Prevention of mother-to-child transmission in HIV audit in Xhosa clinic, Mahalapye, Botswana/Le controle de prevention de la transmission du VIH

Background: The Mahalapye district health management team (DHMT) conducts regular audits to evaluate the standard of services delivered to patients, one of which is the prevention of mother-to-child-transmission (PMTCT) programme. Xhosa clinic is one of the facilities in Mahalapye which provides a PMTCT programme. Aim: This audit aimed to identify gaps between the current PMTCT clinical practice in Xhosa clinic and the Botswana PMTCT national guidelines. Setting: This audit took place in Xhosa clinic in the urban village of Mahalapye, in the Central District of Botswana. Methods: This was a retrospective audit using PMTCT Xhosa clinic records of pregnant mothers and HIV-exposed babies seen from January 2013 to June 2013. Results: One hundred and thirty-three pregnant women registered for antenatal care. Twenty-five (19%) knew their HIV-positive status as they had been tested before their pregnancy or had tested HIV positive at their first antenatal clinic visit. More than two-thirds of the 115 pregnant women (69%) were seen at a gestational age of between 14 and 28 weeks. About two-thirds of the pregnant women (67%) took antiretroviral drugs. Of the 44 HIV-exposed infants, 39 (89%) were HIV DNA PCR negative at 6 weeks. Thirty-two (73%) children were given cotrimoxazole prophylaxis between 6 and 8 weeks. Conclusion: The PMTCT programme service delivery was still suboptimal and could potentially increase the mother-to-child transmission of HIV. Daily monitoring mechanism to track those eligible could help to close the gap. Contexte: L'equipe de gestion sanitaire du district de Mahalapye (DHMT) procede a des controles reguliers pour evaluer le niveau des services donnes aux patients, tels que le programme de prevention de la transmission du VIH de la mere a l'enfant (PTME). La clinique Xhosa est l'un des etablissements a Mahalapye qui offre un programme PTME. Objectif: Cette evaluation avait pour but d'identifier l'ecart entre les pratiques cliniques PTME actuelles a la clinique Xhosa et les directives nationales du PTME du Botswana. Lieu: Cette evaluation a eu lieu a la clinique Xhosa dans le village de Mahalapye, dans le District central du Botswana. Methodes: Il s'agissait d'une retrospective basees sur les rapports du PTME de la clinique Xhosa des meres enceintes et des bebes exposes au virus VIH examines de janvier a juin 2013. Resultats: Sur les cent tente-trois femmes enceintes inscrites pour les soins prenataux, vingtcinq (19%) savaient leur etat sero