Health Outcomes of Infants in a PMTCT Program in Kinshasa

oleh: John Ditekemena MD, MPH, Richard Matendo MD, MSc, Robert Colebunders MD, PhD, Olivier Koole MD, MPH, Gabrielle Bielen MSc, Michel Nkuna MD, MPH, Cyril Engmann MD, Antoinette Tshefu MD, PhD, Robert Ryder MD

Format: Article
Diterbitkan: SAGE Publishing 2015-09-01

Deskripsi

Effective follow-up of mother–infant pairs is critical for ensuring the success of preventing mother-to-child transmission (PMTCT) programs. The objective of this study was to identify factors associated with health outcomes of exposed infants in a PMTCT program in the Democratic Republic of Congo (DRC). Data were collected from January 2005 through December 2008 in 2 maternities in Kinshasa, DRC. The exposed infant’s health status was used as outcome. Multiple logistic regressions were used to identify the determinants of infant outcomes. A total of 309 mother–infant pairs were included in this study. Younger maternal age, breast-feeding but weaning before the age of 6 months, and HIV testing of the child and a mother who is not sick were associated with better infant health outcome. The follow-up of mother–infant pairs in PMTCT programs remains critical and challenging. There is a need for innovative and efficient strategies to improve retention of mother–infant pairs in PMTCT programs.