Mother-to-child transmission (MTCT) accounts for over 18% of new HIV infections in Uganda. The Elimination of Mother to Child Transmission (EMTCT) strategy is anchored on 4 prongs namely; HIV prevention among women of reproductive age before they conceive, prevention of unintended pregnancies among HIV+ women, integration of HTS in ANC to identify and initiate all HIV+ mothers to treatment and the treatment, care and support for HIV+ mothers and their families. The HIV Exposed Infant Birth cohort monitoring tool helps to adequately monitor HEI outcomes at all Baylor supported health facilities in Rwenzori and Eastern regions. Over 500 health workers have received training and mentorship in birth cohort monitoring and retention analysis to ensure smooth roll out of this new method of monitoring HEI outcomes at all supported health facilities in Eastern Region. Health workers were mentored on birth cohort to ensure smooth roll out of this new method of monitoring EID outcomes.
In the April-June 2016 quarter, Rwenzori region reported 53% HIV free survival of the total number of HEI in the cohort but this improved to 91% when we adjusted for Lost to follow up, transferred out, died and in care but not tested. Teso region reported better performance as shown in the pie chart with overall HIV free survival of 71% in quarter 1 (and 96% HIV free survival following adjustment). The challenge of lost to follow is currently being addressed through use of the peer mother, adherence support and use of the appointment book.