scholarly journals The Effect of Absenteeism and Clinic Protocol on Health Outcomes: The Case of Mother-to-Child Transmission of HIV in Kenya

2013 ◽  
Vol 5 (2) ◽  
pp. 58-85 ◽  
Author(s):  
Markus Goldstein ◽  
Joshua Graff Zivin ◽  
James Habyarimana ◽  
Cristian Pop-Eleches ◽  
Harsha Thirumurthy
Keyword(s):  
Health Outcomes ◽  
Pregnant Women ◽  
Clinic Visit ◽  
Sub Saharan Africa ◽  
Hiv Positive ◽  
Child Transmission ◽  
Percentage Points ◽  
Breast Feed ◽  
Sub Saharan ◽  
Mother To Child

We show that pregnant women whose first clinic visit coincides with the nurse's attendance are 58 percentage points more likely to test for HIV and 46 percent more likely to deliver in a hospital. Furthermore, women with high pretest expectations of being HIV positive, whose visit coincides with nurse attendance, are 25 and 7.4 percentage points more likely to deliver in a hospital and receive PMTCT medication, and 9 percentage points less likely to breast-feed than women whose visit coincides with nurse absence. The shortcomings that prevent pregnant women from testing on a subsequent visit are common in sub-Saharan Africa. (JEL I12, J16, O15)

Prevention of Mother-to-Child Transmission of HIV – an Update from Rural Africa

Praxis ◽  
2019 ◽  
Vol 108 (15) ◽  
pp. 977-981
Author(s):  
Ezekiel Luoga ◽  
Anna Gamell
Keyword(s):  
Pregnant Women ◽  
Sub Saharan Africa ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Treatment Access ◽  
Missed Opportunities ◽  
Innovative Strategies ◽  
Women Living With Hiv ◽  
Sub Saharan ◽  
Mother To Child

Abstract. Sub-Saharan Africa is home of 85 % of pregnant women living with HIV and 90 % of HIV-infected children. WHO issued the first prevention of mother-to-child transmission of HIV (PMTCT) recommendations in 2000. These guidelines have been revised to incorporate new evidence and align with the goal of universal treatment access and zero infections among children. Currently, 82 % of HIV-infected pregnant women receive antiretroviral treatment, and infections among children have halved since 2010. However, in 2018, 160,000 children became infected. Reasons hindering the success of PMTCT are: a) non-universal HIV testing during pregnancy; b) low retention through the PMTCT cascade; and c) missed opportunities to diagnose women who acquire HIV while pregnant or breastfeeding. To address these gaps innovative strategies are needed.

scholarly journals Programme recommendations for the prevention of mother-to-child transmission of HIV: A practical guide for managers

2003 ◽  
Keyword(s):  
Pregnant Women ◽  
Hiv Transmission ◽  
Sub Saharan Africa ◽  
Maternal Child Health ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Working Paper ◽  
Sub Saharan ◽  
Mother To Child ◽  
Prevention Of Hiv

UNAIDS estimates that 800,000 children were infected with HIV in 2001, almost all through transmission of the virus from their mothers during pregnancy, childbirth, or breastfeeding. Of these, seven of each eight live in sub-Saharan Africa and most of the rest live in South and Southeast Asia. To combat mother-to-child transmission of HIV (MTCT), in 1999 the UNAIDS Secretariat, UNFPA, UNICEF, and WHO launched the Inter Agency Task Team on Prevention of HIV Transmission in Pregnant Women, Mothers, and Their Children (IATT), which provides guidance for prevention of MTCT (PMTCT). In the view of the IATT, PMTCT is part of broader strategies to prevent the transmission of HIV and sexually transmitted diseases, to care for HIV-positive women and their families, and to promote maternal-child health. The IATT has proposed a four-pronged approach for the prevention of HIV transmission to pregnant women, mothers, and their children, yet significant financial and technical challenges remain. To address these challenges, UNICEF has supported 11 pilot projects in Africa, Asia, and Latin America. This HIV/AIDS working paper provides guidance for improving and scaling up PMTCT programs, based on what program managers and evaluators identify as successful strategies.

scholarly journals Female perspectives of male partners’ inclusion in the prevention of mother-to-child HIV transmission programme in KwaZulu-Natal

Curationis ◽  
2016 ◽  
Vol 39 (1) ◽  
Author(s):  
Mondli Miya ◽  
Tennyson Mgutshini
Keyword(s):  
Pregnant Women ◽  
Hiv Transmission ◽  
Public Hospitals ◽  
Sub Saharan Africa ◽  
Child Health Services ◽  
Mother To Child Transmission ◽  
Male Partners ◽  
Child Transmission ◽  
Financial Investment ◽  
Mother To Child

Background: The South African government intervened by implementing the prevention of mother–to-child transmission programme (PMTCT) to curb the HIV transmission from mother to child during and after pregnancy. The PMTCT programme has been at the forefront of global prevention efforts since 1998. Without treatment, the risk of transmission ranges from one in five to one in two newborns; however, the risk of mother-to-child transmission can be reduced to as low as 2%–5% with evidenced interventions. Sub-Saharan Africa, and most particularly South Africa, is the most affected by the pandemic despite having the largest financial investment in PMTCT services across the continent.Objectives: The objectives of the study were to describe and explore the female perspectives of male inclusion in the prevention of mother-to-child HIV transmission programme in KwaZulu-Natal.Methodology: A qualitative, descriptive, explorative study was conducted through in-depth individual interview of pregnant women until data saturation.Results: The findings of the study revealed that the existing design of public hospitals was not wholly conducive to facilitating male inclusion in maternal and child health services. Resources were largely insufficient to support the participation of pregnant mothers and any attempts to support the inclusion of males needed to be based on a clear increase in service provision.Conclusion: The study recommended male partners’ inclusion in the prevention of mother- to-child HIV transmission to support effective management of HIV in pregnancy and PMTCT programmes. The inclusion of men will provide the holistic support needed by pregnant women on PMTCT programmes.

scholarly journals HIV Status in Sero-Discordant Couples: Prevalence and Pattern among Pregnant Women in Plateau State, Nigeria

2018 ◽  
pp. 33-40
Author(s):  
Magaji FA ◽  
Ocheke AN ◽  
Ocheke AN ◽  
Pam VC ◽  
Pam VC ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Descriptive Analysis ◽  
Hiv Infections ◽  
Sub Saharan Africa ◽  
Hiv Status ◽  
Discordant Couples ◽  
Sub Saharan ◽  
Plateau State ◽  
Mother To Child ◽  
Made In

Nigeria is one of the high-burden countries in sub-Saharan Africa for HIV/AIDS and contributes to reproductive health morbidities and mortalities. This study was aimed at determining the prevalence of HIV-discordant rate among pregnant women in Plateau state Nigeria. The study sought to determine the prevalence and trend of HIV sero-discordance among pregnant women in Plateau state, Nigeria. The study was a 5-year descriptive analysis of HIV sero-discordance among pregnant women accessing prenatal care and their partners in Plateau state, Nigeria based on data generated between January 2012 and December 2016. The data was disaggregated by year, HIV concordant negative, HIV concordant positive, and HIV sero-discordant prevalence in the software and analysis were done using excel to obtained the proportions and trend of HIV sero-discordant prevalence among the antenatal population. Out of a total of 7,851 partners of pregnant women studied, 969 (16.3%) were HIV sero-discordant, 5,795 (73.8%) were HIV concordant negative, and 773 (9.9%) were HIV concordant positive. HIV sero-discordant positive males accounted for 12.3% while females were 4.0%. The prevalence of HIV sero-discordance was low with a high proportion of HIV positive male partners in Plateau state with grave public health implications for new HIV infections among partners and eroding the gains made in the Prevention of mother-to-child transmission of HIV.

scholarly journals Towards Elimination of Mother-to-Child Transmission of HIV: The Impact of a Rapid Results Initiative in Nyanza Province, Kenya

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Lisa L. Dillabaugh ◽  
Jayne Lewis Kulzer ◽  
Kevin Owuor ◽  
Valerie Ndege ◽  
Arbogast Oyanga ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Highly Active Antiretroviral Therapy ◽  
Cohort Analysis ◽  
Hiv Positive ◽  
Maternal Child Health ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Nyanza Province ◽  
The Impact ◽  
Mother To Child

Many HIV-positive pregnant women and infants are still not receiving optimal services, preventing the goal of eliminating mother-to-child transmission (MTCT) and improving maternal child health overall. A Rapid Results Initiative (RRI) approach was utilized to address key challenges in delivery of prevention of MTCT (PMTCT) services including highly active antiretroviral therapy (HAART) uptake for women and infants. The RRI was conducted between April and June 2011 at 119 health facilities in five districts in Nyanza Province, Kenya. Aggregated site-level data were compared at baseline before the RRI (Oct 2010–Jan 2011), during the RRI, and post-RRI (Jul–Sep 2011) using pre-post cohort analysis. HAART uptake amongst all HIV-positive pregnant women increased by 40% (RR 1.4, 95% CI 1.2–1.7) and continued to improve post-RRI (RR 1.6, 95% CI 1.4–1.8). HAART uptake in HIV-positive infants remained stable (RR 1.1, 95% CI 0.9–1.4) during the RRI and improved by 30% (RR 1.3, 95% CI 1.0–1.6) post-RRI. Significant improvement in PMTCT services can be achieved through introduction of an RRI, which appears to lead to sustained benefits for pregnant HIV-infected women and their infants.

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