Triple elimination in pregnant women in Indonesia

Abstract

Background: Triple elimination, which is an activity to control the transmission of Human immunodeficiency virus (HIV), syphilis, and hepatitis B from pregnant women to babies in Indonesia, has very minimal data regarding progress and current conditions. This study aims to identify the Triple Elimination profile at community health centers in Putat Jaya, Dupak, and Perak Timur, Surabaya. Methods: This was a retrospective descriptive study by observing and examining medical record data of 1655 pregnant women who visited Antenatal Care (ANC) between January-December 2018. Results: There were 1 655 data of pregnant women involved in this study. The coverage of antenatal care activities and quality complete early detection had test coverage results ≥95 %, completeness of tests >60 %, and results <0.30 %, <1.70 %, 7.10 % for HIV, syphilis, and hepatitis B, respectively, in three community health centers. In 2018, 3 cases of HIV, 4 cases of syphilis, and 41 cases of hepatitis B were found in three community health centers. The coverage of handling activities for positive pregnant women and childbirth has a 100 % percentage at Putat Jaya and Perak Timur Community Health Centers, but the data were incomplete at Dupak Community Health Center. No data were obtained regarding the coverage of children's examination activities and the handling of children from infected mothers. Conclusion: The triple elimination program has met the criteria per the guidelines set by the World Health Organization. There were no pregnant women who suffer from more than one disease from the three infectious diseases.