The impact of a programme to prevent mother-to-child transmission of HIV in Jamaica
Jamaica is experiencing alarmingly high rates of perinatal AIDS, now the second leading cause of death among Jamaican children between one and four years. The United States Agency for International Development (USAID) and the Jamaican Ministry of Health asked the Quality Assurance Project (QAP) to evaluate a pilot programme that provides services for the prevention of mother-to-child transmission of HIV (PMTCT). The evaluation results will help refine the PMTCT programme and related care and support systems. The evaluation's specific objectives were to determine (a) sero-conversion rates among infants of HIV-positive mothers who did or did not receive antiretrovirals (ARVs), (b) sero-conversion rates among infants who were or were not breast-fed, and (c) mothers' attitudes toward PMTCT and the presence of stigma and discrimination against these women. The evaluation covered all of 2001-2002 and took place from September 2002-May 2003. The report includes the questionnaire used to interview women who participated in the PMTCT programme.