Akila BASSOWA^1,, Ayoko KETEVI¹, Baguilane DOUAGUIBE², Kodjo FIAGNON¹, Samadou ABOUBAKARI³, Koffi AKPADZA¹

Objectives: To reduce the mother-to-child transmission of HIV through routine screening of HIV in the delivery room and after childbirth. Methodology: This is a prospective and descriptive study covering a period of 06 months, conducted from 1st February 2017 to 31 July 2017. The variables studied are those relating to epidemiological, obstetric and neonatal data. Results: The average age in our series was 27 years old. The prevalence of HIV was 2.4%. HIV seroconversion was detected in 06 (0.75%) of the initial parturients who had negative HIV results in early pregnancy. HIV infection was detected in 22 (6.5%) of the 334 parturients whose health status compared to HIV was unknown. Secondary schooling was significantly associated with seroconversion (p <0.05). The proportion of women with unknown HIV status was higher among those who had not received ANC (78.45% of HIV + participants). .All newborns were put under protected breastfeeding. Conclusion: Career-initiated HIV testing or "opt-out" in the workroom could serve as a catch-up strategy in complementarity with the integrated service at the NPC (prenatal consultation) level. By systematically offering it to the maternity ward, the operational coverage of the PMTCT service can be increased.

HIV, Lome, Togo