Amsterdam 2015
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| Abstract #1004 - Poster 2 | ||||
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Session: 59.26: Poster 2 (Poster) on Tuesday in Chaired by Authors: Presenting Author: Dr Doumbouya Bangaly - ORFEE Côte d'Ivoire, Cote D'ivoire |
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| Additional Authors: | ||||
| Aim: BACKGROUND: Post-election crisis in 2011 in Ivory Coast caused militaries conflicts in several cities, disturbing health facilities activities. Guiglo, one of the important cities in the West of country, was located in military conflict zone. The aim of this paper is to describe how provisions of PMTCT services have been organized in Guiglo Regional Hospital (RH) in a context of war. | ||||
| Method / Issue: METHODS: It is a prospective study which reports activities of mother and child unit in the Guiglo RH. Study period was from December 2010 to November 2011. Data has been collected from regional health direction monthly reports. it concerned socio-demographic characteristics, origin of the client and then existence or not of care provision in different steps of PMTCT. It also talked about strategies of tracking used to retain women and their children in care after delivery. Namely reception of clients, group counseling, individual pre-test, HIV test and post-test or test result, ARV prophylaxis, the pre therapeutic biological test for HIV infected women and ARV treatment delivering. | ||||
| Results / Comments: RESULTS: In the period of the study, 779 pregnant women have been seen in 109 antenatal visits, any rank (less than 240). 592 clients have received counseling and testing. 18 of them were tested HIV +. Because of looting that the laboratory suffered during the war, only (5) 26% of HIV + clients have benefited from pre-ARV biological test. Only 02/05 clients declared eligible for ARVs treatment, have got it. Due to the difficulties in drug supply management and the absence of medical staff related to insecurity, there has been a high rate (40%) of lost of follow in the different step of PMTCT services. Thus, it was noted that only 61% of women received ARV prophylaxis for them and even 42% for their child. For the all clients who have recently given birth to the maternity unit of this hospital, only 01 child started ARV prophylaxis within 72 hours of birth. In the same period one year before (December 2009 to November 2010), it was noted that the main indicators were much better. It has been recommended to track at any point of care, exposed and infected newborn for their PCR test. | ||||
| Discussion: LESSON LEARNT: The post-election crisis in November 2010 in Ivory Coast has greatly weakened the health system in several health regions. This study which makes an assessment of 12 months of provision of PMTCT services in a regional hospital in West Africa shows that the environment of insecurity can negatively influence the quality of health services. | ||||
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