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Temperature - European Investment Bank

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WEST AFRICAN POWER POOL (WAPP) PÖYRY ENERGY LTD.<br />

Mount Coffee HPP ESIA and RAP 2012-09-18<br />

ESIA Report Page 123<br />

Prevention of Mother-to-Child Transmission of HIV<br />

PMTCT services include pre- and post-test voluntary counselling and HIV testing for<br />

pregnant women (VCT), counselling on infant feeding practices, family planning<br />

counselling and/or referral, and providing prophylactic ARV drugs to HIV-positive<br />

women and their newborn babies.<br />

According to OiCs posted in the 2 districts, none offer a complete PMTCT services;<br />

only Bensonville and Wonjah Smith have necessary items to offer the minimum<br />

PMTCT package. The number of women in need of treatment may be underestimated<br />

due to inadequate coverage of VCT.<br />

Sexually Transmitted Infections<br />

No facility has medicines to treat each of the 4 main STIs: syphilis, gonorrhoea,<br />

chlamydia, and trichomoniasis. The 2 district surveys found that health workers who<br />

provided antenatal care at the reproductive and child health clinics of the district<br />

hospitals and health centers were not all trained in midwifery skills. Mothers are seen by<br />

nurses and auxiliary nurses. It was also observed that screenings for blood pressure,<br />

haemoglobin levels, syphilis and urinalysis for asymptomatic bacteriuria were not<br />

routinely conducted at the referral Hospital. Even when counselling is provided, it rarely<br />

addressed important newborn health issues such as cord hygiene, temperature control or<br />

detection of danger signs.

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