Assessment of Nigerian Tertiary Healthcare Institutions’ Compliance to Prevention of Mother-to-Child Transmission Treatment Guidelines: A Ten-Year Retrospective Study of US Presidents’ Emergency Plan for AIDS Relief (PEPFAR)-AIDS Prevention Initiative in Nigeria (APIN) Clinics

摘要

This study was conducted to compare the PMTCT practices in some Nigerian tertiary health institutions to PMTCT guidelines. A multi-site retrospective design was used in this study to collate data from Ahmadu Bello University Teaching Hospital (ABUTH), Jos University Teaching Hospital (JUTH), University of Maiduguri Teaching Hospital (UMTH), and University College Hospital (UCH). Appropriate descriptive and inferential statistics were conducted. Data from the same number of mothers and infants (5378) were retrieved for the compliance audit. The ARVs used for PMTCT were not documented in 3590(66.75%) mothers. ARV prophylaxis was administered to 4829(89.79%) infants. Polymerase Chain Reaction test was conducted for 4516(83.97%) infants, while Rapid test was conducted for 1677(31.18%). UCH had a total compliance of 69.55%, while UMTH had 0.00%. The group mean was 41.14(16.48); F(3,0)=0.00, p≤0.0001. The compliance of Nigerian tertiary hospitals to PMTCT treatment guidelines was determined to be fair.