%0 Journal Article %T Outcome Evaluation of Early Implementation of Option B+ in Cameroon: A Prospective Cohort Observational Survey in the Northwest and Southwest Regions %A Pius Tih Muffih %A Edouard Katayi Tshimwanga %A Andrew Abutu %A Lem Edith Abongwa %A Jacques Chirac Awa %A Pascal Nji Atanga %A Felix Desembuin %A Eveline Mboh Khan %A Kuni Esther Bonje %A Nshom Emmanuel %A Ebeny Francois Temgbait Chimoun %A Thomas Welty %A Gladys Tayong Fosah %A Jennifer Lim %A Dana Duncan %A Leah Petit %A Gilbert Tene %A Jembia Mosoko %A Omotayo Bolu %J World Journal of AIDS %P 90-104 %@ 2160-8822 %D 2018 %I Scientific Research Publishing %R 10.4236/wja.2018.83008 %X Background: Mother to child transmission (MTCT) of HIV constitutes a major source of new pediatric infections in Cameroon. Objective: The aim of this implementation research was to assess outcomes and effectiveness of providing life-long antiretroviral therapy (ART) for HIV-positive pregnant and breastfeeding women (Option B+). Methods: From October 2013 to July 2014, HIV-positive pregnant and breastfeeding women, not on antiretroviral (ARV) prophylaxis and ART, were recruited from 22 purposefully selected health facilities in the Northwest and Southwest regions for a prospective, observational cohort evaluation. Option B+ was offered to participants and outcome indicators were measured. Results: Out of 680 women eligible for this assessment, 669 (98%) were initiated on Option B+. Retention-in-care was 90% (95% CI, 87.85 - 92.61) and 79% (95% CI, 75.20 - 81.88), and loss to follow up (LTFU) was 7% (95% CI: 4.95 -