Improving the Coverage of a Nevirapine-based PMTCT Programme in South Africa

摘要

The objective of this study was to evaluate the performance and coverage of the PMTCT programme in the nine provinces of South Africa.The evaluation utilised a cross-sectional design. Data was collected at district, provincial and national levels. Out of 84406 pregnant women who received antenatal counselling, 46910 (56(percent)) agreed to an HIV test and 39733 (85(percent)) received their test results. 14340 (30(percent)) of the women tested were HIV positive and of these 7853 (55(percent)) were dispensed nevirapine. 7932 (99(percent)) of the infants born to women identified as being HIV positive received their nevirapine dose. 58(percent) (4196/7237) of HIV positive women expressed an intention to practice exclusive formula feeding, and 42(percent) (3041/7237) intended to practice exclusive breastfeeding. The pilot sites have demonstrated that it is feasible to implement PMTCT in South Africa and remarkable progress has been made in scaling up this programme under routine service conditions.