scholarly journals Status of Prevention of Mother-to-Child Transmission (PMTCT) Services Utilization and Factors Affecting PMTCT Service Uptake by Pregnant Women Attending Antenatal Care Clinic in Selected Health Facilities of Afar Regional State, Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Chalachew Genet Akal ◽  
Dessie Tegegne Afework
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Service Utilization ◽  
Health Care Providers ◽  
Pmtct Service ◽  
Care Providers ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Factors Affecting ◽  
Mother To Child

Mother-to-child transmission (MTCT) is the predominant way for children to acquire human immunodeficiency virus (HIV) infection worldwide including Ethiopia. Thus, objective of this study was to determine the status of prevention of mother-to-child transmission (PMTCT) services utilization and factors affecting PMTCT utilization in health facilities of Afar region, Ethiopia. A cross-sectional study was conducted from December 2014 to April 2015 taking 347 pregnant women and 22 health care providers. Data were collected using a questioner prepared separately for pregnant women and health care providers involved in PMTCT service delivery. Data were analyzed using SPSS considering P value <0.05 statistical significant. The study indicated that the PMTCT service utilization was 67.7%. The study also showed that there is statistically significant association in using PMTCT service with women education level, monthly income, and residence around PMTCT site. Though not statistically significant, excess waiting time, limited physical access to PMTCT sites, and transportation problem were identified as barriers for PMTCT service utilization by pregnant women. Though knowledge of mothers on MTCT of HIV and PMTCT service utilization in agropostural community of Afar region was promising, there were also different barriers identified hindering PMTCT utilization. Thus, we recommend “Wored” and zonal health office to create awareness on significance of PMTCT service in the community, enhance accessibility of PMTCT sites, provide up-to-date trainings for health care providers, and ensure constant supply for PMTCT service.

scholarly journals Knowledge of Pregnant Women on Mother-to-Child Transmission of HIV in Meket District, Northeast Ethiopia

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Tesfaye Birhane ◽  
Gizachew Assefa Tessema ◽  
Kefyalew Addis Alene ◽  
Abel Fekadu Dadi
Keyword(s):  
Pregnant Women ◽  
Health Care Providers ◽  
Rural Women ◽  
Associated Factors ◽  
Care Providers ◽  
Mother To Child Transmission ◽  
Maternal Knowledge ◽  
Child Transmission ◽  
Northeast Ethiopia ◽  
Mother To Child

Knowledge of pregnant women on the three periods of mother-to-child transmission (MTCT) of HIV has implication for child HIV acquisition. This study aims to assess the knowledge of pregnant women on mother-to-child transmission of HIV and to identify associated factors in Meket district, northeast Ethiopia. Logistic regression models were fitted to identify associated factors. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were used to determine the presence and strength of association. About one-fifth (19%) of women were knowledgeable on mother-to-child transmission of HIV (95% CI: 15.5%, 22.4%). Being urban resident (AOR: 2.69, 95% CI: 1.48, 4.87), having primary education (AOR: 2.41, 95% CI: 1.03, 5.60), reporting receiving information on HIV from health care providers (AOR: 3.24, 95% CI: 1.53, 6.83), having discussion with partner about mother-to-child transmission of HIV (AOR: 2.64, 95% CI: 1.59, 4.39), and attending antenatal care (AOR: 5.80, 95% CI: 2.63, 12.77) were positively associated with increased maternal knowledge of mother-to-child transmission of HIV. Knowledge of mother-to-child transmission of HIV among pregnant women was low. Providing information, especially for rural women and their partners, is highly recommended.

scholarly journals A multilevel analysis of determinants of PMTCT service utilisation among women during the antepartum, intrapartum and postpartum period in Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tsegaye Gebremedhin ◽  
Tesfa Sewunet Alamneh ◽  
Asebe Hagos ◽  
Beimnet Desalegn ◽  
Nigusu Worku
Keyword(s):  
Health Care ◽  
Community Level ◽  
Service Utilisation ◽  
Pmtct Service ◽  
Care Providers ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Individual Level ◽  
The Individual ◽  
Mother To Child

Abstract Background Mother-to-child transmission (MTCT) is the largest source of HIV infection in children below the age of 15 years, and more than 90% of pediatric HIV are infected through mother to child transmission. Without treatment, one-half of those infected children will die before the age of 2 years. Despite this, there is limited evidence on PMTCT and its determinants. Therefore, this study aimed to determine the factors affecting the PMTCT service utilisation in Ethiopia. Methods A two-stage stratified sampling technique was used to identify 4081 women from 2016 Ethiopian Demographic and Health Survey (EDHS). A multilevel mixed-effect binary logistic regression analysis was used to identify the individual and community level factors associated with PMTCT services utilisation. In the final model, a p-value of < 0.05 and Adjusted Odds Ratio (AOR) with 95% confidence interval (CI) were used to declare statistically significant factors with the utilisation. Results Overall, 21.9% (95% CI, 20.6–23.2) of the women were utilized PMTCT services. Educational status; primary (AOR: 1.65, 95% CI: 1.27–2.13), secondary (AOR: 1.52, 95% CI: 1.03–2.24) and higher school (AOR: 2.48, 95% CI: 1.45–4.22), poorer (AOR: 1.62, 95% CI: 1.12–2.37), middle (AOR: 1.82, 95% CI: 1.10–3.02), richer (AOR: 2.44, 95% CI: 1.42–4.21) and richest (AOR: 4.45, 95% CI: 2.43–8.14) wealth status and orthodox religion follower (AOR: 1.62, 95% CI: 1.22–2.16) were the individual level factors. Moreover, having basic (AOR: 1.66, 95% CI: 1.34–2.06) and comprehensive (AOR: 1.73, 95% CI: 1.38–2.18) knowledge on HIV prevention methods, having knowledge on MTCT of HIV (AOR: 2.69, 95% CI: 2.16–3.36) were also factors at individual level. Whereas, rural residence (AOR: 0.52, 95% CI: 0.32–0.85) was the community level factors that affects the utilization. Conclusions Less than one-fourth of the mothers had utilised the PMTCT services in Ethiopia. To increase the utilisation of the services, the health care providers should give emphases on counselling, awareness creation, and strengthen the existing frontline integrated health care services in the country.

scholarly journals Utilization of Prevention of Mother-to-Child Transmission of HIV Services and Associated Factors among Antenatal Care Attending Mothers in Sebeta Town, Central Ethiopia

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Hailu Merga ◽  
Kifle Woldemichael ◽  
Lamessa Dube
Keyword(s):  
Hiv Infection ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Service Utilization ◽  
Associated Factors ◽  
Pmtct Service ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Cross Sectional ◽  
Mother To Child

Background. HIV transmission from mother to child continues to be the major source of HIV infection among children under the age of fifteen. Targeting pregnant women attending antenatal clinics provides a unique opportunity for implementing prevention of mother-to-child transmission (PMTCT) programs against HIV infection of newborn babies. This study assessed utilization of PMTCT service of HIV and associated factors among ANC attending mothers.Methods. An institutional based cross-sectional study was conducted from February 20 to March 30, 2015, using exit interviews with 377 ANC attendees using consecutive sampling method. In-depth interviews with service provider were conducted to complement the quantitative data. Data were entered and analysed using EpiData and SPSS, respectively.Results. The prevalence of PMTCT service utilization was 86.9% in this study. Only 8.6% of respondents attended the facility for HCT. After controlling confounders using logistic regression, PMTCT service utilization was associated with age (25–34) of respondents (AOR (95% CI) = 0.46 (0.22, 0.97)), mother’s occupational status (being merchant AOR (95% CI) = 0.31 (0.12, 0.83), government employee AOR (95% CI) = 0.05 (0.01, 0.28), student AOR (95% CI) = 0.1 (0.01, 0.44), and daily laborer AOR (95% CI) = 0.13 (0.05, 0.33)), husband’s educational status (lack of formal education (AOR (95% CI) = 3.3 (1.1, 9.9))), having discussion with husband (AOR (95% CI) = 6.1 (2.6, 14.1)), partner tested (AOR (95% CI) = 8.2 (1.9, 34.46)), and being not satisfied with the service (AOR (95% CI) = 0.46 (0.2, 0.99)).Conclusions. This study revealed that utilization of HIV counseling and testing during antenatal care was high among pregnant women in Sebeta town. It highlights that focusing on improvement of quality and coverage of health services has significant effects on PMTCT service utilization. Effective use or uptake of ARV drug among HIV-positive pregnant women should be further investigated so that utilization will be enhanced.

scholarly journals Prevention of Mother-to-Child Transmission of HIV/AIDS: Perception of Health Care Workers in Rural Areas of Oyo State

Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Usman Aishat ◽  
Ayinde Olubunmi
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Rural Areas ◽  
Care Providers ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Length Of Service ◽  
Care Workers ◽  
Mother To Child ◽  
Hiv Aids

Introduction. Proper implementation of prevention of mother-to-child transmission (PMTCT) services requires adequate knowledge and appropriate attitudes and practices on the part of the health care providers especially in rural areas where access to health care delivery is very limited in Oyo State.Materials and Methods. This is a descriptive cross-sectional survey of 350 health care workers in a two-stage sampling technique. Data was obtained using interviewer-administered, pretested, semistructured questionnaires. The data was analyzed using Epi Info software version 7.Results. The knowledge of PMTCT of HIV was poor among the health care workers (69.1%). However, more than half (58.3%) had good attitudes towards PMTCT of HIV/AIDS. Predictors of good knowledge of PMTCT were religion [AOR = 1.6, 95% CI (1.1–2.6)], cadre of occupation [AOR = 10.2, 95% CI (2.9–35.1)], and length of service [AOR = 4.3, 95% CI (2.3–19.4)]. Predictors of good attitude towards PMTCT were length of service in the current hospital [AOR = 2.8, 95% CI (1.5–5.2)] and cadre of occupation [AOR = 3.9, 95% CI (1.28–11.9)].Conclusion. Despite poor knowledge of PMTCT of HIV/AIDS among the health care workers, the attitude towards PMTCT of HIV/AIDS was good. There is need for the involvement of the stakeholders in bridging the gap between knowledge of and attitude towards prevention of MTCT of HIV/AIDS among health care workers in the rural areas.

scholarly journals Why do HIV-positive pregnant women discontinue with comprehensive PMTCT services? A qualitative study

2018 ◽  
Vol 6 (1) ◽  
pp. 73
Author(s):  
Putu Emy Suryanti ◽  
Komang Ayu Kartika Sari ◽  
Pande Putu Januraga ◽  
Dinar Lubis
Keyword(s):  
Qualitative Study ◽  
Pregnant Women ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Pmtct Program ◽  
Care Providers ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Related Information ◽  
Mother To Child

AbstractBackground and purpose: Prevention of mother to child transmission (PMTCT) is a government program aimed at preventing mother-to-child transmission of HIV. A comprehensive PMTCT program involves the implementation of HIV testing up to antiretroviral (ARV) treatment for mothers with positive HIV test results. Coverage of comprehensive PMTCT remains low, with many HIV-positive pregnant women who discontinued ARV treatment. This study aims to explore the reasons of HIV-positive pregnant women to discontinue with the comprehensive PMTCT program.Methods: A qualitative study was carried out in Badung District, Bali Province, with seven respondents: one HIV-positive pregnant woman who did not continue the ARV treatment, two HIV-positive women who gave birth the previous year and did not take ARV, three public health centre (PHC) providers, and one head of PHC. Respondents were selected using a purposive sampling technique. Data were collected through in-depth interviews and analyzed thematically. The results presented narratively to illustrate the reasons why HIV-positive pregnant women discontinued with the comprehensive PMTCT program.Results: The emerging themes related to the reasons of HIV-positive pregnant women discontinued with the comprehensive PMTCT program included the lack of comprehensive PMTCT-related information, the lack of health provider assistance, and the high stigma towards people living with HIV (PLHIV). These barriers were affecting the willingness of HIV-positive pregnant women to continue with the program.Conclusions: Lack of comprehensive PMTCT-related information, lack of assistance by health care providers, and high public stigma impacts upon HIV-positive pregnant women’s willingness to continue with comprehensive PMTCT program. There is a need for a minimum service standard in the implementation of comprehensive PMTCT services and comprehensive information on HIV infection in order to reduce the stigma towards PLHIV.

scholarly journals Alasan Ibu Hamil HIV Positif Tidak Melanjutkan Perawatan PPIA Komprehensif dalam Aspek Layanan Kesehatan

2020 ◽  
Vol 3 (1) ◽  
pp. 13
Author(s):  
Putu Emy Suryanti ◽  
I Wayan Nerta
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Hiv Positive ◽  
Pmtct Program ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Public Health Centre ◽  
Advanced Therapy ◽  
Service Readiness ◽  
Mother To Child

<p><em>Prevention of mother to child transmission (PMTCT)is a government program aimed at preventing mother-to-child transmission of HIV.One of the comprehensive PMTCT program is HIV testing for all pregnant women and advanced therapy for all pregnant women whose test results are positive.The Government's target is 100% of HIV-positive pregnant women must be continuing the comprehensive PMTCT program, meanwhile there are HIV-positive pregnant women who discontinue the comprehensive PMTCT program.This study aims to explore the reasons of HIV-positive pregnant women to discontinue with the comprehensive PMTCT program. This study was a qualitative study through in-depth interviews with seven informants, namely : one HIV-positive pregnant woman whodiscontinue comprehensive PMTCT program, two HIV-positive women who gave birth the previous yearwhodiscontinue comprehensive PMTCT program, three public health centre (PHC) providers, and one head of PHC. Informants were selected using a purposive sampling technique. Data analysis was conducted thematically and the results were presented narratively to explore the reasons of HIV-positive pregnant women to discontinue with the comprehensive PMTCT program. Health care aspects of service readiness include the availability of PMTCT facilities and infrastructure, communication and attitudes of health providers in PMTCT program, waiting times for PMTCT program delivery, and assistance in PMTCT comprehensive program. Health care aspects of service readiness that are less than optimal can affect the understanding and desire of HIV-positive pregnant women to access comprehensive PMTCT program so that HIV-positive pregnant women discontinue comprehensive PMTCT program.</em></p><p><em> </em></p><p><strong><em><br /></em></strong></p>

scholarly journals ‘Making the most of our situation’: a qualitative study reporting health providers’ perspectives on the challenges of implementing the prevention of mother-to-child transmission of HIV services in Lagos, Nigeria

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e046263
Author(s):  
Nidal A-Z Kram ◽  
Victoria Yesufu ◽  
Breanne Lott ◽  
Kelly N B Palmer ◽  
Mobolanle Balogun ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Service Delivery ◽  
Health Workers ◽  
Complex Nature ◽  
Pmtct Service ◽  
Health Providers ◽  
Care Providers ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Mother To Child

ObjectivesTo investigate the challenges of, and opportunities for, effective delivery of prevention of mother-to-child transmission (PMTCT) services from the perspectives of primary healthcare providers in Lagos, Nigeria.DesignThis qualitative study consisted of nine focus groups with 59 health providers, analysed thematically.SettingThirty-eight primary health facilities in central and western districts of Lagos, Nigeria.ParticipantsParticipants included nurses, nursing assistants, community health workers, laboratory workers, pharmacists, pharmacy technicians, monitoring and evaluation staff and medical records personnel.ResultsHealth providers’ challenges included frustration with the healthcare system where unmet training needs, lack of basic amenities for effective and safe treatment practices, low wages and inefficient workflow were discussed. Providers discussed patient-level challenges, which included the practice of giving fake contact information for fear of HIV-related stigmatisation, and refusal to accept HIV-positive results and to enrol in care. Providers’ suggestions for addressing PMTCT service delivery challenges included the provision of adequate supplies and training of healthcare workers. To mitigate stigmatisation, participants suggested home-based care, working with traditional birth attendants and religious institutions and designating a HIV health educator for each neighbourhood.ConclusionsFindings illustrate the complex nature of PMTCT service delivery and illuminate issues at the patient and health system levels. These results may be used to inform strategies for addressing identified barriers and to improve the provision of PMTCT services, thus ensuring better outcomes for women and families.

scholarly journals Knowledge and Awareness of MTCT and PMTCT Post-Natal Follow-up Services Among HIV Infected Mothers in the Mankweng Region, South Africa

2017 ◽  
Vol 11 (1) ◽  
pp. 36-44
Author(s):  
Refilwe Ramoshaba ◽  
Sello Levy Sithole
Keyword(s):  
Health Care Providers ◽  
Health Workers ◽  
Health Facilities ◽  
Care Providers ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Continuous Training ◽  
Cross Sectional ◽  
Mother To Child

Background:The pandemic of Human Immunodeficiency Virus (HIV) is the most severe health challenge affecting children across the world. It is estimated that more than 90% of all HIV infections in children result from Mother-to-Child Transmission (MTCT). Poor knowledge and awareness of MTCT and Prevention of Mother-to-Child Transmission (PMTCT) among HIV positive mothers and their babies is a major setback to the success of the PMTCT programmes.Methods:A qualitative approach and a cross-sectional design were applied in this study. The sample size of the study was 26 participants. Purposive sampling was used to select HIV infected mothers enrolled for PMTCT follow-up services and health care providers responsible for the implementation of the PMTCT programmes. In-depth interviews were conducted with fifteen HIV infected mothers at two health facilities. Two Focus Group Discussions (FGDs) were conducted with eleven health workers at the two health facilities. Focus groups comprised of six participants from Mankweng Clinic and five participants from Mankweng Gateway Clinic.Results:The findings from the study reveal that the majority of the respondents were aware of MTCT, but lacked knowledge and understanding about how a mother can transmit HIV to her child during pregnancy, labour and breastfeeding. The majority of the participants did not understand the risk of MTCT after birth and failed to mention breastfeeding as a mode of transmission. However, most of the participants were aware that MTCT can be prevented. The respondents were aware of the importance of treatment adherence as a prevention measure to avoid MTCT.Conclusion:Based on these findings, a number of recommendations were made. The first is that educational and awareness programmes need to be developed or strengthened on health risks. Mass campaign media should provide information on the importance of PMTCT activities through the use of community radio stations, Television, newsletters, bill boards etc. People need to know more about PMTCT activities, health personnel need continuous training to provide clear information on PMTCT activities.

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