Are Public Antenatal Clinics in Blantyre, Malawi, Ready to Offer Services for the Prevention of Vertical Transmission of HIV?

Misiri, Humphreys E; Tadesse, Eyob; Muula, Adamson S

doi:10.2307/3583179

Cited by 13 publications

(8 citation statements)

References 19 publications

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“…Factors affecting the implementation of the programme in Nigeria include insufficient manpower, inadequate materials for HIV testing, low uptake of HIV testing among pregnant women and the practice of mixed feeding by HIV positive mothers [5][6][7][8]. Similar findings have been reported in the literature [9][10][11][12]. Heath workers have a crucial role to play in implementing the PMTCT programme and reducing the rate of mother-tochild transmission of HIV in Benin City, Edo State and in Nigeria as a whole.…”

Section: Introductionsupporting

confidence: 56%

Preventing Mother-To-Child Transmission of HIV in Benin City, Edo State, Nigeria: The Health Workers’ Perspective

Ashipa¹,

Ofili²

2017

I-SRR

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Introduction: Mother-to-child transmission of HIV threatens the survival of children of below five years of age. Health workers play an important role in preventing mother-to-child transmission of HIV. Objective: The objective of this study was to evaluate the programme for preventing mother-to-child transmission of HIV (PMTCT) in Benin City, Edo State from the perspective of the health workers involved in the programme. Methodology: This was a qualitative study evaluating the PMTCT programme in Benin City from the perspective of health workers and PMTCT programme officers. Data was collected through key informant interviews held with health workers at seven health facilities providing comprehensive PMTCT services. Key informant interviews were also held with government officials supervising the PMTCT programme in the state. Results: Fifteen key informant interviews were conducted with health workers and PMTCT programme officers in the state. The key informants had been involved in the PMTCT programme for between three years and eight years. The respondents identified several benefits of the PMTCT programme during the course of the study. The benefits included reduction in stigmatisation, improved quality of life for HIV positive mothers and reduction in mother-to-child transmission of HIV. Several challenges to the implementation of the programme were identified by the respondents including inadequate manpower, stock-outs of antiretroviral medications and patients’ preference for home deliveries. Recommendations to overcome these challenges included increased programme funding, training and re-training of health workers, sustained mass media campaigns to reduce stigmatisation of persons living with HIV among others. Conclusion: The health workers were generally positive in their perception of the programme for preventing mother-to-child transmission of HIV in Benin City, Edo State as the programme had provided numerous benefits for the patients, the community in addition to upgrading existing health facilities. Factors hindering the implementation of the programme from the health workers’ perspective were staff shortages, inadequate supply of drugs and other commodities and poor adherence by patients. Achieving the goal of reducing mother-to-child transmission of HIV in Benin City and Nigeria as a whole requires combined efforts by all stakeholders including patients, health workers, members of the community, non-governmental organisations and the various tiers of government.

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Section: Introductionsupporting

confidence: 56%

Preventing Mother-To-Child Transmission of HIV in Benin City, Edo State, Nigeria: The Health Workers’ Perspective

Ashipa¹,

Ofili²

2017

I-SRR

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“…The most important barrier to the use of the services was found to be fear of stigma and discrimination against HIV positive pregnant women 30,31. It is disheartening that even health workers have been implicated in the issue of stigmatization and discrimination 32. This may explain why more than one-third of the respondents who were aware of their status were unwilling to disclose it, despite our assurance of a high level of confidentiality.…”

Section: Discussionmentioning

confidence: 99%

Perception on prevention of mother-to-child-transmission (PMTCT) of HIV among women of reproductive age group in Osogbo, Southwestern Nigeria

Olugbenga-Bello¹,

Adebimpe²,

Osundina³

et al. 2013

IJWH

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IntroductionThe fastest growing group of adults living with human immunodeficiency virus (HIV), is women. As more women contract the virus, the number of children infected in utero, intra-partum, and during breastfeeding has been growing. This study assessed the knowledge and attitude of women of child bearing age towards the prevention of mother-to-child-transmission (PMTCT) of HIV.Materials and methodsThis is a descriptive cross sectional survey of 420 women of the reproductive age group (15–49 years) selected using a multistage sampling technique. Data were obtained using interviewer-administered, pretested, semistructured questionnaires. The data were analyzed using the Statistical Package for Social Sciences (SPSS) software version 15.ResultsA high level of awareness about HIV/acquired immunodeficiency syndrome (AIDS) was observed among the respondents (99.8%). The knowledge about MTCT and PMTCT of HIV was high, 92.1% and 91.4%, respectively. However, a significant portion (71.27%) of the study population had poor attitudes towards PMTCT of HIV.ConclusionDespite the high level of awareness of HIV/AIDS, and good knowledge about MTCT and PMTCT of HIV/AIDS among the respondents, the attitude towards PMTCT is poor. There is need for the involvement of the stakeholders in bridging the gap between knowledge and attitude of prevention of MTCT of HIV among women.

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“…Our observations showed that, as in many other dimensions of reproductive health, the structural and conceptual basis of ANC and PMTCT programs has focused the attention on women. PMTCT services, integrated within ANC, maternity or infant immunization services, dedicated to women and children, have often excluded men de facto and are rarely male-friendly [24]. Introducing COC and promoting men's involvement within prenatal HIV counseling and testing during the trial phase has thus required several programmatic adjustments, such as securing individual counseling space for COC sessions, and providing access authorizations and sitting arrangements for men to facilitate the presence in ANC, among others.…”

Section: Discussionmentioning

confidence: 99%

Couple-oriented prenatal HIV counseling for HIV primary prevention: an acceptability study

et al. 2010

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BackgroundA large proportion of the 2.5 million new adult HIV infections that occurred worldwide in 2007 were in stable couples. Feasible and acceptable strategies to improve HIV prevention in a conjugal context are scarce. In the preparatory phase of the ANRS 12127 Prenahtest multi-site HIV prevention trial, we assessed the acceptability of couple-oriented post-test HIV counseling (COC) and men's involvement within prenatal care services, among pregnant women, male partners and health care workers in Cameroon, Dominican Republic, Georgia and India.MethodsQuantitative and qualitative research methods were used: direct observations of health services; in-depth interviews with women, men and health care workers; monitoring of the COC intervention and exit interviews with COC participants.ResultsIn-depth interviews conducted with 92 key informants across the four sites indicated that men rarely participated in antenatal care (ANC) services, mainly because these are traditionally and programmatically a woman's domain. However men's involvement was reported to be acceptable and needed in order to improve ANC and HIV prevention services. COC was considered by the respondents to be a feasible and acceptable strategy to actively encourage men to participate in prenatal HIV counseling and testing and overall in reproductive health services.ConclusionsOne of the keys to men's involvement within prenatal HIV counseling and testing is the better understanding of couple relationships, attitudes and communication patterns between men and women, in terms of HIV and sexual and reproductive health; this conjugal context should be taken into account in the provision of quality prenatal HIV counseling, which aims at integrated PMTCT and primary prevention of HIV.

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Are Public Antenatal Clinics in Blantyre, Malawi, Ready to Offer Services for the Prevention of Vertical Transmission of HIV?

Cited by 13 publications

References 19 publications

Preventing Mother-To-Child Transmission of HIV in Benin City, Edo State, Nigeria: The Health Workers’ Perspective

Preventing Mother-To-Child Transmission of HIV in Benin City, Edo State, Nigeria: The Health Workers’ Perspective

Perception on prevention of mother-to-child-transmission (PMTCT) of HIV among women of reproductive age group in Osogbo, Southwestern Nigeria

Couple-oriented prenatal HIV counseling for HIV primary prevention: an acceptability study

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