Performance of the Prevention of Mother-to-Child Transmission of HIV in the Municipality of Parakou (Benin) in 2018

Introduction: Mother-to-child transmission of HIV is currently inconceivable.The objective of this study was to evaluate the performance of the prevention of mother-to-child transmission of HIV in Parakou in 2015, in order to determine the factors associated with the quality of this strategy. Patients and methods:This was a descriptive and analytical cross-sectional study ,conducted from May to July 2018.It focused on three groups of subjects: HIV-positive pregnant women seen for the first prenatal care in 2015, the children born to these pregnancies who integrated pediatric follow-up and PMTCT service providers.The indicators were calculated according to the Tanahashi model.The quality of PMTCT services was the dependent variable.The data collected were analyzed using Epi info version 7.2 software.The significance level retained was p < 0.05. Results:The rate of HIV among pregnant women was 1.73%.The quality of PMTCT services was 28.96%.There were bottlenecks in all indicators of both supply and demand.The quality of PMTCT was significantly associated with the following factors: screening and early initiation of ARV therapy in pregnant women (p = 0.000), desire of HIV-infected women to become pregnant (p = 0.000), disclosure of HIV status to spouses (p = 0.000), knowledge of HIV-positive women about PMTCT (p = 0.000) and geographic access to pediatric services (p = 0.000).The residual rate of mother-to-child transmission was 6.25%. Conclusion:The quality of PMTCT in the municipality of Parakou in 2015 is still low and all indicators don't meet the standards.To improve the performance of this strategy, it is important to reorganize the management at all levels.