Uptake of interventions for preventing mother-to-child HIV transmission in 11 operational districts in Cambodia

Authors

  • Samreth Sovannarith National Center for HIV/AIDS, Dermatology and STD, Ministry of Health, Cambodia.
  • Sun Sokleng
  • Tep Romaing
  • Tuon Sovanna
  • Emily Welle
  • Masami Fujita World Health Organization, Cambodia.
  • Krishna Poudel
  • Magdalena Barr–DiChiara
  • Ngauv Bora
  • Seng Sopheap
  • Mam Sovatha
  • Penelope Campbell
  • Mean Chhi Vun

DOI:

https://doi.org/10.5365/wpsar.2012.3.2.009

Abstract

Introduction: To achieve the global goal of eliminating mother-to-child transmission of HIV, retention of HIV-positive women and their babies throughout the cascade of prevention of mother-to-child transmission of HIV (PMTCT) services is necessary. Little evidence has been published on coverage of the cascade in resource-limited settings. Along with PMTCT service expansion in Cambodia, a national routine reporting system was developed. This study examines coverage of six PMTCT interventions to improve our understanding of retention throughout the cascade.

Method: We developed indicators to monitor coverage of the six key interventions: (1) maternal antiretroviral treatment or prophylaxis; (2) delivery in a health facility; (3) infant ARV prophylaxis at birth; (4) infant co-trimoxazole prophylaxis at six weeks; (5) first infant DNA-PCR test at six weeks; and (6) second infant DNA-PCR test at 30 weeks. Programme data from April 2008 to December 2011 in 11 operational districts were used to identify those eligible for each intervention.

Results: Women eligible for maternal antiretroviral treatment or prophylaxis in the study were aged 18 to 48 with a median age of 30 years. Coverage of the six interventions were: (1) 79.9% (258/323); (2) 92.2% (236/256); (3) 69.9% (179/256); (4) 73.3% (184/251); (5) 85.7% (215/251); and (6) 61.6% (135/219). Among those eligible, 29.7% (65/219) received all six interventions.

Discussion: This study revealed critical gaps in PMTCT service delivery under routine conditions in Cambodia. Service optimization by reducing gaps will help eliminate HIV infection among infants and improve maternal survival. Further operational studies are needed to identify determinants of service uptake.

Downloads

How to Cite

1.
Sovannarith S, Sokleng S, Romaing T, Sovanna T, Welle E, Fujita M, Poudel K, Barr–DiChiara M, Bora N, Sopheap S, Sovatha M, Campbell P, Chhi Vun M. Uptake of interventions for preventing mother-to-child HIV transmission in 11 operational districts in Cambodia. Western Pac Surveill Response J [Internet]. 2013 May 30 [cited 2026 Apr. 6];3(3). Available from: https://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/153

Issue

Vol. 3 No. 3 (2012): July – September

Section

HIV and other sexually transmitted infections - Original Research

License

You are free to:

  • Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
  • Adapt — remix, transform, and build upon the material for any purpose, even commercially.
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

Under the following terms:

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Notices:

When the Licensor is an intergovernmental organization, disputes will be resolved by mediation and arbitration unless otherwise agreed.

You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.

No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.