The operational effectiveness of a single dose Nevirapine prevention of mother to child transmission of HIV/AIDS programme in Khomas region, Namibia

Abstract

Objective: The study aim was to measure the operational effectiveness of a single dose Nevirapine for PMTCT programme among infants aged six weeks in Khomas region of Namibia.Methods: This was a retrospective record review quantitative study based on a descriptive approach. The record review aimed at measuring operational effectiveness through the distribution of certain variables among HIV exposed infants including the socio economic variables such as age, sex and the breast feeding practices of their mothers. A total of 451 HIV positive mothers and their infant pairs` record registers were reviewed in two hospitals of Khomas region, Namibia.Results: A total of 451 PMTCT mothers’ records for the year 2007 (median age 29 years) were reviewed in the Katutura and Windhoek Central hospitals of Namibia.. The HIV prevalence among infants aged six weeks or more out of the total 167 tested was 5% (95%CI, 0.9 -3.7). Conclusion: The findings from this study shows that although the rate of PMTCT in tested infants was low, registers for maternity and infant follow up are extremely poorly completed with the vast amounts of missing information making it difficult to assess programme effectiveness and monitor programme outcomes. PMTCT programme registers and routine monitoring and evaluation data need to be strengthened.