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Prevention of Mother to Child HIV. Pilot Program in Zimbabwe. A Presentation by The Teacher’s Pet. Brittany Brown Andy Duvall Brian Joyner Ashelyn James Denise Rodriguez (BADAB!). PURPOSE. Implement a pilot program in Zimbabwe designed to minimize the spread of mother-to-child HIV.
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Prevention of Mother to Child HIV Pilot Program in Zimbabwe
A Presentation by The Teacher’s Pet Brittany Brown Andy Duvall Brian Joyner Ashelyn James Denise Rodriguez (BADAB!)
PURPOSE Implement a pilot program in Zimbabwe designed to minimize the spread of mother-to-child HIV
Background Info • FIVE MILLION people worldwide were newly infected with HIV in 2003 • 16% were CHILDREN, 90% of them born with the disease • ZIMBABWE has a 24.6% infection rate
PROGRAM SETUP • District Hospital of 120 beds, 22 nurses, 1 matron, and 3 government medical officers • Caters to 280,000 people • EXTREME limitations in supplies and resources • No previous national HIV/AIDS program
Longitudinal 18 month study Placed focus on administrating counseling, testing, and antiretroviral drugs Drug supplies were supplemented Offered voluntary counseling and rapid testing Provided post test counseling Trained nursing staff and social workers METHODOLOGY
RESULTS (Raw Data) • 2,298 had pre-test counseling— 93% accepted HIV testing • 74.3% returned for their results • 74.6% received post-test counseling • 23.8% of the group agreed to receive the antiretroviral drug
INTERPRETATION Number of people going in to get HIV tests is DECREASING!!!
WHY? • Women said they needed to consult their husbands • Needed to think more about testing • Perceived disincentive
CONCLUSION • Most effective means of prevention is COUNSELING, but resources are unavailable • A national program will be implemented because of what was learned from this study • Communication and a well-defined training program is needed • The main priority: Post Care • “Bandwagon Effect”
NEXT STEPS • World Health Organization and UNICEF have developed the “integrated management of sick children” • National AIDS/TB Program (with other partners and the district health authorities) are defining a new follow up package
Works Cited • Blunt E. 2005 Mar 15. [accessed 2006 Jan 29]. Analysis: aids drugs and the law. BBC News. URL: http://news.bbc.co.uk/olmedia/1220000/images/_1221511_sa_midwivesb300.jpg • CIA Factbook. C2006 Jan 10 [accessed 2006 Jan 29]. URL: http://www.cia.gov/cia/publications/factbook/maps/zi-map.gif • Dabis F, Glenshaw M, Mahomva A, Miller A, Mukotekwa T, Orne-Gliemann J, Perez F. 2004 Nov 13. Prevention of mother to child transmission of HIV: evaluation of a pilot programme in a district hospital in rural Zimbabwe. British Med J 329 (7475): 1147-50. • United Nations World Food Programme. C2006 [accessed 2006 Jan 30]. Food shortages in Zimbabwe: the facts. URL: http://www.wfp.org/img/newsroom/zimbabwe/310/food_distribution_4.jpg