scholarly journals Barriers and opportunities for implementing prevention of mother to child transmission (PMTCT) in Bangli District

2017 ◽  
Vol 5 (1) ◽  
pp. 67
Author(s):  
Ketut Espana Giri ◽  
Ni Made Sri Nopiyani ◽  
Ketut Tuti Parwati Merati
Keyword(s):  
Pregnant Women ◽  
Hiv Testing ◽  
Health Centre ◽  
Community Leaders ◽  
Pmtct Program ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Public Health Centre ◽  
Mother To Child ◽  
Village Health

Background and purpose: HIV testing among pregnant women can reduce the risk of mother to child HIV transmission. The implementation of prevention of mother to child transmission (PMTCT) program in Bangli District is suboptimal. This study aims to explore challenges and opportunities for implementing PMTCT program from both user and provider perspectives.Methods: A qualitative approach was conducted in Bangli District between April and May 2016. Data were collected using in-depth interviews with 18 informants. All informants were purposively selected and covered of 10 pregnant women, two counsellors, two laboratory analysts, two head of community health centres, one disease control officer from Bangli District Health Office and one officer from Bangli District AIDS Commission. Data were analysed using thematic method.Results: Pregnant women chose to have ANC service at private midwife and obstetrician instead of  public health centre. From health providers’ perspectives barrier of PMTCT implementation included lack of health human resources and a high level of stigma and discrimination related to HIV/AIDS in the community. This study revealed that there was an opportunity for PMTCT implementation in Bangli District due to positive attitudes and supports from husband and health provider toward HIV testing. Another opportunity is to involve village health cadres and community leaders in promoting HIV testing among pregnant women.Conclusions: Implementation of PMTCT program in health centre should include network of private practitioner and enhance village health cadres’ and community leaders’ participation.

Barriers and opportunities for implementing prevention from mother to child transmission (PMTCT) in Bangli District

2017 ◽  
pp. 83
Author(s):  
K. Espana Giri ◽  
N.M. Sri Nopiyani ◽  
Tuti Parwati Merati
Keyword(s):  
Pregnant Women ◽  
Hiv Testing ◽  
Health Centre ◽  
Community Leaders ◽  
Pmtct Program ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Public Health Centre ◽  
Mother To Child ◽  
Village Health

Background and purpose: HIV testing among pregnant women can reduce the risk of mother to child HIV transmission. The implementation of prevention from mother to child transmission (PMTCT) program in Bangli District is suboptimal. This study aims to explore challenges and opportunities for implementing PMTCT program from both user and provider perspectives.Methods: A qualitative approach was conducted in Bangli District between April and May 2016. Data were collected using in-depth interviews with 18 informants. All informants were purposively selected and covered of 10 pregnant women, two counsellors, two laboratory analysts, two head of community health centres, one disease control officer from Bangli District Health Office and one officer from Bangli District AIDS Commission. Data were analysed using thematic method.Results: Pregnant women choosed to have ANC service at private midwife and obstetrician instead of public health centre. From health providers’ perspectives barrier of PMTCT implementation included lack of health human resources and a high level of stigma and discrimination related to HIV/AIDS in the community. This study revealed that there was an opportunity for PMTCT implementation in Bangli District due to positive attitudes and supports from husband and health provider toward HIV testing. Another opportunity is to involve village health cadres and community leaders in promoting HIV testing among pregnant women.Conclusions: Implementation of PMTCT program in health centre should includes network of private practitioner and enhance village health cadres and community leaders’ participation.

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 Does facility readiness promote high-quality of provider-initiated HIV testing and counseling to pregnant women? A national survey for improving policy of prevention of mother-to-child transmission of HIV in Tanzania

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Deogratius Bintabara ◽  
Athanase Lilungulu ◽  
Shakilu Jumanne ◽  
Mzee M. Nassoro ◽  
Bonaventura C. Mpondo
Keyword(s):  
Pregnant Women ◽  
Hiv Testing ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
High Quality ◽  
Hiv Testing And Counseling ◽  
Mother To Child ◽  
Facility Readiness ◽  
Testing And Counseling

Abstract Background Provider-initiated HIV testing and counseling (PITC) is a recommended approach to screen for HIV to all pregnant women during antenatal care (ANC) visits, and all with HIV positive results have to be enrolled into prevention of mother-to-child transmission of HIV (PMTCT) program. However, little is known about the relationship between facility readiness and the uptake of PITC to pregnant women attending ANC in Tanzania. Therefore, this study assessed whether the facility readiness promotes the uptake of PITC to the pregnant women attending ANC for the purpose of improving the PMTCT interventions in Tanzania. Methods This study analyzed data for health facilities obtained from the 2014–2015 Tanzania service provision assessment survey. The Primary outcome measure was a composite variable (with score of 0–5) in which its higher scores indicates provision of high-quality of PITC. Also, facilities scored higher in the PMTCT service readiness index were considered to have high readiness to provide PMTCT services. In Poisson regression analyses, a series of models were fitted to assess whether there is an association between provision of high-quality of PITC and facility readiness. In all statistical analysis, a P < 0.05 was considered significant. Results Out of 1853 included first-visit ANC consultations, only about one-third of pregnant women received all five components required for PITC. The mean percentage of PMTCT readiness score was moderate 63.96 [61.32–66.59]%. In adjusted model, we found that facility with high readiness to provide PMTCT services was significantly associated with the provision of high-quality of PITC (model 2: [β = 0.075, P = 0.00]). Conclusion In order to increase high-quality of PITC services, efforts should be made to improve the PMTCT facility readiness by increasing availability of trained staffs, diagnostic tools, and ARTs among health facilities in Tanzania.

scholarly journals Effectiveness of interventional package on knowledge and attitude towards prenatal HIV testing and mother to child transmission among antenatal mothers

2020 ◽  
Vol 11 (2) ◽  
pp. 1729-1733
Author(s):  
Priyadarsini A ◽  
Priya O S
Keyword(s):  
Pregnant Women ◽  
Hiv Testing ◽  
The Body ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Teaching Programme ◽  
Structured Teaching ◽  
Post Test ◽  
Knowledge And Attitude ◽  
Mother To Child

Human Immunodeficiency Virus (HIV) is an infection that assaults immune cells called CD4 cells, which are a kind of T cell. These are white platelets that move around the body, recognizing flaws and inconsistencies in cells just as contaminations. The present study aimed to effectiveness of interventional package on knowledge and attitude towards prenatal HIV testing and parent to child transmission among pregnant women in selected settings.60 pregnant women sample in Quantitative approach with Pre experimental one group pre-test and post-test design, sample selection was done by Non Probability – Purposive Sampling Technique, Effectiveness of structured teaching programme in meaning pregnant women gained 35% etiology and effects gained 31% in management and precautions in PCT pregnant women gained 41% prevention 36.8% overall they gained 37.28% and Attitude gained 23.3% after intervention. Pre-existing knowledge was assessed by using semi structured teaching programme, pregnant mothers gained 23.3% more knowledge score than pretest score and the mean difference is 12.80 by using generalized McNamara’s chi-square test, it is statistically significant. In pretest, mothers were having 10.77score whereas, in post-test they were having 23.57 score. Difference score is 12.80.The difference is large and it is statistically significant. Successful intervention toward prevention of mother-to-child transmission (PMTCT) and achieving the goal of eliminating the new HIV infection is highly dependent on everyone; especially, women of child-bearing age should have accurate and up-to-date knowledge about HIV transmission, risk of transmission to babies, and possible interventions.

scholarly journals Radio role models for the prevention of mother-to-child transmission of HIV and HIV testing among pregnant women in Botswana

2008 ◽  
Vol 23 (3) ◽  
pp. 260-268 ◽  
Author(s):  
A. K. Sebert Kuhlmann ◽  
J. M. Kraft ◽  
C. Galavotti ◽  
T. L. Creek ◽  
M. Mooki ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Hiv Testing ◽  
Role Models ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Mother To Child

scholarly journals The yield of HIV testing during pregnancy and postnatal period, Uganda, 2015–2018: analysis of surveillance data

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Yvette Wibabara ◽  
Ivan Lukabwe ◽  
Irene Kyamwine ◽  
Benon Kwesiga ◽  
Alex R. Ario ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Hiv Testing ◽  
Postnatal Period ◽  
Surveillance Data ◽  
Hiv Positive ◽  
Health Management Information System ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Mother To Child

Abstract Background Uganda has registered a reduction in new HIV infections among children in recent years. However, mother-to-child transmission of HIV still occurs, especially among pregnant women who present late. To eliminate this transmission, all HIV-positive pregnant women should be identified during antenatal HIV testing. We described women newly identified HIV-positive during pregnancy and postnatal period 2015–2018. Methods We extracted surveillance data for women identified as HIV-positive during pregnancy and the postnatal period reported through the Health Management Information System from 2015–2018. We calculated proportions newly positive at antenatal, labor, and postnatal periods nationally and at district levels. We disaggregated data into ‘tested early’ (during antenatal care) and ‘tested late’ (during labor or postnatal period) and calculated the proportion positive. We evaluated trends in these parameters at national and district levels. Results Overall, 8,485,854 mothers were tested for HIV during this period. Of these, 2.4% tested HIV-positive for the first time. While the total number of mothers tested increased from 1,327,022 in 2015 to 2,514,212 in 2018, the proportion testing HIV-positive decreased from 3.0% in 2015 to 1.7% in 2018 (43% decline over the study period, p < 0.001). Of 6,781,047 tested early, 2.2% tested HIV-positive. The proportion positive among those tested early dropped from 2.5% in 2015 to 1.7% in 2018. Of 1,704,807 tested late, 3.2% tested HIV-positive. The proportion positive among those tested late dropped from 5.2% in 2015 to 1.6% in 2018. At the district level, Kalangala District had the highest proportion testing positive at 13% (909/11,312) in 2015; this dropped to 5.2% (169/3278) in 2018. Conclusion The proportion of women newly testing HIV-positive during pregnancy and postnatal declined significantly during 2015–2018. A higher proportion of mothers who tested late vs early were HIV-positive. Failure to identify HIV early represents an increased risk of transmission. Ministry of Health should strengthen Elimination of Mother to Child Transmission (eMTCT) services to sustain this decrease through targeted interventions for poorly-performing districts. It should strengthen community-based health education on antenatal care and HIV testing and enhance the implementation of other primary prevention strategies targeting adolescents and young women.

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.

Sign in / Sign up

Export Citation Format

Share Document