Trends and Factors influencing uptake of the HIV-exposed infants’ continuum of care in humanitarian setting: A retrospective analysis

Document Type : Original Research Article

Authors

1 Pan African University Life and Earth Sciences Institute (including Health and Agriculture) (PAULESI)

2 University of Ibadan, Nigeria

3 Aids Health care foundation

10.22038/jmrh.2025.75815.2233

Abstract

Aim: Gaps in prevention of mother-to-child transmission (PMTCT) service uptake exist, causing infant acquisition of the virus. The study aims to evaluate the factors influencing the uptake of HIV-exposed infants' care in a humanitarian setting.
Subjects and Methods: A study was conducted on 163 infants exposed to HIV from February 2019 to February 2021 at the Family Support Clinic in Daudu, Benue state, Nigeria. The study measured maternal/exposed infant characteristics, service uptake, and outcomes using a checklist developed after reviewing literature and implementation guidelines. Child follow-up outcomes were further divided into those discharged or not discharged from the prevention of mother-to-child transmission of HIV (PMTCT) program. Data was analyzed using SPSS version 26. Results were presented as tables and charts while factors associated with infant outcomes and discharge status were determined using chi-square statistics and logistic regression.
Results: Most mothers, 116(71.2%) were aged 30 years or below, 102 (62.6%) had prior PMTCT experience with only 11 (6.7%) reporting facility-based delivery. Service use decreased as infants matured and 2/3rds of the infants had done PCR tests before age 2 months. Only 2(1.2%) were reported to be dead. Maternal prior experience with PMTCT experience significantly influenced the infants’ outcomes whereas maternal age between 26 and 30 years, early initiation of Cotrimoxazole, and the number of follow-up visits influenced infant discharge from care
Conclusion: Further studies are recommended to explore the decreasing use of PMTCT-exposed infant services as infants mature, with interventions aimed at increasing follow-up visits potentially increasing service uptake.

Keywords

Main Subjects