BMJ  2005;331:778 (1 October), doi:10.1136/bmj.331.7519.778

Letter

A theme issue by, for, and about Africa

Results from Ugandan programme preventing maternal transmission of HIV

The first 150 words of the full text of this article appear below.

EDITOR—Since the efficacy of antiretroviral drugs in preventing HIV transmission from mother to child was first shown, much effort has been devoted in many countries in Africa to implement sustainable regimens.^1-4 To identify potential reasons affecting uptake we evaluated the five year performance of a programme at St Francis Hospital Nsambya in Kampala, Uganda. The programme included voluntary counselling and confidential HIV testing for pregnant women and administration of antiretroviral prophylaxis in the peripartum period (zidovudine or nevirapine) for HIV positive women.

Overall 24 133 women received counselling, 76% (18 384) agreed to be tested, and 2011 (10.9%) were HIV positive; 1341 (66.7% of the HIV positive women) were enrolled in the programme and received antiretroviral drugs.

Acceptance of the test increased from 72.7% (9103/12 524) in 2000-2 to 79.9% (9281/11 609) in 2003-4, when a drug access programme became available in the hospital.

Acceptance of the test . . . [Full text of this article]

giuliano@iss.it
Istituto Superiore di Sanità, Viale Regina Elena, 299 00161 Rome, Italy

Istituto Superiore di Sanità, Viale Regina Elena, 299 00161 Rome, Italy

St Frances Hospital Nsambya, PO Box 7146, Kampala, Uganda

PMTCT programme Ministry of Health of Uganda, PO Box 7272, Kampala, Uganda

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