Characterization of users that come to the vertical transmission prevention program in the Maternity of the Huambo General Hospital from june 2018 to july 2019

Abstract

Introduction. The program for the prevention of mother-to-child transmission is the pillar for the reduction of HIV from mother to baby, thus contributing to reduce morbidity and mortality, thus increasing the life expectancy of populations. The present research aimed to: characterize the users who attend the (PMTCT) program for the prevention of vertical transmission in the maternity ward of Hospital Geral do Huambo from July 2005 to July 2019 through analysis of clinical processes and record books taking into account the following variables: age, marital status, number of prenatal consultations, gestational age, school level, provenance, antiretroviral treatment, serological status of partner and baby. Method: The study is descriptive, retrospective and cross-sectional. Information from 247 HIV users who adhered to the vertical transmission prevention program from 2005 to 2019 were analyzed. Results: MD = 28 years o SD = 6.33 the most prevalent age group was 23-28 years old with 32 % followed by 29-34 with 27.9%; as for marital status, we found that most users are single with 37.2% followed by married women with 30%. Regarding adherence to prenatal consultations, it appears that from the users who come to the program n = 174 (70.45%) they had only one consultation, n = 52 (21.04%) two consultations and n = 7 (2.83% ) did not adhere. Regarding the level of education, we found that most users have completed secondary education 51.4% and 14.2% have higher education. In view of gestational age, we found that 21.46% were between 14-18 weeks, 13-20 weeks represented 20.24% and 23-27 with 19.03%. The most used ART was AZT + 3TC + NVP with 49.4% and TDF3TCEFV, which represented 47.8%. Information on the serological status of the partners points to n = 165 (66.8%) positive and n = 30 (12.1% ) negative results, it was also found that n = 52 (21.1%) did not perform the test. As the baby's serological status it was found that n = 172 (69.64%) were negative, n = 61 (24, 70%) did not take the test and n = 14 (15.67%) were positive. Conclusion: the program for the prevention of mother-to-child vertical HIV transmission is of paramount importance to prevent children who are born HIV-positive. However, there is still some work to be done to raise awareness of the need for testing and adherence to PVT.