A comparative analysis of teenagers and older pregnant women in the utilization of prevention of mother to child transmission [PMTCT] services in, Western Nigeria

Abstract

IntroductionMost HIV/AIDS infections in women occur at a younger age, during the first few years after sexual debut. This study was therefore designed to assess factors associated with the knowledge and utilization of the prevention of mother-to-child transmission (PMTCT) services by the teenage pregnant women when compared to mature pregnant women in Ogun state, Nigeria.MethodsThis study is an analytical cross-sectional study. A total sample of all pregnant women [52 teenagers and 148 adults] attending the primary health care centres in Sagamu local government area, Ogun State, Nigeria within a 2 months period were recruited into the study.ResultsA total of 225 respondents were recruited into the study. The overall point prevalence of HIV/AIDS infection among those that had been tested and disclosed their result was 4 [2.8%]. The prevalence of HIV among the teenagers was 2 [7.4%] compared with 2 [1.8%] among older women. Only 85 [37.8%] of all respondents were tested through the Voluntary counseling and testing (VCCT) programme and 53 (23.7%) were aware of antiretroviral therapy while 35 (15.6%) have ever used the PMTCT services before.There was no statistically significant difference in the knowledge of the teenage pregnant women when compared with the older women about mother to child transmission (MTCT) [OR = 1.47, C.I = 0.57-3.95] and its prevention [OR = 0.83, C.I = 0.38-1.84]. The teenagers were 3 times less likely to use the services when compared with the older women. [OR = 0.34, C.I = 0.10-1.00]. Those from the low socio-economic background were about 6 times more likely to utilize PMTCT facilities when compared to those from high socioeconomic background [OR = 6.01, C.I = 1.91-19.19].ConclusionThe study concludes that the teenage pregnant women who were more vulnerable to HIV/AIDS infection did not utilize PMTCT services as much as the older pregnant women. Special consideration should be given to teenagers and those from high socioeconomic group in the design of scale up programmes to improve the uptake of PMTCT services in Nigeria and other low income countries.

Utilization of Prevention of Mother-to-Child Transmission of HIV Services and Associated Factors among Antenatal Care Attending Mothers in Sebeta Town, Central Ethiopia

“…This finding is consistent with the study conducted in Dire Dawa, East Ethiopia, in which older age groups (30 years and above) were more likely to accept VCT as compared to those younger (19 years and below) [16] and in Gondar, northwest Ethiopia, in which 15-24 aged mothers were 5.6 more likely to accept PITC in the ANC clinics [13]. But a study conducted in Debre Markos, north-west Ethiopia, reported that sociodemographic variables showed no association [17] and another study conducted in Nigeria showed teenagers were 3 times less likely to utilize the service when compared with the older women [18]. This could be that younger and older women may differ in their perceived risk of HIV and understanding of the importance of HIV testing.…”

“…Among the sociodemographic variables, age of mothers was significantly associated with utilization of PMTCT service. Older women (25-34) were 54% less likely to utilize PMTCT service as compared to younger ones (15)(16)(17)(18)(19)(20)(21)(22)(23)(24). This finding is consistent with the study conducted in Dire Dawa, East Ethiopia, in which older age groups (30 years and above) were more likely to accept VCT as compared to those younger (19 years and below) [16] and in Gondar, northwest Ethiopia, in which 15-24 aged mothers were 5.6 more likely to accept PITC in the ANC clinics [13].…”

Uptake and factors that affect enrolment into the prevention of mother-to-child transmission of human immunodeficiency virus programme in rural Limpopo Province

“…This explanation is a proposition and the extent to which it is true needs to be ascertained by future studies. Adolescents are a high risk group for HIV transmission 19 and MTCT risk is very high regarding incidents of HIV infection in pregnancy. 19 It was notable in this study that the adolescent age group did not have an association with PMTCT programme uptake.…”

“…Adolescents are a high risk group for HIV transmission 19 and MTCT risk is very high regarding incidents of HIV infection in pregnancy. 19 It was notable in this study that the adolescent age group did not have an association with PMTCT programme uptake. Adolescent reproductive health needs should be prioritised in PMTCT approaches to ensure the success of the elimination of MTCT agenda.…”

Knowledge of Pregnant Women on Mother-to-Child Transmission of HIV in Meket District, Northeast Ethiopia

“…Different studies reported that sociodemographic factors like age [9], urban living [10], higher educational level [11], and being house wife [12] as factors that affect mothers' knowledge of MTCT of HIV. Studies conducted in southern and northwest Ethiopia [10, 12, 13] reported that gravidity, parity, antenatal care (ANC) visits, and male partner discussion are factors associated with good knowledge of mothers on MTCT of HIV.…”