scholarly journals Joint and Separate Analysis for Longitudinal and Survival Data on Mother-to-Child Transmission of HIV Among Infected Mothers on Option B+ at Health Centers in North Shewa Zone, Ethiopia, 2017

2020 ◽  
Vol Volume 13 ◽  
pp. 1179-1189
Author(s):  
Abinet Dagnaw Mekuria ◽  
Assefa Legesse Sisay ◽  
Kassa Ketsela Hailegiorgies ◽  
Ayele Mamo Abebe
Keyword(s):  
Survival Data ◽  
Health Centers ◽  
Separate Analysis ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Longitudinal And Survival Data ◽  
Mother To Child

Does Community Health Centers Have Contextual Effect on Midwife Performance in the Implementation of Prevention Mother to Child Transmission Counseling and Testing?

2020 ◽  
Author(s):  
◽  
Uki Retno Budihastuti ◽  
Endang Sutisna Sulaeman ◽  
◽  
◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Centers ◽  
Work Performance ◽  
Health Centers ◽  
Contextual Effect ◽  
Good Work ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Counseling And Testing ◽  
Mother To Child

ABSTRACT Background: Prevention mother to child transmission counseling and testing (PMTCT) service is primarily provided at health facility level. However, their full implementation requires strong linkages with communities. The purpose of this study was to examine contextual effect of community health centers on midwife performance in the implementation of PMTCT? Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at 24 community health centers in Madiun, East Java, from August to September 2019. A sample of 184 midwives was selected by total sampling. The dependent variable was implementation of PMTCT. The independent variables were age, tenure, knowledge, training, work performance, and accreditation. The data were collected by questionnaire and analyzed by a multiple linear regression. Results: Implementation of PMTCT counseling and testing improved with tenure ≥8 years (b= 0.51; 95% CI= 0.15 to 0.87; p= 0.006), good knowledge (b= 0.61; 95% CI= 0.33 to 0.89; p<0.001), had trained (b= 0.41; 95% CI= 0.08 to 0.74; p= 0.014), good work performance (b= 0.56; 95% CI= 0.21 to 0.92; p= 0.002), and good accreditation (b= 0.49; 95% CI= 0.04 to 0.95; p= 0.031). Implementation of PMTCT counseling and testing reduced with midwives age ≥35 years (b= -0.51; 95% CI= -0.80 to -0.21; p= 0.001). Conclusion: Implementation of PMTCT counseling and testing improves with tenure ≥8 years, good knowledge, had trained, good work performance, and good accreditation. Implementation of PMTCT counseling and testing reduces with midwives age ≥35 years. Keywords: implementation, prevention mother to child transmission, work performance, accreditation Correspondence: Sringatin. Dolopo Regional Public Hospital, Madiun, East Java. Jl. Raya Dolopo 117, Dolopo, Madiun 63174, East Java, Indonesia. Email: [email protected]. Mobile: 081231683090. DOI: https://doi.org/10.26911/the7thicph.03.96

scholarly journals Prevention of mother-to-child transmission of HIV in Zambia: implementing efficacious ARV regimens in primary health centers

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Justin Mandala ◽  
Kwasi Torpey ◽  
Prisca Kasonde ◽  
Mushota Kabaso ◽  
Rebecca Dirks ◽  
...  
Keyword(s):  
Health Centers ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Primary Health ◽  
Mother To Child

scholarly journals Integration of traditional birth attendants into prevention of mother-to-child transmission at primary health facilities in Kaduna, North-West Nigeria

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Reward O. Nsirim ◽  
Joseph A. Iyongo ◽  
Olayinka Adekugbe ◽  
Maureen Ugochuku
Keyword(s):  
Pregnant Women ◽  
Health Facilities ◽  
Traditional Birth Attendants ◽  
Health Centers ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
North West ◽  
Birth Attendants ◽  
Primary Health ◽  
Mother To Child

One of the fundamental challenges to implementing successful prevention of mother-tochild transmission (PMTCT) programs in Nigeria is the uptake of PMTCT services at health facilities. Several issues usually discourage many pregnant women from receiving antenatal care services at designated health facilities within their communities. The CRS Nigeria PMTCT Project funded by the Global Fund in its Round 9 Phase 1 in Nigeria, sought to increase demand for HIV counseling and testing services for pregnant women at 25 supported primary health centers (PHCs) in Kaduna State, North-West Nigeria by integrating traditional birth attendants (TBAs) across the communities where the PHCs were located into the project. Community dialogues were held with the TBAs, community leaders and women groups. These dialogues focused on modes of mother to child transmission of HIV and the need for TBAs to refer their clients to PHCs for testing. Subsequently, data on number of pregnant women who were counseled, tested and received results was collected on a monthly basis from the 25 facilities using the national HIV/AIDS tools. Prior to this integration, the average number of pregnant women that were counseled, tested and received results was 200 pregnant women across all the 25 health facilities monthly. After the integration of TBAs into the program, the number of pregnant women that were counseled, tested and received results kept increasing month after month up to an average of 1500 pregnant women per month across the 25 health facilities. TBAs can thus play a key role in improving service uptake and utilization for pregnant women at primary health centers in the community – especially in the context of HIV/AIDS. They thus need to be integrated, rather than alienated, from primary healthcare service delivery.

scholarly journals The Prevention of Mother-to-Child HIV/AIDS Transmission at Public Health Centers: A Phenomenology Study

2021 ◽  
Vol 15 (1) ◽  
pp. 195-203
Author(s):  
Dhesi Ari Astuti ◽  
Mohammad Hakimi ◽  
Yayi Suryo Prabandari ◽  
Ida Safitri Laksanawati ◽  
Atik Triratnawati
Keyword(s):  
Public Health ◽  
Hiv Testing ◽  
Health Workers ◽  
Educational Background ◽  
Health Centers ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Mother To Child ◽  
Pregnant Mothers ◽  
Hiv Aids

Objective: Mothers with HIV are likely to transmit the virus to their babies during pregnancy, delivery, or through breastfeeding. According to studies, the risk of mother-to-child HIV transmission among mothers that do not receive any form of treatment during pregnancy is approximately 15-45%. In Indonesia, the lack of a prevention program for HIV led to the provision of antiretroviral therapy (ART) for the prevention of mother-to-child transmission (PMTCT). The policies, financial facilities, the healthcare system, and human resources, including health workers, are factors that influence the PMTCT. This research discusses the perceptions of several doctors and midwives regarding the prevention of mother-to-child transmission at public health centers. Furthermore, information regarding policies and implementation of the PMTCT program at public health centers in Yogyakarta was qualitatively collected through semi-structured interviews. Methods: This research involved 6 participants, comprising of 3 heads of public health centers and 3 midwives as the HIV/AIDS program managers. A total of 5 themes were selected for the interview, namely policies of mandatory HIV testing for pregnant mothers, inadequate knowledge of the virus, need for PMTCT training, infrastructure and facilities, and HIV retesting. Results: Pregnant mothers are at potential risk of exposing health workers to HIV. They are also prone to contracting the virus due to poor educational background and less exposure to health information. Therefore, midwives need Prongs 3 and 4 to avoid contracting the virus while assisting pregnant mothers. Presently, there is a shortage of health promotion media for PMTCT, which include both electronic and print educational media. Therefore, the implementation of HIV testing in Indonesia is mandatory for pregnant mothers at their first antenatal care (ANC). However, despite the importance of conducting this test before labor, there is no regulation to ensure its implementation. Conclusion: The success of HIV mitigation is closely associated with the participation of academicians, policymakers, and community networks in providing collaborative planning strategies for the reduction of its spread, and evaluation of the mitigation result.

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 ◽  
Barr&#x000E9;-Sinoussi F ◽  
Gray G ◽  
Bollinger B ◽  
...  
Keyword(s):  
Basic Research ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Mother To Child ◽  
Research Studies

Community Based HIV Screening in Pregnant Women and Provision of Prevention of Mother to Child Transmission Care in Rural Zambia

2017 ◽  
Vol 1 (8) ◽  
Author(s):  
Mary Shilalukey Ngoma ◽  
Tepa Nkumbula ◽  
Wilbroad Mutale ◽  
Chabala Chishala ◽  
Reuben Mbewe ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Hiv Screening ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Community Based ◽  
Rural Zambia ◽  
Mother To Child

Update in management of hepatitis B in pregnancy and prevention of mother to child hepatitis B transmission

2018 ◽  
Vol 1 (3) ◽  
pp. 1-8
Author(s):  
Naichaya Chamroonkul
Keyword(s):  
Chronic Hepatitis ◽  
Viral Load ◽  
Hepatitis B ◽  
Chronic Hepatitis B ◽  
High Viral Load ◽  
World Population ◽  
Hepatitis B Infection ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Mother To Child

Even with two decades of widespread using hepatitis B vaccination, chronic hepatitis B remains a major global health problem. In Thailand, the prevalence of chronic hepatitis B infection was down from 8 - 10% in last decade to 5% recently. Failure to control mother to child transmission is one of the important barriers to the total elimination of hepatitis B infection from world population. In the majority, vertical transmission can be prevented with a universal screening program, immunoprophylaxis by administration of hepatitis B vaccine and hepatitis B immunoglobulin (HBIg) for babies born to mothers with HBV. However, in mothers with a high viral load, the chance of immunoprophylaxis failure remains high. To date, there are standard recommendations by all international liver societies including AASLD, EASL and APASL suggest introducing an antiviral agent during the third trimester to CHB pregnant women with a high viral load. Previous US FDA pregnancy category B agents such as Tenofovir and Telbivudine are allowed through all trimesters of pregnancy and are effective for prevention of mother to child transmission. Breastfeeding for patients who receive antiviral agents can be allowed after a risk-benefit discussion with the patient and family.

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