Home deliveries: Implications for adherence to nevirapine in a PMTCT programme in rural Malawi

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Abstract
International audienceAlthough nevirapine (NVP) is provided from the prevention of mother to child transmission (PMTCT) of HIV programme to be taken at onset of labor independent of place of delivery, few studies have assessed adherence to NVP outside the hospital setting This study aimed to follow the women in a PMTCT programme up to delivery and assess the adherence to the prophylaxis in rural Malawi. A total of 75 HIV positive women were registered in the PMTCT of Malamulo SDA hospital between January and June 2005. Forty women (53%) delivered in the hospital and 35 (47%) did not. Of the 35 women who delivered at home, it was possible to trace 27 (77.2 %). All women who delivered in the hospital had their NVP tablets swallowed and all their babies NVP syrup except one baby who died soon after delivery. Of the 27 traced women who had not delivered in the hospital 16 (59.3%) had access to NVP and swallowed the tablets during labor. However none of their babies was taken back to the health facility for NVP syrup. Traditional birth attendants might be crucial in efforts aiming to increase the adherence among women and their babies to NVP

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