Public Health Fellowship Program – Field Epidemiology Track

Utilization of

Elimination of Mother to Child Transmission

Services: Kampala 2013-2015

Jimmy Ogwal, Msc CEB, PGD M & E, B.Stat

Fellow, Cohort 2016

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Accessibility and Utilization of EMTCT Services in Kampala

Introduction

Mother-to-child HIV transmission is recognized to be

the major source of HIV infection among children;

95% of HIV infection in children is due to MTCT and

transmission occurs in 30‐40% of HIV‐positive

pregnant women;

Utilization of comprehensive HIV services reduces the

risk of transmission to below 5%.

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Accessibility and Utilization of EMTCT Services in Kampala

Data extraction from DHIS2

DHIS 2 facilitates the storage of data and information

generated from the health facilities

It supports the organization’s data collection, analysis,

and reporting needs.

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Accessibility and Utilization of EMTCT Services in Kampala

Objectives

Estimate proportion of pregnant mothers and exposed

infants that received HIV testing

Estimate proportion of HIV positive pregnant mothers

and exposed infants enrolled in care

Estimate the proportion of couples tested for HIV.

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Accessibility and Utilization of EMTCT Services in Kampala

DHIS2 eMTCT Data Analyzed

Data was extracted from DHIS2,

Indicators: % of pregnant women, couples and infants

tested; % enrolled in care

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Accessibility and Utilization of EMTCT Services in Kampala

P

Year Population Expected

Pregnancy ANC 1 Visit

Tested

%age Tested

against ANC1

2013 1,849,615 92,481 121,585 104,395 85.9

2014 1,516,210 75,811 131,914 124,499 94.4

2015 1,541,000 77,050 137,714 66225 48.1

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Accessibility and Utilization of EMTCT Services in Kampala

Women Tested for HIV during ANC Visit

82.9

87.2

42.6

73.3 76.7

27.3

88.7

95.4

40.3

0.0

20.0

40.0

60.0

80.0

100.0

120.0

2013 2014 2015

Private Not For Profit

Private For Profit

Government

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Accessibility and Utilization of EMTCT Services in Kampala

Positive Women and Exposed infants Initiated on

ART

0

10

20

30

40

50

60

70

80

90

100

2013 2014 2015

Perc

ent

Year

Infants

Pregnant

Women

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Accessibility and Utilization of EMTCT Services in Kampala

Partners tested as couples

-1

1

3

5

7

9

11

13

2103 2014 2015

Perc

en

t

Year

Government

PNFP

PFP

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Accessibility and Utilization of EMTCT Services in Kampala

Gov’t facilities more like to enroll patients in care

Facility

Ownership

Deliver HIV +

(Live Birth)

Exposed Infant

enrolled in care OR

Gov’t 14359 10090 10.6

PFP 1340 89

Gov’t 14359 10090 1.4

PNFP 2724 2699

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Accessibility and Utilization of EMTCT Services in Kampala

Limitations

Inability to correct some data quality issues, especially

2015 data.

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Accessibility and Utilization of EMTCT Services in Kampala

Conclusion

high proportion of pregnant women were tested for

HIV

Apart from exposed infants, big percentages of

pregnant women are accessing ARV

Couples testing was far low in all the three years

.

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Accessibility and Utilization of EMTCT Services in Kampala

Recommendation

Access to ARV to positive pregnant women should be

improved

Involvement of male partners in the ANC and maternity

services,

Public Health Fellowship Program – Field Epidemiology Track

Acknowledgment

MOH

US CDC

MAKSPH

KCCA

PHFP

Fellows