scholarly journals Nurses and midwives’ perceptions of option B+ treatment protocol for the prevention of mother-to-child transmission of HIV in Lubumbashi, Democratic Republic of Congo

2017 ◽  
Vol 1 (4) ◽  
Author(s):  
Diese Mulamba ◽  
Susie Villeneuve ◽  
Freddy Salumu ◽  
Emile Numbi ◽  
Nadine Muyungu ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Treatment Protocol ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Republic Of Congo ◽  
Mother To Child ◽  
Nurses And Midwives

scholarly journals Intimate partner violence and prevention of mother to child transmission of HIV: Evidence from Kinshasa, Democratic Republic of Congo

PLoS ONE ◽  
2018 ◽  
Vol 13 (8) ◽  
pp. e0203471 ◽  
Author(s):  
Margaret W. Gichane ◽  
Kathryn E. Moracco ◽  
Harsha Thirumurthy ◽  
Emile W. Okitolonda ◽  
Frieda Behets ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Intimate Partner ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Republic Of Congo ◽  
Mother To Child

scholarly journals Nurses’ compliance with prevention of mother-to-child transmission national guidelines in selected sites in Kinshasa, Democratic Republic of Congo

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Augustin R.M. Amboko ◽  
Petra Brysiewicz
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Cross Sectional Study ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
National Guidelines ◽  
Cross Sectional ◽  
Republic Of Congo ◽  
Self Reporting Questionnaire ◽  
Mother To Child

Background: The Democratic Republic of Congo (DRC) implemented a prevention of mother-to-child transmission (PMTCT) of HIV infection programme in maternal, newborn and child health (MNCH) services in 2001 with nurses as key personnel. To date there is no informationin the DRC and specifically in Kinshasa with respect to compliance with PMTCT national guidelines.Aim: The study aimed at describing nurses’ compliance with the PMTCT national guidelines in selected PMTCT sites of Kinshasa.Methods: A descriptive cross-sectional study was conducted in Kinshasa with 76 nurses in 18 selected PMTCT sites. The nurses’ compliance with PMTCT national guidelines was assessed using a healthcare provider self-reporting questionnaire developed by the researchers.Results: The study showed that the mean score of nurses’ compliance with PMTCT nationalg uidelines was 74% (95% CI: 69% – 78%) which progressively decreased and was significantly different across different MNCH services (p = 0.025). With respect to categories of PMTCT recommendations, nurses were compliant with those related to education in labour and delivery, and antenatal services. Sociodemographic characteristics such as training, length of service and category of nurses did not influence nurses’ compliance score.Conclusion: These findings showed that nurses were noncompliant with PMTCT national guidelines, with the score level being 80% or more in the three MNCH services/units. Improvement of nurses’ ‘compliance with the PMTCT national guidelines requires effective monitoring of full integration of PMTCT as routine activities in MNCH care.

scholarly journals Tenofovir Adherence in the Prevention of Mother-to-Child Transmission of Hepatitis B in the Democratic Republic of the Congo: A Qualitative Study Applying the Information-Motivation-Behavioral Skills Model

2022 ◽  
Author(s):  
Sahal Thahir ◽  
Camille E. Morgan ◽  
Patrick Ngimbi ◽  
Kashamuka Mwandagalirwa ◽  
Sarah Ntambua ◽  
...  
Keyword(s):  
Medication Adherence ◽  
High Risk ◽  
Hepatitis B ◽  
Democratic Republic ◽  
Pmtct Program ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Behavioral Skills ◽  
Republic Of The Congo ◽  
Mother To Child

Abstract Background: Hepatitis B virus (HBV) remains a leading infectious cause of death worldwide, and is highly prevalent in Sub-Saharan Africa (SSA). The prevention of mother-to-child transmission (PMTCT) programs for HBV are critical to reaching elimination targets and utilizing existing HIV testing and treatment infrastructure. Building on a feasibility study to introduce tenofovir disoproxil fumarate antiviral therapy to pregnant women with high-risk HBV in the Democratic Republic of the Congo (DRC), we examine the social and psychological facilitators of medication adherence of women who participated in this HBV PMTCT program.Methods: This study utilizes a qualitative exploratory approach involving women in Kinshasa, DRC who were identified as high-risk HBV during pregnancy and completed the pilot tenofovir antiviral program. Six participants were identified and completed in-depth, open-ended phone interviews. This study adopts a modified Information-Motivation-Behavioral Skills model (IMB+) to identify emerging themes related to tenofovir adherence.Results: A strong trust in healthcare workers, family support, and improved awareness of the disease and treatment options through enrollment in the PMTCT program facilitated tenofovir adherence. Barriers to medication adherence included social stigma and low healthcare literacy specific to HBV.Conclusions: Our study highlights the feasibility of medication adherence in HBV PMTCT programs in a low-resource setting and the importance of incorporating initiatives that address hepatitis B stigma and other social barriers. These findings are relevant to future HBV PMTCT scale-up, which is needed in the DRC and in similar African contexts with high HBV prevalence. Trial registration: The parent study was registered with clinicaltrials.gov under identifier NCT03567382. Date of registration: 25/06/2018

scholarly journals Role of Temporal Discounting in a Conditional Cash Transfer (CCT) Intervention to Improve Engagement in the Prevention of Mother-to-Child Transmission (PMTCT) Cascade

2020 ◽  
Author(s):  
Jessica Londeree Saleska ◽  
Abigail Norris Turner ◽  
Maria F. Gallo ◽  
Abigail Shoben ◽  
Bienvenu Kawende ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Temporal Discounting ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Hiv Care ◽  
Child Transmission ◽  
Engagement In Hiv Care ◽  
Mother To Child

Abstract Background: Temporal discounting (TD), the tendency of individuals to discount future costs and benefits relative to the present, is often associated with greater engagement in risky behaviors. Incentives such as conditional cash transfers (CCTs) have the potential to counter the effects of TD on health behaviors. We hypothesized that CCTs work by mitigating the effects of high TD, measured using a delay-discounting task.Methods: We conducted an interaction analysis using data from a randomized trial of a CCT intervention among 434 HIV-positive pregnant women in the Democratic Republic of Congo. The analysis focused on two outcomes: 1) retention in HIV care, and 2) uptake of prevention of mother-to-child transmission (PMTCT) services.Results: The effect of TD on retention was small, and we did not observe evidence of interaction between TD and CCT on retention. However, our findings suggest that CCT may mitigate the negative effect of high TD on uptake of PMTCT services (interaction contrast (IC): 0.18, 95% CI: -0.09, 0.44).Conclusions: Our findings support the continued use of small, frequent incentives, to motivate improved uptake of PMTCT services, especially among women exhibiting high TD.CONTRIBUTIONS TO THE LITERATURE· Conditional cash transfer (CCT) interventions demonstrate varying degrees of effectiveness in improving engagement in HIV care. Understanding how these interventions work allow for better adaptation in different contexts, though few studies have explored the underlying mechanisms of CCT.· We assessed whether CCT works by mitigating the effect of temporal discounting on disengagement from care, a major posited mechanism of the intervention, among HIV infected pregnant and breastfeeding women in the Democratic Republic of Congo. · Our findings contribute to gaps in literature surrounding the role of temporal discounting, and its mitigation by CCT, on engagement in HIV care.

Mother-to-child transmission of HIV: developing integration of healthcare programmes with clinical, social and basic research studies

2003 ◽  
Vol 92 (11) ◽  
pp. 1343-1348
Author(s):  
Menu E ◽  
Scarlatti G ◽  
Barré-Sinoussi F ◽  
Gray G ◽  
Bollinger B ◽  
...  
Keyword(s):  
Basic Research ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Mother To Child ◽  
Research Studies
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