PMTCT: Provision of Prevention of Mother to Child Transmission (PMTCT) services remains core to our program implementation given that Kawempe National Referral Hospital only provides specialised obstetric, gynaecological and paediatric services and is also among the busiest Maternal and Child Health (MCH) units in Uganda. The program aims at eliminating mother-to-child transmission.
Annually, over 15,000 pregnant women attend Antenatal Care (ANC) for the first time and of these women, more than 99.9% receive same-day HIV results. 7.3% of these are HIV positive and receive lifesaving Antiretroviral (ARVs) drugs. An additional 21,000 pregnant women are screened for HIV at labour, at delivery and in the post-natal period.
Male partner engagement is critical to the uptake and retention of women in the PMTCT cascade. The program provides male-friendly services that include:
- Invitation letters to partners of women attending ANC
- Expediting services for couples attending ANC and Antiretroviral Therapy (ART) clinics
- Provision of male-friendly clinics beyond the working hours in ANC and at the maternity unit
With these interventions, our program has recorded a significant increase in male partner attendance and reduced Mother-to-Child-Transmission rates. Lost to follow-up, new HIV infections during pregnancy and the breastfeeding period remain key challenges to achieving the elimination of mother-to-child transmission of HIV.
HIV testing: The program implements high-yield approaches for HIV case-finding, both at the facility and in the community. These include index testing, social network testing, and targeted testing for high-risk populations. Over 45,000 clients are tested annually and those identified with the HIV infection are linked to our care program