Prevention of mother to child transmission of HIV/AIDS in a country with limited resources: acceptability and implementation at the centre medical de Ratoma, Guinea-Conakry

The objectives of this study were to:

• Determine pregnant women participation rate in the mother to child HIV transmission prevention program during their pregnancy.

• Assess the acceptability and the implementation of the mother to child transmission of HIV.

Patients and methods:

Pregnant women who accepted to be screened were included in this study. The study was prospective and descriptive and it lasted 6 months. It started on November 01,2016 and finished on April 30,2017.

Results:

1224 pregnant women were sensitized to accept to be HIV screened and after counseling 1046 of them were screened i.e. 85.45%. Out of these 1046 pregnant women 58 tested HIV positive i.e.5.5%.

The 20 – 24 age range was the most affected i.e.76.76%.

Housewives were the most affected (70.36%); secondary school and university students came next with 28.98%. In view of these screening results, pregnant women generally demonstrated a positive attitude with a 96.50% acceptance. 73.51% of HIV positive pregnant women were not happy to tell their partner about the screening result but 16.55% were happy to tell someone in their environment about it. And 9.94% accepted to inform their husband.

Exclusive breast feeding was noticed in almost all newly born babies i.e. 93.5% for economic reasons.

Conclusion:

We recommend that the implementation of WHO B+ be continued to get pregnant women screened HIV positive under life ARV tri-therapy. This could effectively reduce the infection rate in children.

Key words:

HIV, Acceptability, Ratoma, Guinea