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 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 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 Women, communities, and the prevention of mother-to-child transmission of HIV: Issues and findings from community research in Botswana and Zambia

2001 ◽  
Keyword(s):  
Community Involvement ◽  
Hiv Transmission ◽  
Perinatal Transmission ◽  
Community Research ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Traditional Norms ◽  
Mother To Child

This 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 the barriers to using voluntary counseling and testing services; the 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 Population Council publication (“Community involvement in the prevention of mother-to-child transmission of HIV: Insights and recommendations”) offers recommendations for community involvement strategies that will encourage program planners to include community participation, education, and mobilization as critical program elements. An intervention that addresses mother-to-child transmission of HIV is complex, yet it is one of the few biomedical interventions currently available for reducing the transmission of HIV that is feasible and affordable in resource-constrained settings. Placed within the framework of community involvement, it 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 Safety, strength and simplicity of efavirenz in pregnancy

2012 ◽  
Vol 13 (1) ◽  
pp. 28-33 ◽  
Author(s):  
Prinitha Pillay ◽  
Vivian Black
Keyword(s):  
Pregnant Women ◽  
Health And Safety ◽  
Child Transmission ◽  
Child Health Outcomes ◽  
Hiv Epidemic ◽  
Resource Limited ◽  
Timing Of Initiation ◽  
Mother To Child ◽  
And Child Health ◽  
In Pregnancy

The WHO recommends starting lifelong ART for all pregnant women with a CD4 count at or below 350 cells/mm³, which recognises the important component of ‘when to start’ and the role that timing of initiation plays in reducing mortality and disease progression. The data on ‘what to start’ are conflicting, and options for resource-limited settings are limited. The choice of an ART regimen for pregnant women is complicated by the need to take into account the health and safety of both the mother and baby. Particularly contentious is whether to use a nevirapine- (NVP) or efavirenz- (EFV) based regimen. This review presents the latest evidence on the safety and efficacy of EFV and NVP in pregnancy and offers recommendations for improving maternal and child health outcomes and avoid mother-to-child transmission as South Africa moves toward turning back the tide on its HIV epidemic.

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 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. 

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