Evaluating the effectiveness of the programme of prevention of HIV transmission from mothers to children in some obstetric’s facilities in North of Vietnam in the period 2006-2010

Abstract

Evaluating the effectiveness of the programme of prevention of HIV transmission from mothers to children in some obstetric’s facilities in North of VietNam in the period 2006-2010. Objective: Evaluating the effectiveness of the programme PMTCT in some obstetric’s facilities in North of VietNam in the period 2006-2010. Subjects and methods: Cohort study (prospective et retrospective). Results: During the period 2006-2010, having 1093 HIV–infected mothers to give birth in 8 obstetrics facilities in North of VietNam, the HIV prevalence among women giving birth was 0,32%, in which this prevalence highly concentrated in the national hospital and some large provinces. The majority (86,3%) of mothers were received services and treatment ARV in the programme of PMTCT. The rate of transmission HIV from mother to child was 6,9%. The rate of transmission was 2,47% if mother had taken ARV with 3 drugs (AIDS’s regimen), and was 4,87% if mother taking ARV during pregnancy and increased to 14,86% for the mothers taking ARV during labor. The number not follow-up of children was very high (47,5%), so there were limitation in evaluating the effectiveness of the programme. It required a more active follow-up method in order to get better information for evaluation.