The 23rd Congress of the Obstetrical & Gynaecological

Society of the Sudan – 18th -22nd February 2011

Preventing mother-to-child
transmission (PMTCT) of HIV infection
in Sudan: Kassala state experience
Abdalla Ali Mohammed : University of Kassala
Ishraga Mohammed Ibrahiem : SNAP - Kassala
Younis Munti : PMTCT – Kassala New Hospital
Kassala New Hospital (Al-Saudi)
100 beds Obs & Gynae Hospital
Provides maternity services for
>60% of Kassala State population
4,000 annual deliveries
PMTCT Kassala State
Service started 2007
One center Alsaudi Hospital
Provider-Initiated HIV Testing and
Counseling (PITC)
Awareness session is held with each
ANC
PMTCT Kassala State
Opt in Policy
We adopt the PMTCT National Guidelines

Results
2008-2010
 HIV testing is offered to

7,823
HIV tested
.of the general population )10.6%(
3,475
( 44.4%)
 HIV test acceptance rate

40.8% 2008
41.2% 2009
52.9% 2010
44.4% Total
 HIV test positive rate

14 (1.06 %) 2008
11 (1.10%) 2009
16 (1.40%) 2010
41 (1.18%) Total
Maternal & perinatal outcome of +ve HIV
cases (2008 -2010)
41cases pregnant women tested +ve
22 defaulted.
3 known HIV status
One case of rape ()
Maternal & perinatal outcome of +ve HIV
cases (2008 -2010)
41cases pregnant women tested +ve
22 defaulted.
Parity:
Primigravidae 2
Multigravidae: 16
Grand multiparae: 1
Age: (range 19-40, average 25.8 years)
Average ANC visits 2.4
3 known HIV status.?
Average GA 24,1 weeks
stage 1 73.6

stage 3 21.1

stage 2 5.3
term
preterm
miscarriage
Mode of delivery

Vaginal
instrumental
CS
Miscarriage
Reason for Starting ART during pregnancy
Yes
No
Maternal death
One maternal death:
22 years G2P1+1MC, she is known HIV before getting
pregnant. Presented at 16 weeks gestation with HIV stage 3.
started HAART. Delivered by elective CS at 37 weeks.
Outcome was female 3.2 Kg. baby received
One week postpartum pychosis
Outcome
12 new born
2 perinatal deaths (1 MSB 1
NND)
10 infants s received
nevirapine/single.dose
Outcome
9 survived infancy period.
1 positive
8 negative up to 18 month
Difficulties
Funding
Training
Stigma
Policy

Conclusions
PMTCT service in Kassala is only
accessible to 10% of pregnant women.
More than 50% HIV test refusal rate
PICT detect 8% of expected HIV
positive cases
10% MTCT.
Thank you