Abstract #13  -  Assessment of HIV counselling and testing in the labour room since implementation of PMTCT in Ivory Coast
Authors:   Presenting Author:   Dr Bangaly doumbouya - aconda vs côte d'ivoire
Additional Authors:  Dr  Bangaly Doumbouya, Dr kacou Elis, Dr Jules  Coulibaly, Mme Yéo - Diawara Assetou, Mme  ouattara - bamba naminignan,
Aim: More than 70% of women in the far West of Ivory Coast deliver without benefiting from Antenatal Clinics (ANC). HIV prevalence among pregnant women was estimated at 8.3% before the introduction of the PMTCT program. To permit these women benefit from the PMTCT program, the intra-partum HIV C&T has been developed in the labour room.
Method / Issue: Retrospective and descriptive study was carried out from April 2005 to December 2008 in 6 district Hospitals. Have been Included, all pregnant women admitted in the labour room, who had no visit to ANC during their pregnancy. The counselling involved education on the MTCT, the advantages of knowing HIV status, possibilities of benefiting from free interventions and a follow-up in case of an HIV positive test. HIV test has been performed when acceptation according the national guideline (Determine and Genie II).
Results / Comments: The study involved 2380 women, 1911/2380 consented to the HIV test, giving an acceptability rate of 80.3%, with a seroprevalence of 10.6% [95%CI:9.3%;11.8%]. All positive women received nevirapine tablet between the 2nd-6th hour before delivery, and their children, nevirapine syrup just at birth. 96,0% of HIV positive women benefited from a complete counselling after delivery. Among the 206 married women tested HIV positive, 89.3%[95%CI:85.1%;93.5%] of couples were tested positive. Of these couples, 63.2 carried out their biological examination for the ARV treatment.
Discussion: Sero-ignorant women accepted an HIV screening test, spouses came for counselling of a couple and HIV-positive couples had completed their biological examination. This shows necessity of doing an intra-partum counselling in an area where visit to ANC services is no systematic.
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