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PMTCT

PMTCT

 

Introduction

The report to the high levels of HIV in women of childbearing age, the Government of Botswana launched the national PMTCT Programme in 1999. The overall aim of the programme is to improve child survival and developed through the reduction of HIV transmission from mother to child.

 The programme was polluted in Francistown and Gaborone with national rollout of the programme achieved in November 2001.

 

Who Qualifies to be in the Programme

All pregnant women who are registering for Ante Natal Clinic are tested for HIV and if they are HIV positive they do qualify for the programme. Other services like counselling are also extended to their partners and children.

 

Who Provides the Service

-       The key people in this programme are the Lay Counsellors who offer HIV counselling and testing to the clients.

-       Other health Care workers like Health Education Assistant nurses, doctors, Social Workers, Pharmacy Technicians and Laboratory Technicians. Is also offer different services in line to the programme i.e drugs, Laboratory investigations and counselling.

 

How does a Patient Enroll in the Programme

 The client undergoes an HIV test after counselling, if she is HIV positive blood will be drawn to check her CD4 count. If her CD4 is less than 350 she will be initiated on ART for her own health benefit. But if the CD4 is above 350 she will be taking HAART for prophylaxis reason to transmission risks to the infant.

 

Her partner will also receive HIV counselling concerning their HIV status, available medical care for themselves and their families. HIV exposed babies will be given prophylactic treatment to reduce the transmission rate. And their mothers will be counselled on two breastfeeding method being exclusive breastfeeding and exclusive formula feeding. If she chooses exclusive formula feeding she will be provided with free infant formula until the baby is 12 months of age.

 

The baby will be test for HIV at six weeks using Dry blood spots (DBS) for PCR. (Polymacros Chain Reagent). The baby will also be given crotrimazole preventive therapy until 12 months or when tested negative for HIV. Confirmatory test will be done immediately when the child is positive. If negative repeat test will be done at 18 months using Rapid test. All HIV positive infants whether symptomatic or not will be referred to the ARV programme for Anti Retroviral (ART) services provided in the programme.

 

 

1.   Routine HIV Testing and counselling for all pregnant women and their partners during Ante Natal Care Clinic.

 

2.   Post Test Counselling – HIV positive women and their partners receive counselling concerning their HIV status, available medical care for themselves and their families.

 

3.   HAART and ARV Prophylyxis – offering ARV for infected eligible clients and their partners.

 

4.   Offering ARV prophylaxis for non eligible clients offering safe obstetric practices to reduce mother to child transmission.

 

5.   Provision of infant formula to mothers who chose to exclusive formula feed until the infant is 12 months of age.

 

6.   Provision of cotrimaxole preventive therapy for HIV exposed infants until 12 months of when tested HIV negative.

 

7.   Infant HIV testing at 6 weeks using PCR by Dry Blood Spots and rapid test at 18 months.

 

8.   Referring all HIV positive infants whether symptomatic or not for ARV programme for ARV’s.

 

9.   Provision of ongoing counselling for both HIV positive and negative women and their families and partners.

 

10.        Referring HIV positive women at Post Natal Care Clinic to IPT programme.

 

11.        Procuring formula for all eligible clients.

 

12.        Training of health workers in different PMTCT training.

  

ARV PROGRAMME

 

The programme was launched in 2002 in Gaborone and Francistown as pilot project National in 2003.

 

Antiretroviral therapy though not a cure for HIV / AIDS is aimed at boosting HIV positive person’s immune system to enable them to live a more productive life with less chance of opportunistic infections.

 

Who Qualifies to be in the Programme

  • All clients who test HIV positive and have their CD$ count less than 250 cells has who clinically staging of 3 and four.
  • All HIV infant less than one year irrespective of whether they have symptomatic signs or not and children above one year qualify by eligible CD4%.

 

 Who Provides Care

 

Health Care workers who include Nurses, Doctors, Pharmacy Technicians, lay counsellors, Health Education Assistant, physiotherapy as well as the family members.

 

How does the Patient Enroll in the Programme

 

Patient undergoes HIV test, if HIV positive, His/her CD4 counts will be monitored in the ARV progress to evaluate whether she is eligible for ART.

A patient is being assessed regularly to see whether she qualifies. HAART by who clinical staging if the CD4 are high.

 

Baseline

Blood investigations will be out to determine which ARV regime will be suitable for her as well as to have baseline information to monitor patient progress.

Patients qualifying for will be on treatment for the rest of her/his life and will be monitored at the ARV clinic.

 

Services Provided

 

-       Provision of Antiretroviral to all eligible clients

-       Offering adherence counseling and ongoing counseling to HIV positive clients and their family.

-       Monitoring clients on ARV treatment as well HIV positive clients who are not yet eligible for treatment.

-       Provision of post exposure prophylaxis (PEP) treatment to occupational exposure to HIV

-       Provision of ARV structure and strengthening of ARV drug storerooms in ARV’s clinics.

-       Provision of equipment and furnishers in ARV clinics.

-       Provision of security alarms in all ARV sites

-       Prevention and treatment of opportunistic infections and provision of HIV related treatment, care and support to infected clients.

-       Offering isonised preventive therapy to eligible HIV positive clients.

-       Referring clients to HIV/AIDS related programmes like home based care e.t.c.

 

 

 

For more information contact us at:

Tel: 5920200/01

 

 

 

 

 

 

 

 

 

 

 

 

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