Knowledge and Practice of Prevention of Mother-To-Child-Transmission of HIV among Traditional Birth Attendants Practicing in Akwa Ibom, Nigeria

2016 ◽  
Vol 13 (4) ◽  
pp. 1-10
Author(s):  
Unyime Eshiet ◽  
Polycarp Ekpe
Keyword(s):  
Traditional Birth Attendants ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Birth Attendants ◽  
Knowledge And Practice ◽  
Mother To Child

Improving the coverage of prevention of mother-to-child transmission of HIV services in Nigeria: should traditional birth attendants be engaged?

2017 ◽  
Vol 29 (7) ◽  
pp. 687-690 ◽  
Author(s):  
Babayemi O Olakunde ◽  
Sabastine Wakdok ◽  
Yewande Olaifa ◽  
Francis Agbo ◽  
Uduak Essen ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Scale Up ◽  
Traditional Birth Attendants ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
National Agency ◽  
Birth Attendants ◽  
Low Coverage ◽  
Provision Of Care ◽  
Mother To Child

Traditional birth attendants (TBAs) play an important role in the provision of care to pregnant women in rural parts of Nigeria, but they are barely engaged by the formal healthcare system in expanding the low coverage of prevention of mother-to-child transmission of HIV (PMTCT) services. Using a systematic approach, we engaged TBAs in Abia and Taraba States to scale-up PMTCT services under the National Agency for Control of AIDS Comprehensive AIDS Program with States. We conducted mapping of the TBAs, built their capacities, obtained their buy-in on mobilization of their clients and other pregnant women for HIV testing service outreaches, and established referral and linkage systems. A total of 720 TBAs were mapped (Abia 407; Taraba 313). Three hundred and ninety-nine TBAs who participated in the capacity-building meeting were linked to 115 primary healthcare centers (PHCs) in Abia State, while 245 TBAs were linked to 27 PHCs in Taraba State. From July 2016 to March 2017, the outreaches contributed 20% to the overall total number of pregnant women counseled, tested and received results, and 12% to the total number of HIV-infected women identified. There was a considerable yield of HIV-infected pregnant women among those tested in the TBA outreaches in comparison with the supported antenatal facilities (2% versus 3%, respectively). Engaging TBAs has the potential to improve the coverage of PMTCT services in Nigeria.

scholarly journals Roles and Challenges of Traditional Birth Attendants in Prevention of Mother to Child Transmission of HIV in Nigeria - A Brief Review

2020 ◽  
pp. 58-67
Author(s):  
A. F. Chizoba ◽  
H. N. Chineke ◽  
P. O. U. Adogu
Keyword(s):  
Quality Assessment ◽  
Pregnant Women ◽  
Target Population ◽  
Traditional Birth Attendants ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Birth Attendants ◽  
Success Stories ◽  
Health Centres ◽  
Mother To Child

Introduction: About 65% of deliveries in Nigeria (including HIV infected women) take place in settings like traditional birth attendants (TBAs). Though TBA involvement in PMTCT has some challenges, their success stories of increased HIV counseling and testing (HCT) uptake among pregnant women remains a reason for training, supervising and successfully integrating them into formal health centres and to reach the PMTCT target population. This is a brief review of roles and challenges of traditional birth attendants in Prevention of Mother to Child Transmission of HIV in Nigeria. Methods: Keywords from objectives of review are MTCT, PMTCT and TBA which were used to search for related literatures through online libraries like national and international journals example medline and pubmed including google. About 62 related literatures/studies were initially generated and then narrowed down to 21 literatures which were selected because they met the inclusion criteria of less than 10 years and related to objective of review. Findings: Because 65% of deliveries take place at non-formal settings like TBAs, they are being trained/engaged mainly by NGOs to be involved in PMTCT. Major success stories include; improved PMTCT knowledge and practices after training (p = 0.01) and increased HCT uptake at the TBAs (p = 0.001). Major challenges include low education level, reluctance to refer HIV positive patients in absence of incentives, poor reporting mechanism and poor-quality assessment/supervisions. National plans on accelerated PMTCT and elimination of MTCT currently advices that TBAs be integrated into formal health centres to further reach target population and cover the PMTCT gap in Nigeria. Conclusion: TBAs have the potential of bridging the gap between formal PMTCT delivery points and the cultural communities where majority of the target population-pregnant women- live. Though challenges of TBA involvement are visible, support for training/retaining and quality assessment/supervision among TBAs could be the answer to the challenges of reaching the PMTCT target group and reaching the PMTCT target in Nigeria.

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.

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