摘要
The objectives </span><span style="font-family:Verdana;">of the </span><span style="font-family:Verdana;">study w</span><span style="font-family:Verdana;">ere</span><span style="font-family:""><span style="font-family:Verdana;"> to determine the level of knowledge, accep</span><span style="font-family:Verdana;">tability and implementation of Prevention of mother-to-child transmission</span><span style="font-family:Verdana;"> (PMTCT)</span></span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">of HIV HIV/AIDS at Ratoma communal medical center (CMC). </span><b><span style="font-family:Verdana;">Patients</span></b></span><b><span style="font-family:Verdana;"> and Method:</span></b><span style="font-family:""><span style="font-family:Verdana;"> It was a descriptive cross-sectional study with prospective data collection from November 1, 2019 to April 30, 2020 at the maternal and child health department of Ratoma communal medical center. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> The acceptance rate was 85.45%. The average age of our patients was 27 with extremes of 15 and 39. Women doing a liberal activity were the most affected (70.36%), followed by housewives (20%), secondary school (5%) and university students (4</span></span><span style="font-family:Verdana;">.</span><span style="font-family:""><span style="font-family:Verdana;">64%). The Caesarean section was cited as a means of PMTCT </span><span style="font-family:Verdana;">in 20.84% of cases, taking antiretroviral drugs at the end of pregnancy in</span><span style="font-family:Verdana;"> 9.94%. Most of our patients accepted the HIV screening, </span><i><span style="font-family:Verdana;">i.e.</span></i><span style="font-family:Verdana;"> a participation rate of 85.45%. The average age of our patients was 27 with extremes of 15 and 39. Women doing a liberal activity were the most affected (70.36%), followed by housewives, secondary school and university students. The Caesa</span><span style="font-family:Verdana;">rean section was cited as a means of PMTCT in 20.84% of cases</span></span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;"> On the</span><span style="font-family:""><span style="font-family:Verdana;"> whole, </span><span style="font-family:Verdana;">pregnant women had a favorable attitude towards the screening result in</span><span style="font-family:Verdana;"> 96.5% of cases. Most of the women (73.51%) did not agree to share the serological result with their partner, 16.55% agreed to share the result with their spouse. Sexual </span><span style="font-family:Verdana;">transmission was identified by women as the mode of HIV transmission in</span><span style="font-family:Verdana;"> 61.9% of cases and Mother to Child transmission in 0.68%. Breastfeeding was exclusive in 93.5% of cases due to lack of financial means. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">Acceptability, a high level of knowledge and a favorable attitude to</span><span style="font-family:Verdana;">wards HIV screening are conditions that favor adherence to the various </span><span style="font-family:Verdana;">PMTCT programs.
The objectives </span><span style="font-family:Verdana;">of the </span><span style="font-family:Verdana;">study w</span><span style="font-family:Verdana;">ere</span><span style="font-family:""><span style="font-family:Verdana;"> to determine the level of knowledge, accep</span><span style="font-family:Verdana;">tability and implementation of Prevention of mother-to-child transmission</span><span style="font-family:Verdana;"> (PMTCT)</span></span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">of HIV HIV/AIDS at Ratoma communal medical center (CMC). </span><b><span style="font-family:Verdana;">Patients</span></b></span><b><span style="font-family:Verdana;"> and Method:</span></b><span style="font-family:""><span style="font-family:Verdana;"> It was a descriptive cross-sectional study with prospective data collection from November 1, 2019 to April 30, 2020 at the maternal and child health department of Ratoma communal medical center. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> The acceptance rate was 85.45%. The average age of our patients was 27 with extremes of 15 and 39. Women doing a liberal activity were the most affected (70.36%), followed by housewives (20%), secondary school (5%) and university students (4</span></span><span style="font-family:Verdana;">.</span><span style="font-family:""><span style="font-family:Verdana;">64%). The Caesarean section was cited as a means of PMTCT </span><span style="font-family:Verdana;">in 20.84% of cases, taking antiretroviral drugs at the end of pregnancy in</span><span style="font-family:Verdana;"> 9.94%. Most of our patients accepted the HIV screening, </span><i><span style="font-family:Verdana;">i.e.</span></i><span style="font-family:Verdana;"> a participation rate of 85.45%. The average age of our patients was 27 with extremes of 15 and 39. Women doing a liberal activity were the most affected (70.36%), followed by housewives, secondary school and university students. The Caesa</span><span style="font-family:Verdana;">rean section was cited as a means of PMTCT in 20.84% of cases</span></span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;"> On the</span><span style="font-family:""><span style="font-family:Verdana;"> whole, </span><span style="font-family:Verdana;">pregnant women had a favorable attitude towards the screening result in</span><span style="font-family:Verdana;"> 96.5% of cases. Most of the women (73.51%) did not agree to share the serological result with their partner, 16.55% agreed to share the result with their spouse. Sexual </span><span style="font-family:Verdana;">transmission was identified by women as the mode of HIV transmission in</span><span style="font-family:Verdana;"> 61.9% of cases and Mother to Child transmission in 0.68%. Breastfeeding was exclusive in 93.5% of cases due to lack of financial means. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">Acceptability, a high level of knowledge and a favorable attitude to</span><span style="font-family:Verdana;">wards HIV screening are conditions that favor adherence to the various </span><span style="font-family:Verdana;">PMTCT programs.
