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Intoduction  This research assessed the determinants of the health services limited the supply of care related to the second pillar of the prevention of mother-child transmission of HIV (PMTCT) involving workers from the maternity units and the HIV active queues in the district hospitals and the Department of gynaecology, obstetrics and reproductive medicine (DGORM) of the National teaching hospital Souro Sanou (NTHSS) in the Region of Hauts Bassinsin the Region of Hauts Bassins, Burkina Faso.  Materials and methods  This was a cross-sectional study conducted from January 15 January to 30 July 2017. The study method used individual interview and the literature review (content analysis of national documents and activity reports on PMTCT).  Results  The main results included insufficient organization of services and low levels of the workers knowledge and activities related to the second pillar of PMTCT in the all health districts concerned. The second pillar of PMTCT has not been mentioned in any structure supervised. The definition of dual/double protection was only known by 9 (9.4%) participants. The knowledge of the strategies about the double protection was limited to a single strategy. The knowledge and activities on medically assisted procreation among people living with HIV were amost nil. The knowledge and practices on FP appropriate for People living wih HIV were poor.  Conclusion  For a successful PMTCT, it is important to implement its all four (04) pillars, taking into account the double/dual protection and the medically-assisted procreation.

women health care and issues

Determinants of the Health Services Limited the Supply of Care Related to the Second Pillar of the Prevention of Mother-Child Transmission of HIV in the Region of Hauts Bassins, Burkina Faso