Socio-Structural Factors Influencing the Prevention of Mother-to-Child Transmission of HIV in the Democratic Republic of the Congo: A Systematic Review

Whembolua, Guy-Lucien; Muvuka, Baraka; Tshiswaka, Daudet Ilunga; Conserve, Donaldson F.

doi:10.1007/s10995-018-2688-6

Cited by 6 publications

(2 citation statements)

References 25 publications

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“…Despite improvements in PMTCT uptake and outcomes over the past decade, studies have shown that numerous barriers persist at the individual, community and health systems levels, impacting service uptake (Gourlay et al, 2014;Knettel et al, 2018;Whembolua et al, 2019). Factors relating to decision-making within families and issues within relationships also frequently emerge as being key drivers of women's engagement with PMTCT services.…”

Section: Introductionmentioning

confidence: 99%

Consequences of male partner engagement policies on HIV care-seeking in three African countries: Findings from the SHAPE UTT study

Dube

Renju

Wamoyi

et al. 2020

Global Public Health

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We explored how strategies to promote male partner engagement influenced HIV care-seeking among men and women living with HIV. Indepth interviews were conducted with 25 health workers, 66 female service users and 10 male partners in Ifakara (Tanzania), Karonga (Malawi) and uMkhanyakude (South Africa) to elicit experiences of offering, providing or receiving HIV care in the context of antenatal care. Data were coded inductively and analysed thematically. Participants reported benefits of couple testing during antenatal care, including facilitated HIV status disclosure and mutual support for HIV care-seeking. However, unintended consequences included women attending without partners, being refused or delayed access to antenatal services. Some women were required to obtain letters from village leaders to justify the absence of their partners, again to delaying or disrupting care-seeking. When partners attended antenatal care, consultations were reportedly more likely to focus on HIV testing, and less on antenatal or neonatal care. Strategies to increase men's attendance at HIV clinics with their partners can promote mutual support within couples for HIV care engagement, but may risk undermining engagement in pregnancy and HIV care for some women if over-stringently applied. Efforts are needed to address the underlying pervasive stigma associated with HIV care, both alone and as a couple.

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Section: Introductionmentioning

confidence: 99%

Consequences of male partner engagement policies on HIV care-seeking in three African countries: Findings from the SHAPE UTT study

Dube

Renju

Wamoyi

et al. 2020

Global Public Health

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“…16 Previous studies in Cameroon and elsewhere have identified several factors that are commonly associated with increased risk of HIV MTCT. These include viral, maternal, obstetrical, fetal, infant, sociocultural, socio-economic [11][12][13][14][15][16][17][18][19][20] and socio-demographic factors. 3,6,21,22 However, the relative contribution of these factors varies between locations and can also vary over time as the epidemic matures and prevention efforts intensify.…”

Section: Introductionmentioning

confidence: 99%

Maternal Socio-Demographic Factors and Mother-to-Child Transmission of HIV in the North Region of Cameroon

Nkenfou¹,

Ngoufack²,

Nguefack‐Tsague³

et al. 2023

Int J MCH AIDS

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Background and Objective: Socio-demographic factors are important risk factors for HIV infection. Maternal socio-demographic factors associated with HIV transmission from mother to child are not well elucidated to our knowledge. This study aimed to assess the maternal socio-demographic factors associated with HIV vertical transmission. Methods: A matched case-control study was conducted among children under 15 years of age born to HIV-infected mothers; using a structured questionnaire. The study was conducted in four health facilities in the North Region of Cameroon from July 2015 to October 2016. HIV- infected children were the cases, and HIV-uninfected children were the controls. One case was matched to nearly 4 controls according to age and sex. A total of 113 HIV-infected mothers of children under 15 years of age were purposively enrolled in the study. A questionnaire was administered to mothers and socio-demographic characteristics were collected. Blood samples were collected from the mother and her child for the determination or confirmation of HIV status. Univariate and multiple logistic regressions were used to assess associations between socio-demographic variables and HIV transmission from mother to child. Results: A total of 113 HIV-infected mothers and 113 children under 15 years of age were enrolled in this study. The majority of the mothers were between the age ranges of 25 years to 34 years. Of the 113 HIV-infected mothers, 69 (61%) were Muslims, 33 (32.1%) were not educated, 88 (77.8%) were unemployed, 80 (70.9%) were married, out of which 49 (61.6%) were engaged in a monogamous union. Of the 113 children (49.6%) were female, 25 (22.1%) were HIV-infected and 88 (77.9%) were HIV-exposed uninfected. At the univariate level, mothers who achieved a primary level of education were less likely to transmit HIV to infants compared to uneducated mothers [OR=0.28; CI (0.08-0.95); p=0.04]; and widows had a higher likelihood of HIV transmission to infants compared to married mothers [OR=4.65; CI (1.26-17.20); p=0.02]. Using multiple logistic regression, the maternal primary education level [aOR=0.32; CI (0.08-0.90); p=0.03] and widowerhood [aOR=7.05; CI (1.49-33.24); p=0.01] remained highly associated with the likelihood of HIV transmission to infants. Conclusion and Global Health Implications: Uneducated mothers and widows had a higher likelihood of mother-to-child transmission of HIV. Our findings should prompt reinforcement of prevention strategies targeting uneducated women and widows. Copyright © 2022 Nkenfou et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

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A comparative analysis and evaluation of PEN-3 cultural model and Leininger’s theory

Opara,

Bassendowski,

Petrucka

2024

International Journal of Africa Nursing Sciences

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Socio-Structural Factors Influencing the Prevention of Mother-to-Child Transmission of HIV in the Democratic Republic of the Congo: A Systematic Review

Cited by 6 publications

References 25 publications

Consequences of male partner engagement policies on HIV care-seeking in three African countries: Findings from the SHAPE UTT study

Consequences of male partner engagement policies on HIV care-seeking in three African countries: Findings from the SHAPE UTT study

Maternal Socio-Demographic Factors and Mother-to-Child Transmission of HIV in the North Region of Cameroon

A comparative analysis and evaluation of PEN-3 cultural model and Leininger’s theory

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