Implementation of option B+ for Prevention of Mother-to-Child Transmission (PMTCT) of HIV in Uganda: Health system preparedness, Uptake, Adherence, Male involvement and Retention in care.

Project summary

Despite the achievements by Mother-to-Child ransmission (PMTC) of T HIV Transmission (MTCT of HIV remains a big burden for to achieve elimination of Mother-to-Child 2012 Option B offers a of advantages which include of and avoiding the interrupting ARTS protection from future negative exist Roll out of option B questons need to be addressed envisaged to face challenges due to an already overstrained health care system The to increase. These number of mothers who are pregnant and HIV positive is expected mothers and later their babies need more counseling, initiation of HAART and close follow up Reports from other countries and districts in Uganda have reported some uptake infant services, retention B+ and exposed infants, and challenges regarding HIV disclosure and male involvement in Option B+ and there are limited data on s and outcomes of its processe the will be used at local, national and international levels to inform further scale up and implementation of Option B+ Research questions 1. What are the health system successes, challenges and suggested solutions in the implementation of Option B+ in Uganda from the providers perspective? 2 What are the levels of uptake of Option B+ and adherence, and what are the barriers, and facilitators of, uptake of Option B+, and adherence to HAART among women on Option B+ in Uganda from both perspectives of the client and health care 3. What are the levels and challenges of, and strategies to enhance, male involvement in Option B in Uganda? diagnosis) by HIV exposed infants born to 5. What are the predictors of non-adherence, MTCT. loss to follow up, and treatment failure to HAART by mothers on Option B in Uganda? Design approach to study the implementation of This study is employi t has cohort of 500 HIV positive quantitative Option B+ Uganda women newly initiating HAART at three health facilities in the districts of uwero, Mityana and Masaka in Uganda being followed up for 18 months