Medicine an Surgery notes

Apr 24th, 2015
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Kenyatta and Pumwani Hospital PMTCT PlusProgram A multi pronged ApproachAgnes Gachoki Program coordinatorJohn Ongech KNH program coordinatorFridah Govedi PMH program coordinatorDorothy Mbori-Ngacha CDCFabian Mwanyumba CDCWinnie Mutsotso CDCJames Kiarie Program advisorBackground Every year, 22,000 and 8,000 women deliver at PMHand KNH respectively PMTCT programs have been in place in these twohospitals since 1998 (KNH) and 2001 (PMH) These programs mainly focused on women attendingANC; counselingtestingreturn after one weekfor results and interventions. To maximize effectiveness PMTCT programs have to Reach unbooked women those presenting to hospitals only fordelivery Use the most efficacious form of interventions accessible,affordable and acceptable to the women.Characteristics of parturients KNH60% of deliveries by unbooked women1% of unbooked women knew their HIV status80% of booked women knew their HIV statusHIV prevalence 10% - booked 20% - Unbooked In PMH 50% of deliveries by unbooked women All unbooked women did not know their HIV statusDescription of program sites KNHTeaching and National referral hospitalHas about 197 nurses in Obs/Gynae dept.40 Obstetricians7 nutritionists involved in the programCost of normal delivery Kshs 4000 and 8000 for C/S PMHLargest maternity hospital

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