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AIDS is a pandemic. Over 90% of HIV infections in children less than 15 years are as a result of Mother-to-child transmission (MTCT) and more than 90% of MTCT occur in sub-Saharan Africa. Several strategies have been developed to reduce HIV infections in children, with variable successes. We aimed to understand factors influencing the infant HIV positivity at the operational level of the Cameroonian health system.We carried out a prospective and descriptive study that lasted one year. We followed mother-baby (Zero to 18months) pairs enrolled in PMTCT program in Biyem-Assi and Efoulan district hospitals. We addressed questionnaire and structured interviews to mothers and their caregivers to answer research questions. Data were recorded on excel, and analyzed using SPSS version 23. The Chi square was used to analyze the effect of the level of the education, marital status of the mother on the seropositivity of the exposed child.We recruited 113 HIV exposed children out of which 111 (98.23%) had early infant diagnosis. 7 over 111 children (6.30%) were tested positive, and most of them had low socio-economic situation. We found an association between the sites of the PCR analysis with the sero-status of the HIVexposed child.EID is acceptable in these two health facilities and seropositivity of the child is found mostly among women with low socio-economic status (jobless). Better strategies should increase the family sensitization during perinatal period, to reduce the related cost of EID, and the long waiting time.

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This study is a part of a big research project on « Amelioration of the access to diabetic healthcare in five villages in the East and adamaoua regions ». Entirely financed by the International Federation of Diabetes (IFD), this was conducted in Five villages: Guiwa-Yangamo, Mandjou II, Sabga, Gom-mana, Madzidou. Description of siteCameroon is a country in the central Africa and its population in 2011 was estimated to 19406100 inhabitants according to the National institute of statistics. It is made of 10 Regions, 58 Divisions, 360 sub-Divisions. Guiwa-Yangamo is situated in the East region, in Ngoura sub-Division. It is situated 80 Km from the town of Bertoua on the national road, going to the Adamaoua region. It belongs to the Bétaré-Oya Health District and in the Tongo-Gandima health area. According to the authorities of the Bétaré-oya Health District, this village had about 2325 inhabitants in 2013, giving an estimated 1000 adults.

Introduction: Accidental Exposure to Blood and body fluids (AEB) is one of the most important risks among Healthcare workers (HCW), and is less reported in some settings. They are exposed to many blood borne pathogens including HIV, Hepatitis C virus, and Hepatitis B virus. The objective of this study was to assess the quality of the case reporting, the post-exposure management and to address some suggestions for the HCW protection in the Biyem-assi District Hospital (BDH). Method: We obtained an administrative authorization, we conducted a cross sectional hospitalbased study from 6 th September to 20 th October 2016. We used the register of all the reported Accidental injuries, a convenience sampling in the different HCW groups in contact with patients, and addressed a questionnaire to assess their knowledge, their immunization status against HBV. We performed a descriptive analysis of data using Epi info version 7.1.1.14. Results: There is a good knowledge of the definition of the AEB. Only injuries with the HIV positive patients were reported, no hepatitis test and Anti-Hbs titer were performed on the victims. Less information is known about the outcome after the post-exposure prophylaxis, 48.84% of the HCW have not received a vaccination against Hepatitis B. 83.72% of the participants do not have any Health insurance. Conclusion: AEB is less reported in the BDH. 48.84% of HCW are not vaccinated against the HBV. There is a need for Sensitization for a complete case-reporting, follow-up after injuries; Strong regulations for a mandatory immunization among HCW.