scholarly journals Integrating HIV prevention and care into maternal and child health care settings: Lessons learned from Horizons studies

2002 ◽  
Keyword(s):  
Child Health ◽  
Health Workers ◽  
Antiretroviral Drugs ◽  
Lessons Learned ◽  
Maternal Child Health ◽  
Voluntary Counseling And Testing ◽  
Care Services ◽  
Counseling And Testing ◽  
Program Components ◽  
Mother To Child

Many women in the developing world still lack access to high-quality HIV/AIDS prevention and care services. To address this problem, Horizons has undertaken a range of operations research efforts that examine the integration of HIV-related care in the maternal-child health setting. At a workshop held in Kenya in July 2001, participants discussed the experience to date and formulated practical strategies for improving the integration. This consultation report summarizes that discussion according to the following seven key program components: Training and Motivation to Improve the Performance of Health Workers; Supervision of HIV Services and Quality Assurance of HIV Testing; Caring for Mothers; Voluntary Counseling and Testing Services; Counseling on Infant Feeding; Provision of Antiretroviral Drugs to Reduce Mother-to-Child Transmission; Involving Male Partners.

scholarly journals Ndola Demonstration Project: A midterm analysis of lessons learned

2002 ◽  
Author(s):  
Keyword(s):  
Health Program ◽  
Health Management ◽  
Lessons Learned ◽  
Child Transmission ◽  
District Health ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Food And Nutrition ◽  
Mother To Child ◽  
And Child Health

This report summarizes baseline and midterm findings of an intervention pilot study conducted by Horizons, LINKAGES, National Food and Nutrition Commission, District Health Management Team, Hope Humana, and the Zambia Integrated Health Program in Ndola District, Zambia. The aim of the research is to investigate how integrating services for the prevention of mother-to-child transmission (PMCT) of HIV into low-resource maternal and child health (MCH) and antenatal care (ANC) settings influences women’s ability to make and implement informed decisions about HIV. The intervention strengthened routine services and introduced HIV voluntary counseling and testing and PMCT counseling and services into the MCH/ANC setting. Exclusive breastfeeding was promoted for all mothers with infants below six months of age.

scholarly journals HIV voluntary counseling and testing: An essential component in preventing mother-to-child transmission of HIV

2003 ◽  
Keyword(s):  
Pregnant Women ◽  
Hiv Transmission ◽  
Antiretroviral Drugs ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Couple Communication ◽  
Serostatus Disclosure ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Mother To Child

Positive results from clinical trials of the anti-retroviral medications zidovudine and nevirapine created the possibility of offering an affordable and feasible intervention worldwide to reduce HIV transmission from an infected pregnant woman to her infant. Governmental and nongovernmental health services in many highly affected areas of Africa, Asia, Latin America, and Eastern Europe have responded by piloting and rapidly expanding programs for the prevention of mother-to-child HIV transmission (PMTCT). Since their inception in 1999, programs have offered voluntary HIV counseling and testing (VCT) to more than 800,000 pregnant women around the world. An important objective of VCT is to identify which pregnant women are HIV-positive so they can receive antiretroviral drugs to prevent transmitting HIV to their infants. HIV counseling and testing also offer an opportunity to promote HIV prevention, encourage serostatus disclosure, and foster couple communication on HIV and PMTCT. This brief focuses on VCT in the antenatal care setting, examining service utilization by pregnant women, their perceptions of services, client outcomes as a result of undergoing HIV counseling and testing, and strategies for improving quality and coverage of VCT as a key component of PMTCT programs.

scholarly journals Evidence for the importance of community involvement: Implications for initiatives to prevent mother-to-child transmission of HIV

2001 ◽  
Keyword(s):  
Community Involvement ◽  
Hiv Transmission ◽  
Perinatal Transmission ◽  
Companion Paper ◽  
Lessons Learned ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Mother To Child

This paper offers lessons learned from a literature review of community involvement in biomedical and other technologies that can guide appropriate and effective introduction of services for prevention of mother-to-child transmission of HIV. A companion paper discusses research in Botswana and Zambia that showed gaps in community knowledge about HIV transmission, particularly from mother to child, and yielded insights into community perspectives about barriers to using voluntary counseling and testing services; stigma and fear associated with HIV; traditional norms on breastfeeding; and the role of family and community members in women’s decisions to participate in programs to prevent mother-to-child transmission of HIV. A separate publication (“Community involvement in the prevention of mother-to-child transmission of HIV: Insights and recommendations”) offers recommendations for community involvement strategies. Placed within the framework of community involvement, an intervention that addresses mother-to-child transmission of HIV offers an enormous opportunity to improve HIV prevention and care. Successful interventions can influence how AIDS is perceived by the community, reduce stigma, and have an effect beyond the immediate prevention of perinatal transmission.

scholarly journals Private Midwives’ Perceptions on Barriers and Enabling Factors to Voluntary Counselling and HIV Test (VCT) in Bali, Indonesia

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Dinar Saurmauli Lubis ◽  
LPL Wulandari ◽  
Ni Luh Putu Suariyani ◽  
Kadek Tresna Adhi ◽  
Sari Andajani
Keyword(s):  
Pregnant Women ◽  
Thematic Analysis ◽  
Hiv Transmission ◽  
Institutional Barriers ◽  
Enabling Factors ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Hiv Test ◽  
Mother To Child ◽  
Depth Interviews

In Indonesia, more than half of pregnant women seek antenatal care (ANC) at private midwifery clinics. The midwives play an important role in advocating for voluntary counseling and testing (VCT) uptake among pregnant women during ANC. This study examined midwives’ perception of barriers and enabling factors with regards to refer pregnant women for HIV testing. The study was conducted in Denpasar City and Badung District, two localities in Bali with high HIV prevalence. Two focus groups discussions with 15 private midwives and five in-depth interviews were conducted. Data were transcribed verbatim and thematic analysis methods were used to examine patterns emerging from the data. Results showed that private midwives face personal barriers in the form of stigma as well as institutional barriers such as VCT operational hours that limit how and when they refer women for VCT. Barriers are strengthened by lack of support or reward from the health office. However, opportunities for integrated and comprehensive support systems within the health system and supportive social environment which would make it easy and rewarding for midwives to refer women to VCT clinics were seen as enabling factors. Increasing uptake of VCT is a necessity for eliminating mother to child HIV transmission. 

scholarly journals Preventions of HIV/AIDS Transmission from Mother to Child in Pematangsiantar City, Indonesia

2020 ◽  
Vol 12 (11) ◽  
pp. 83
Author(s):  
Dame Evalina Simangunsong ◽  
Kandace Sianipar ◽  
Juliani Purba
Keyword(s):  
Pregnant Women ◽  
Community Health Center ◽  
Intervention Strategy ◽  
Home Visits ◽  
Hiv Screening ◽  
Sexually Transmitted ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Mother To Child ◽  
Hiv Aids

Prevention of the HIV/AIDS transmission from mother to child should be a focus of common concern, considering that this effort is an effective and broad-impact strategy in suppressing maternal and infant mortality and is an indicator of the degree of public health in a country. Community Health Center with the Voluntary Counseling and Testing (VCT) service in Pematangsiantar has not fully provided the Prevention of Mother to Child Transmission (PMTCT). Therefore pregnant women still refuse to undergo HIV screening. In these circumstances, Pematangsiantar will potentially have an increase in the number of cases. In realizing the vision of health education institutions to integrate the promotion of HIV/AIDS and Sexually Transmitted Diseases (STD) for pregnant women, this research has studied the perception of pregnant women in the prevention of HIV/AIDS transmission from mother to child. So that the appropriate intervention strategy in suppressing the spread of HIV/AIDS can be done. The research type is quasi-experiment with the population in this study was all pregnant mothers who refused to undergo HIV screening at the time of the ANC, 194 people. Data analysis is processed with T-Test and conducted to view differences in the behavior and perception of pregnant women's beliefs against the transmission of HIV/AIDS after the intervention. The result showed there is an increased difference in the value of behavioral indicators and the health confidence of pregnant women after home visits. It is advisable to approach strategies with personal counseling, peer-Education, and home visits in the nets of pregnant women with HIV.

Use of maternal–child health services and contraception in Guatemala and Panama

1987 ◽  
Vol 19 (2) ◽  
pp. 229-243 ◽  
Author(s):  
Charles W. Warren ◽  
Richard S. Monteith ◽  
J. Timothy Johnson ◽  
Roberto Santiso ◽  
Federico Guerra ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Child Health ◽  
Health Care Services ◽  
Child Health Services ◽  
Maternal Child Health ◽  
Family Planning Services ◽  
High Parity ◽  
Care Services ◽  
Maternal Child

SummaryThis paper presents data from two recent maternal–child health (MCH) and family planning surveys in Guatemala and Panama and examines the extent to which the use of contraception is influenced by the use of MCH services as compared with the influence of an increase in parity. The findings suggest that utilization of MCH services and parity independently are associated with a woman's decision to use contraception. The study also found two groups that appear to be particularly in need of both MCH and family planning services: high parity women and Indians. In both Guatemala and Panama, improved health care services for these two groups should be a priority.

scholarly journals HUBUNGAN PERSEPSI IBU DENGAN IMUNISASI CAMPAK PADA BAYI USIA DI ATAS 9 BULAN DI POSYANDU MOJOWUKU SLEMPIT GRESIK

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Imandra Arif Bachtiar ◽  
Chilyatiz Zahroh
Keyword(s):  
Health Education ◽  
Child Health ◽  
Health Workers ◽  
Sampling Technique ◽  
Maternal Child Health ◽  
Positive Perception ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Level Of Significance

The habitual of Some mothers living around Posyandu Mojowuku tend not to provide their babies with measles immunization because of the perception that measles immunization can cause fever in babies. The fact that they do not receive information about immunization from the health workers creates a wrong perception that brings bad effects to babies. Hence, the purpose of this study was to find out the correlation between mother’s perception and measles immunization in babies aged over 9 months. This study was cross sectional approach involved the population of all mothers having babies aged over 9 months, totaling 63 couples. The samples of research 54 respondents were chosen using Non Probability sampling and Purposive sampling technique. Questionnaire and maternal-child health booklet were used to collect the data. Analyzed using Chi-Square test with the level of significance α = 0.05. The result showed that most of the mothers (66.7%) had positive perception about measles immunization, whereas most of the babies (70.4%) received measles immunization. Moreover, the result of Chi-Square test showed that ρ = 0,000 < so that H0 was rejected illustrating that there was a correlation between mother’s perception and measles immunization in babies aged over 9 months. Mother’s perception significantly affected the coverage of measles immunization in babies. Hence, those who have negative perception about measles immunization are expected to change their opinion and perception to avoid dangers for their babies. Moreover, the health workers are also expected to promote activities of providing them with health education to increase their awareness of measles immunization.

The Feasibility, Demand, and Effect of Integrating Primary Care Services with HIV Voluntary Counseling and Testing

2003 ◽  
Vol 33 (4) ◽  
pp. 470-475 ◽  
Author(s):  
Robert Peck ◽  
Daniel W. Fitzgerald ◽  
Bernard Liautaud ◽  
Marie Marcelle Deschamps ◽  
Rose Irene Verdier ◽  
...  
Keyword(s):  
Primary Care ◽  
Voluntary Counseling ◽  
Voluntary Counseling And Testing ◽  
Care Services ◽  
Primary Care Services ◽  
Counseling And Testing
Sign in / Sign up

Export Citation Format

Share Document