mother-to-child transmission of HIV is the number one cause of infection in children under the age of 15. This study focused on the follow-up of HIV-positive pregnant women with a view to reducing the rate of this transmission. This study took place from December 02, 2019 to February 27, 2020 in the Gyneco-obstetrical service of the Regional Hospital Center of Daloa. Methodology: Thus, a medical survey was carried out among 200 pregnant women whose ages varied from 18 to 37 years. The procedure adopted in this study was a semi-structured interview based on a pre-developed questionnaire sheet. The survey sheet was made up of two main parts. The first was related to socio-demographic information (nationality, age, profession, marital status) on the respondent. The second part concerns the personal approach to HIV (the contamination mode, the prevention mode, advantage of screening pregnant women). Results: At the end of this study, 200 pregnant women received in prenatal consultation were screened, including 21 pregnant women who were HIV positive and 179 who were negative, representing a prevalence rate of 10.5 % among the study population. It also allowed us to note that pregnant women with HIV had an average age of 27 years. These women mainly belong to the 20-35 age group (61.9 %), that they were mostly married (57.14 %), multigest (76.19 %) and unemployed (38.1 %). The 2017 mother-to-child HIV transmission rate was identical to that of 2018 (0 %). However, for the year 2019 this rate was 2.83 %. Finally, the overall situation for the period from 2017 to 2019 shows us a rate of 0.6 %. Conclusion: This study has shown that knowledge of HIV status and good monitoring of pregnant women with HIV can significantly reduce the rate of mother-to-child transmission of HIV.

Keywords: HIV, Mother-to-child transmission, Daloa, Côte d’Ivoire.