RESUMO
Background: Humanitarian emergencies upset and wreck existing healthcare services and systems. Pregnant women and infant are incredibly defenseless, as these infants are exposed to the risk of preventable childhood disease which includes HIV that is transmitted from their HIV positive mother. In the absence of any intervention, the risk of HIV transmission increases to about 40% among infant born to HIV positive mothers.Objectives: To examine the prevalence and uptake of HIV services among pregnant women and to assess the level of Early Infant Diagnosis (EID) by PCR uptake for children under 2 months born to HIV positive mothers.Methods: A sentinel case study approach conducted in 3 internally displaced people (IDP) camps in 3 LGAs (Banki, Dikwa and Ngala) of Borno state Nigeria, from January 2018 to May 2019. Data collected using standard tools and DHIS 2.0 used for data extraction and MS Excel used for analysis.Results: Prevalence of HIV among pregnant women (1st ANC Visits) in the 3 IDP camps were 1.22% (Ngala), 0.44% (Banki) and 0.16% (Dikwa) with an average of 0.61% compared to the 2018 National zonal average for the North East of1.1%. Uptake of HIV testing service among pregnant women in the 3 IDP camps were 90.65% (Ngala), 100% (Banki) and 100% (Dikwa), with an average uptake of 96.9%; while EID uptake for HIV exposed children within 2 months of age were: 50.0% (Dikwa), 12.5% (Banki) and 0% (Ngala).Conclusions: The study also shows that none of the 3IDP camps were able to optimize Early Infant Diagnosis at 2 months of birth. It is hereby recommended that Care-giver Focused Approach should be prioritized in preventing mother-to-child transmission (PMTCT) service delivery
RESUMO
Background: The 2019 National AIDS Indicator and Impact Survey (NAIIS) report showed that the prevalence of HIV in North East Nigeria is 1.1%. Despite the increasing number of patients on ART in Nigeria, thereis inadequate information about clients with virologic failure and its different determinants among PLHIVs enrolled into care in resource-limited and security challenged settings like Borno state. Objectives: To evaluate the suppression rate and the associated factors for non-suppression of Viral Load (VL) at a HIV/AIDS comprehensive service delivery site in Borno State.Methods: A case study conducted using routinely received Viral Load (VL) test results in Umaru Shehu Ultra-Modern Hospital, Borno State.Six (6) VL data from 402 patients on HIV anti-retroviral herapy (ART). Data collected using standard tools and Lafiya Information Management System (LAMIS) used for data extraction and STATA 14 used for analysis. Logistic regression was employed to identify various factors associated with viral Load non-suppression (virologic failure) in the selected facility in the State.Results: From the 402 patients; 279 (69.40%) were females while the remaining 123(30.60%) were males. Overall virologic failure/non-suppression rate was 16.33%. 19.2% of the patients age 25-29 were virally unsuppressed. The odds of virologic failure decreased with age, with children aged 5-9 years (OR= 1.97, 95%CI = 0.02-169.913) and adults (OR= 3.33, 95%CI = 0.064-171.66) registering the highest odds. Last clinical stage (OR= 1.54, 95%CI = 0.499-4.76) and Body mass Index (OR= 1.4, 95%CI = 0.5-4.33) increased the odds of virologic failure. Conclusions: Demographic, economic and clinical data study increased the odds of virologic failure. Second line and third line ART regimens were protective against virologic failure. The study recommends close monitoring and regular follow up on patients by the case managers/care givers/treatment supporter and intensified patients' adherence support for repeat testers after suspected failure of the drug