Prevention of Mother-to-Child Transmission of HIV/AIDS: Acceptability, Knowledge, Attitude and Implementation at Ratoma CMC-Conakry-Guinea

Abstract

The objectives of the study were to determine the level of knowledge, acceptability and implementation of Prevention of mother-to-child transmission (PMTCT) of HIV HIV/AIDS at Ratoma communal medical center (CMC). Patients and Method: It was a descriptive cross-sectional study with prospective data collection from November 1, 2019 to April 30, 2020 at the maternal and child health department of Ratoma communal medical center. Results: The acceptance rate was 85.45%. The average age of our patients was 27 with extremes of 15 and 39. Women doing a liberal activity were the most affected (70.36%), followed by housewives (20%), secondary school (5%) and university students (4.64%). The Caesarean section was cited as a means of PMTCT in 20.84% of cases, taking antiretroviral drugs at the end of pregnancy in 9.94%. Most of our patients accepted the HIV screening, i.e. a participation rate of 85.45%. The average age of our patients was 27 with extremes of 15 and 39. Women doing a liberal activity were the most affected (70.36%), followed by housewives, secondary school and university students. The Caesarean section was cited as a means of PMTCT in 20.84% of cases. On the whole, pregnant women had a favorable attitude towards the screening result in 96.5% of cases. Most of the women (73.51%) did not agree to share the serological result with their partner, 16.55% agreed to share the result with their spouse. Sexual transmission was identified by women as the mode of HIV transmission in 61.9% of cases and Mother to Child transmission in 0.68%. Breastfeeding was exclusive in 93.5% of cases due to lack of financial means. Conclusion: Acceptability, a high level of knowledge and a favorable attitude towards HIV screening are conditions that favor adherence to the various PMTCT programs.