Improving access to PMTCT services via a novel implementation model: organizational support, health education, and HIV testing at the community level of West Java, Indonesia

Purnamawati, Dewi; Djuwita, Ratna; Siregar, Kemal N.; Kamso, Sudijanto; Utomo, Budi; Pratomo, Hadi; Muhaimin, Toha

doi:10.1080/14635240.2019.1695525

Cited by 5 publications

(7 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…19 HIV infection is not only a threat to the mother but also their unborn child and can adversely affect the quality of life of the children, both economic and social. 3,20 Without PMTCT intervention, an infant, born to women with HIV positive will be 45% more likely to be infected with HIV. 21 Therefore, encouraging the women to be involved in PMTCT intervention is essential to prevent the transmission of HIV, Syphilis, and Hepatitis B from pregnant women with HIV to their babies.…”

Section: Discussionmentioning

confidence: 99%

“…2 According to this situation, higher HIV cases among "low-risk" women, could increase the risk of mother-to-child transmission of HIV, as well as the transmission of STI. 3,4 Until March 2021, the number of AIDS cases among "low-risk" women, such as housewives, was the third-highest (18,848 cases) in Indonesia compared to other groups. 1 A study in Bandung, Indonesia, found that most HIV-positive men did not use condoms when they had sex with especially to improve the services during the pandemic.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Determinant of service utilization for triple elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B among women living with HIV during COVID-19 pandemic in Indonesia

Harjana

Nita

Sebayang

et al. 2022

Intisari Sains Medis

View full text Add to dashboard Cite

Background: HIV-AIDS and sexually transmitted infections are still a public health burden in Indonesia. Women living with HIV have a higher risk of transmitting HIV, Syphilis, and Hepatitis B to their babies. While the effort to increase the services coverage for the prevention of mother-to-child transmission (PMTCT) was detained due to the COVID-19 pandemic and the lack of published studies that explore this, this study aimed to assess the determinant of service utilization for triple elimination of mother-to-child transmission of HIV, Syphilis, and Hepatitis B among women living with HIV during COVID-19 pandemic in Indonesia. Methods: This cross-sectional study targeted women living with HIV in Indonesia who are planning to get pregnant. A simplified-snowball sampling technique was used in this study. A dependent variable in this study was the service utilization of PMTCT for HIV, Syphilis, and Hepatitis B. In contrast, the independent variables in this study consisted of demographic characteristics, perception according to Health Belief Model constructs, and stigma and discrimination experiences. Multiple logistic regression was used to find the determinants of service utilization. Results: Among 336 women living with HIV that were interviewed, only 28.27% (95% CI = 23.69 – 33.34) accessed the PMTCT services during the COVID-19 pandemic. Moreover, the likelihood of PMTCT service utilization was decreased among the women living with HIV who perceived higher barriers (aOR = 0.56; 95% CI = 0.31 – 0.99) and experienced stigma and discrimination from partner (aOR = 0.50; 95% CI = 0.25 – 0.99). On the other hand, the PMTCT service utilization was increased among those who perceived less severity (aOR = 2.07; 95% CI = 1.21 – 3.54). No other factors were associated with the PMTCT service utilization among women living with HIV during the COVID-19 pandemic. Conclusion: The PMTCT service utilization was relatively low, increased by the higher perceived severity, and reduced among those who perceived higher barriers and experienced stigma and discrimination from the partner. Therefore, improving the knowledge about HIV, Syphilis, and Hepatitis B related to PMTCT services is essential, as well as providing social support to reduce the stigmas and discrimination among women living with HIV.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Determinant of service utilization for triple elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B among women living with HIV during COVID-19 pandemic in Indonesia

Harjana

Nita

Sebayang

et al. 2022

Intisari Sains Medis

View full text Add to dashboard Cite

show abstract

“…The study showed that the implementation model effectively improved access to PMTCT services and was able to overcome the barriers to access PMTCT services. 19 …”

Section: Discussionmentioning

confidence: 99%

“…The study showed that the implementation model effectively improved access to PMTCT services and was able to overcome the barriers to access PMTCT services. 19 Therefore, the importance of partner involvement in HIV testing should be stressed, although basic knowledge of HIV transmission is the best predictor for HIV testing.…”

Section: Discussionmentioning

confidence: 99%

Prevention of HIV Transmission from Mother to Child: Challenges to the Successful Program Implementation and Practice in Indonesia

Siregar

Hanifah²,

Rikawarastuti

et al. 2021

J Int Assoc Provid AIDS Care

View full text Add to dashboard Cite

Introduction: The level of human immunodeficiency virus (HIV) transmission from mother to child in Indonesia ranks first worldwide. Newborn babies in Indonesia are at greater risk of experiencing the burden of HIV infection than babies born in other countries. Objectives: To explore the full extent of Prevention of Mother to Child Transmission (PMTCT) in South Sulawesi Province in 2020 and to discuss program and policy implications for PMTCT. Methods: This is a health system analysis study with a qualitative approach using focus group discussion, in-depth interviews, and observations in primary health centers and hospitals. Results: There is no local policy and guidelines for PMTCT programs and services; the coverage of HIV testing in pregnant women has not achieved 100% according to the target. There are limitations to human resources in public and private services to conduct the program. The assistance’s activities to ensure antiretroviral (ARV) adherence are limited, and HIV-positive women faced stigma and discrimination, not only from the community but also from health workers. Recommendations: Some recommendations are to improve the HIV test coverage to 100% in pregnant women as well as the coverage and quality of ARV treatment.

show abstract

“…Di Indonesia mencatat selama tahun 2018 terdapat 1.805.993 ibu hamil yang memeriksakan HIV dan terdapat 5.074 (0.28%) yang positif HIV (8) . Perempuan dengan HIV sangat beresiko saat hamil, untuk dirinya sendiri serta janin diantaranya kondisi perdarahan selama hamil, bayi prematur, kecacatan bayi, bayi lahir rendah hingga kematian (1) .…”

Section: Human Immunodeficiency Virus (Hiv) Merupakan Virus Penyebabunclassified

Effectiveness of prevention of mother-to-child-transmission (PMTCT) programs in Indonesia: Literature review

Wulandari

2020

IJID

View full text Add to dashboard Cite

Ibu hamil dengan HIV memiliki banyak resiko bagi Ibu maupun janin diantaranya kecacatan janin, kehamilan prematur, bayi lahir rendah hingga kematian pada bayi lahir, kondisi tersebut dapat meningkat jika perempuan tidak memperoleh pelayanan prakonsepsi dan layanan keluarga berencana yang sesuai dengan HIV. Perempuan HIV mungkin tidak menyadari mereka hamil, bagaimana cara mencegah, merencanakan kehamilan atau mengurangi resiko penularan HIV pada bayi. Pencarian literatur secara online database pada EBSCOHOST, Google Scholar dan Scopus dengan kata kunci PMTCT AND Indonesia diperoleh total 301 artikel, kemudian melakukan review abstrak sehingga dihasilkan lima artikel terpilih. Makna yang diperoleh dari artikel-artikrl tersebut yaitu tercapainya program PMTCT di Indonesia yang bergantung pada kesiapan tenaga kesehatan untuk pelayanan ibu hamil. Telaah literatur mendapatkan dua point penting yaitu intervensi yang dapat meningkatkan pelayanan dan hambatan pada pelayanan program PMTCT. Program tersebut memerlukan peran serta pemerintah untuk dapat melakukan pelatihan kembali pada tenaga kesehatan terkait pelaksanaan program PMTCT untuk dapat dilakukan di komunitas, meningkatkan komunikasi yang komprehensif.

show abstract

Improving access to PMTCT services via a novel implementation model: organizational support, health education, and HIV testing at the community level of West Java, Indonesia

Cited by 5 publications

References 12 publications

Determinant of service utilization for triple elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B among women living with HIV during COVID-19 pandemic in Indonesia

Determinant of service utilization for triple elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B among women living with HIV during COVID-19 pandemic in Indonesia

Prevention of HIV Transmission from Mother to Child: Challenges to the Successful Program Implementation and Practice in Indonesia

Effectiveness of prevention of mother-to-child-transmission (PMTCT) programs in Indonesia: Literature review

Contact Info

Product

Resources

About