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An Evaluation of Prevention of the Mother-to-Child Transmission Program in murewa district, 2021

Open Journal of Epidemiology 2022年第3期12卷 300-316页

作者： Hellen Kabaya Bernard Madzima Addmore Chadambuka Mujinga Karakadzai Tsitsi Juru Notion Gombe Mufuta Tshimanga Department of Primary Health Care Sciences: Family Medicine University of Zimbabwe Global and Public Health Unit Zimbabwe Field Epidemiology Training Program Harare Zimbabwe National AIDS Council of Zimbabwe Harare Zimbabwe Africa Field Epidemiology Network Harare Zimbabwe

Background: Prevention of mother-to-child transmission (PMTCT) program includes a cascade of services given to prevent mother-to-child transmission (MTCT) of HIV in-utero, during delivery and during breastfeeding. Zimbabwe has made tremendous progress in increasing coverage of PMTCT services and reducing MTCT rate. COVID-19 has negatively impacted HIV programs. murewa was among the districts with the most COVID-19 cases. We evaluated the PMTCT program in murewa district in the face of COVID-19 challenges. Methods: We assessed inputs, processes, outputs and outcomes of the PMTCT program using the logic model approach. We collected data using interviewer-administered questionnaire, records review, and a checklist to assess availability of inputs, processes carried out and outputs realized from the program. We randomly selected health workers and program recipients. We used Epi info 7 to compute frequencies, means and proportions. Results: murewa district had 58 health workers in post against an establishment of 92. Seven out of 16 facilities reported having HIV test-kit stockout. Only 4/16 were conducting postnatal clinics. No PMTCT training were conducted. Only 1872/5693 (33%) of HIV consumables including HIV test kits and CD4 count reagents were procured. The reasons reported for low PMTCT coverage in murewa were fear of contracting COVID-19 at health facilities 33/43 (77%), lack of bus fare 28/43 (65%) and unavailability of medical consumables 26/43 (60%). Conclusion: The PMTCT program in murewa district failed to meet targets for inputs, processes, and outputs worsened by the impact of the COVID-19 pandemic. The reasons for low PMTCT coverage in murewa district were reported to be due to fear of contracting COVID-19, unavailability of medical consumables and COVID-19 travelling restrictions. We recommended development of guidelines on provision of PMTCT services amid the COVID-19 pandemic. We gave health education to program recipients on the importance to access

关键词： COVID-19 PMTCT Program murewa district

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