
Mother to child transmission is the second most common mode of HIV transmission In Uganda. The average HIV prevalence rate amongst women attending ANC in the year 2001 was 8.8% for urban sites and 4.2% in the rural areas while the national average was reported at 6.5%. The majority of HIV infection in Uganda is concentrated in the age group 15 – 45% years, those of reproductive age. Women constitute a significant proportion of this group and this has clear implications for MTCT. The National Housing and population census of 2002 gives a population of about 24 million people and 1,248,000 expected pregnancies per year.
With an average of 6.5% of pregnant women attending antenatal clinic [ANC] in 2001 testing positive for the HIV virus, it is expected that about 81,000 HIV positive Ugandan women conceive (get pregnant] annually. It is estimated that without an intervention to reduce mother-to-child transmission of HIV, about 30% 0f the HIV positive pregnant women will transmit the virus to their babies.
This means that about 22,000 of the 81,000 babies born to HIV infected mothers each year will become infected. The treatment and management of HIV infected children represents an enormous burden to the health care system and family resources. PMTCT is therefore a critical intervention in the reduction of both infant and child morbidity and mortality. If properly implemented, the PMTCT intervention will result in about 50% reduction in the risk of HIV transmission. Consequently, with a nation-wide coverage for PMTCT will result in the saving of about 11,000 babies out of the 81,000 born to HIV positive mothers from being infected with the virus.
Key Interventions:
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Iganga
Uganda
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