Midwife’s Role in the Mother-to-Child Transmission Prevention Program in Primary Health Care in Yogyakarta

Meilani, Niken; Setiyawati, Nanik; Barasa, Sammy O.

doi:10.21109/kesmas.v14i2.2774

Cited by 5 publications

(5 citation statements)

References 10 publications

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“…A study in Yogyakarta found that social support from the midwife can improve the utilization of PMTCT services. 27 Other studies also found that social support from peer support groups and health providers can reduce the impact of stigma and discrimination, which increases the confidence of women living with HIV in accessing PMTCT services. 28,29 Meanwhile, this study found that perceived severity increases the likelihood of women living with HIV accessing the PMTCT for HIV, Syphilis, and Hepatitis B.…”

Section: Discussionmentioning

confidence: 98%

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

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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.

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Section: Discussionmentioning

confidence: 98%

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

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“…A study mentions that intervention in the form of standardized knowledge sharing and contact with people living with HIV for 50 minutes with health workers in Hong Kong can reduce the stigma among health workers [23]. The provision of HIV education, testing, and messages such as brochures, bulletins, and testimony can reduce stigma [6,24,25].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, midwives would play an important role as health educators and promotors to encourage the mother to do HIV tests. However, many midwives lack knowledge and attitudes toward sexuality and HIV/AIDS [6].…”

Section: Introductionmentioning

confidence: 99%

Short-term Effect of Training in Increasing Midwives’ Knowledge, Attitudes, and Practices Related to HIV and AIDS Prevention

Shaluhiyah¹,

Suryoputro²,

Septialti³

2023

TOAIDJ

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Introduction The study aims to analyse the effect of the training intervention program on midwives’ HIV-related knowledge, attitudes, and practices in Central Java. The training focused on HIV epidemiology, transmissions, co-infections, PITC, risk contacts, and prevention of mother-to-child transmission (PMTCT). It was designed to improve midwives’ knowledge, positive attitudes, and HIV/AIDS prevention practices, including reducing fear and stigma concerning people living with HIV/AIDS (PLWHA). Material and Methods This study employed a Quasi-experimental pre-post-test design. The respondents are 50 village midwives equally divided into experimental and control groups. Data were collected using a questionnaire adapted from WHO, and it included questions about participant demographic characteristics, knowledge, attitudes, and practices on HIV and AIDS prevention programs. Furthermore, training consists of lecturing, group discussion, simulation, conversation with PLWHA, and watching a film about HIV including practicum. Results There was a positive effect on midwife knowledge, attitudes, and practices in the early detection of HIV cases for pregnant women and reproductive age groups and HIV/AIDS prevention programs. The improvement in knowledge, attitudes, and practices occurred significantly in the intervention compared to the control. The adjustment intervention effects were beneficial and statistically significant (p-value <0.05), particularly the magnitude of the treatment effect for the knowledge score, which increased of 7.73% of the baseline mean knowledge. There was a significant association between knowledge and practices with a p-value of 0.002. Conclusion Training midwives in HIV prevention was a beneficial program and positively impacted knowledge, attitudes, and practices. This study recommended the need for comprehensive training for village midwives, especially those related to their tasks in HIV prevention.

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“…In a study in Yogyakarta, for example, it was found that the role of midwives was in the good category in PMTCT, but the respondents were taken from midwives practicing at the PHCs only and not based on the role of each of the prong. 15 The assessment of the midwives role was not differentiated between those who have served HIV-positive patients (did all prong) and who have never served HIV-positive patients (only did PMTCT prong 1). Study in South Africa in 2016, found that the implementation of…”

Section: Discussionmentioning

confidence: 99%

The roles of private practice midwives in Prevention of Mother-To-Child Transmission Program (PMTCT) in Bali Province, Indonesia

Dwipayana¹,

Januraga²,

Kurniasari³

2020

phpma

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Background and purpose: Mother-to-child transmission of HIV has been one of the problems in HIV prevention. In Indonesia, private practice midwives (PPM) play an important role in maternal and child health services. The roles of PPM in HIV vertical transmission prevention through PMTCT have not yet clearly understood. This research aims to analyse the roles of PPM in Bali Province in the PMTCT program as well as the PPM’s characteristics, knowledge, and attitudes about the program.Methods: This study was a descriptive cross-sectional survey, conducted from March to May 2020. The study population was PPM in Bali Province. The samples obtained were 404 out of a total of 1,736 PPM (23% response rate). The variables studied included socio-demographic characteristics, services and resources characteristics, knowledge, attitudes, and the role of PPM in four PMTCT prongs. Data was collected via self-filled online questionnaires distributed through Indonesian Midwives Associations branches in every district/city in Bali Province. Data were analysed descriptively and differences in roles in PMTCT were analysed using the chi-square test.Results: Of the 404 PPM, 66.1% served childbirth (deliveries), 25.4% had served HIV-positive women, and 18.3% had served HIV-positive pregnant women. As many as 95.5% of PPM played a good role in prong 1, and 99.0% of PPM, who had served HIV positive patients, played a good role in prong 2, 3 and 4. Statistically significant determinants for good implementation of prong 1 of PMTCT by the PPM were indicated by ownership or access to PMTCT information media (p=0.026), experience of serving HIV positive women (p<0.00), and having served higher number of PMTCT patients (p=0.019).Conclusion: The PPM in Bali Province has played a good role in PMTCT, with a significant difference for good PMTCT implementation in prong 1 determined by the availability of information media, a history of serving HIV-positive women, and the number of PMTCT patients who have been served.

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Midwife’s Role in the Mother-to-Child Transmission Prevention Program in Primary Health Care in Yogyakarta

Cited by 5 publications

References 10 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

Short-term Effect of Training in Increasing Midwives’ Knowledge, Attitudes, and Practices Related to HIV and AIDS Prevention

The roles of private practice midwives in Prevention of Mother-To-Child Transmission Program (PMTCT) in Bali Province, Indonesia

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