Knowledge of, and attitudes to, acquired immune deficiency syndrome (AIDS) among traditional birth attendants (TBAs) in rural communities in Cross River State, Nigeria

Bassey, Enya Bassey; Elemuwa, Chris

doi:10.1111/j.1466-7657.2007.00535.x

Cited by 12 publications

(19 citation statements)

References 7 publications

(9 reference statements)

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“…The females in this study had better knowledge than the males and this was found to be statistically significant (p = 0.014). This was in contrast to the findings among TBAs in Cross Rivers state where the males (73.7%) had better knowledge of HIV than the females (28.9%) [19].…”

Section: Discussioncontrasting

confidence: 94%

“…These deficiencies were in consonance with results found from other TBAs studied in Nigeria. [5,12,19,20] Some of the respondents also mentioned the use of agbo, a local concoction which they drunk regularly and gave to pregnant women as a way to protect against HIV. The unscientific practices by the TBAs can encourage the spread of HIV by giving a false impression of being protected and therefore not employing more valid means of protection.…”

Section: Discussionmentioning

confidence: 99%

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Knowledge and practice of prevention of mother-to-child transmission of HIV among traditional birth attendants in Lagos State, Nigeria

Balogun

Odeyemi²

2010

Pan Afr Med Jrnl

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Background: Traditional birth attendants (TBAs) assist most deliveries in Nigeria. Knowing and understanding all issues surrounding HIV/AIDS and Prevention of Mother-To-Child Transmission of HIV (PMTCT) can help them to protect themselves and others. This study aimed to assess the knowledge and practice of PMTCT amongst TBAs in Lagos, Nigeria. Methods: This was a crosssectional survey. Multistage sampling method was used to select 108 registered TBAs in 2 local governments areas who were interviewed using a pre-tested questionnaire. Results: All the respondents were aware of HIV but their awareness of PMTCT specifically was not as high. Only 8.3% of the respondents had good level of knowledge about HIV and PMTCT and up to 13% of them claimed to be able to cure HIV using native remedies. The practices of HIV counseling of patients and referral of patients for HIV testing were low and higher levels of knowledge positively influenced these practices significantly (p < 0.05). They were also deficient in certain measures to prevent infection of patients and themselves. Conclusion: Most of the TBAs did not have adequate knowledge and practice of PMTCT illustrating the need for periodic PMTCT training for TBAs.

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Section: Discussioncontrasting

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Knowledge and practice of prevention of mother-to-child transmission of HIV among traditional birth attendants in Lagos State, Nigeria

Balogun

Odeyemi²

2010

Pan Afr Med Jrnl

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“…Because relatively few births occur within the health care system in Nigeria, HBI could be used to distribute infant ARV prophylaxis by working with traditional birth attendants in the communities. 39 Studies have found that with training, traditional birth attendants are able to administer ART peripartum, enhancing PMTCT. 40 Few intervention studies have targeted critical steps for PMTCT further down the continuum of care, and IS research is needed to improve EID uptake, ARV prophylaxis for exposed newborns, and linkage to care for HIV-infected infants.…”

Section: Discussionmentioning

confidence: 99%

Linkage to Care, Early Infant Diagnosis, and Perinatal Transmission Among Infants Born to HIV-Infected Nigerian Mothers: Evidence From the Healthy Beginning Initiative

Pharr

Obiefune

Ezeanolue

et al. 2016

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background:In 2014, Nigeria accounted for 33% of all new childhood HIV infections that occurred among the 22 Global Plan priority countries where 80% of HIV-infected women reside. Even with a vertical HIV transmission rate of 27%, only 6% of infants born to HIV-infected women in Nigeria receive early infant diagnosis (EID). This article reports rates of antiretroviral prophylaxis, EID, and mother-to-child transmission in a congregation-based Healthy Beginning Initiative (HBI) designed to increase HIV testing among pregnant women in southeast Nigeria.Methods:This is a nested cohort study of HIV-exposed infants (HEI) within the HBI trial originally designed as a 2-arm cluster randomized trial. HIV-infected mothers and infants were followed between January 2013 and August 2014.Results:Across both arms of the study, 72 HIV-infected women delivered 69 live infants (1 set of twins) and 4 had miscarriages. Of the 69 live-born HEI, HIV status was known for 71% (49/69), 16% (11/69) died before sample collection, and 13% (9/69) were lost to follow-up. Complete information was available for 84% of HEI (58/69), of which 64% (37/58) received antiretroviral prophylaxis. Among the 49 infants tested for HIV, 88% (43/49) received EID within 2 months and 12% (6/49) received antibody testing after 18 months. The mother-to-child transmission rate was 8.2% (4/49).Conclusions:EID was higher and HIV transmission rate was lower among the HBI participants compared to reported rates in 2014. However, further progress is needed to achieve goals of elimination of infant HIV infection.

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“…Other access related issues include high user-fees, limited health facilities within reasonable commuting distance, and poor HW attitudes, including their lack of respect in care-giving. Furthermore, the fear of stigma and loss of privacy were additional reasons many pregnant women living with HIV/AIDS (PLWHAs) do not use skilled birth attendance in Nigeria [31], [32], [33], [34].…”

Section: Introductionmentioning

confidence: 99%

When Women Deliver with No One Present in Nigeria: Who, What, Where and So What?

Fapohunda

Orobaton

2013

PLoS ONE

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With the current maternal mortality ratio (MMR) of 630/100,000 live births, Nigeria ranks among the nations with the highest mortality rates in the world. The use of skilled assistants during delivery has been identified a key predictor in the reduction of mortality rates in the world over. Not only are Nigerian women predominantly using unskilled attendants, one in five births are delivered with No One Present (NOP). We assessed who, what, where and the so what of this practice using 2008 Nigeria DHS (NDHS) data. The study revealed that the prevalence of NOP is highest in the northern part of Nigeria with 94% of all observed cases. Socio-demographic factors, including, women’s age at birth, birth order, being Muslim, and region of residence, were positively associated with NOP deliveries. Mother’s education, higher wealth quintiles, urban residence, decision-making autonomy, and a supportive environment for women’s social and economic security were inversely associated with NOP deliveries. Women’s autonomy and social standing were critical to choosing to deliver with skilled attendance, which were further amplified by economic prosperity. Women’s’ economic wellbeing is entwined with their feelings of independence and freedom. Programs that seek to improve the autonomy of women and their strategic participation in sound health seeking decisions will, most likely, yield better results with improvements in women’s education, income, jobs, and property ownership. As a short term measure, the use of conditional cash transfer, proven to work in several countries, including 18 in sub-Saharan Africa, is recommended. Its use has the potential to reduce household budget constraint by lowering cost-related barriers associated with women’s ability to demand and use life-saving services. Given the preponderance of NOP in the Northern region, the study suggests that interventions to eradicate NOP deliveries must initially focus this region as priority.

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Knowledge of, and attitudes to, acquired immune deficiency syndrome (AIDS) among traditional birth attendants (TBAs) in rural communities in Cross River State, Nigeria

Abstract: This survey has demonstrated that few TBAs in the communities studied in Cross River State are informed about HIV/AIDS, and this has revealed the urgency of starting a programme specifically designed for TBAs in rural communities towards a massive educational campaign on HIV/AIDS.

Cited by 12 publications

References 7 publications

Knowledge and practice of prevention of mother-to-child transmission of HIV among traditional birth attendants in Lagos State, Nigeria

Knowledge and practice of prevention of mother-to-child transmission of HIV among traditional birth attendants in Lagos State, Nigeria

Linkage to Care, Early Infant Diagnosis, and Perinatal Transmission Among Infants Born to HIV-Infected Nigerian Mothers: Evidence From the Healthy Beginning Initiative

When Women Deliver with No One Present in Nigeria: Who, What, Where and So What?

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