scholarly journals Unveiling Missed Opportunities for Providing Prevention of Mother to Child Transmission of HIV (PMTCT) Intervention at Immunization Clinics: A Case Study of a Large Primary Health Centre in Nigeria

2017 ◽  
Vol 83 (1) ◽  
pp. 68
Author(s):  
A.F. Chizoba ◽  
F. Epoupa ◽  
E. Ezeobi ◽  
N. Kehinde
Keyword(s):  
Health Centre ◽  
Primary Health Centre ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Missed Opportunities ◽  
Primary Health ◽  
Pmtct Intervention ◽  
Mother To Child ◽  
Large Primary

scholarly journals Supporting the implementation of guidelines to prevent mother-to-child-transmission of HIV in Malawi: a multi-case study

2021 ◽  
Vol 33 (3) ◽  
pp. 178-185
Author(s):  
Chifundo Zimba ◽  
Gwen Sherwood ◽  
Barbara Mark ◽  
Jeenifer Leeman
Keyword(s):  
Contextual Factors ◽  
Interactive Systems ◽  
Dissemination And Implementation ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Implementation Support ◽  
Low Resource ◽  
Support Strategies ◽  
Mother To Child

BackgroundHigh HIV infection and fertility rates contributed to over 12,000 children acquiring HIV from their mothers in 2011 in Malawi. To prevent mother-to-child transmission of HIV, Malawi adopted the Option B+ guidelines, and for three years, the University of North Carolina (UNC) Project provided support to strengthen guideline implementation in 134 health centres. Little is known about how implementation support strategies are delivered in low resource countries or contextual factors that may influence their delivery. The limited descriptions of support strategies and salient contextual factors limits efforts to replicate, target, and further refine strategies. Guided by the Interactive Systems Framework for Dissemination and Implementation, this study describes factors influencing implementation of support strategies and how they impacted health center staff capacity to implement Option B+ in Malawi. MethodsA qualitative multi-case study design was applied. Data were collected through site visits to 4 heath centres (2 low- and 2-high performing centres). We interviewed 18 support providers and recipients between October 2014 and October 2015. Data were analysed using content, thematic, and cross-case analysis.ResultsFour categories of strategies were used to support Option B+ guidelines implementation: training, technical assistance (TA), tools, and resources. All heath-centres implemented Option B+ guidelines for care provided between the antenatal and labor and delivery periods. Gaps in Option B+ implementation occurred during community activities and during post-delivery care, including gaps in testing of children to ascertain their HIV status at 6 weeks, 12 months, and 24 months. Salient contextual factors included staffing shortages, transportation challenges, limited space and infrastructure, limited stocks of HIV testing kits, and large patient populations.ConclusionsUnderstanding factors that influence implementation support strategies and delivery of the Option B+ guidelines, such as availability of staff and other materials/drug resources, is critical to designing effective implementation support for low resource settings.

scholarly journals Barriers and opportunities for implementing prevention of mother to child transmission (PMTCT) in Bangli District

2017 ◽  
Vol 5 (1) ◽  
pp. 67
Author(s):  
Ketut Espana Giri ◽  
Ni Made Sri Nopiyani ◽  
Ketut Tuti Parwati Merati
Keyword(s):  
Pregnant Women ◽  
Hiv Testing ◽  
Health Centre ◽  
Community Leaders ◽  
Pmtct Program ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Public Health Centre ◽  
Mother To Child ◽  
Village Health

Background and purpose: HIV testing among pregnant women can reduce the risk of mother to child HIV transmission. The implementation of prevention of mother to child transmission (PMTCT) program in Bangli District is suboptimal. This study aims to explore challenges and opportunities for implementing PMTCT program from both user and provider perspectives.Methods: A qualitative approach was conducted in Bangli District between April and May 2016. Data were collected using in-depth interviews with 18 informants. All informants were purposively selected and covered of 10 pregnant women, two counsellors, two laboratory analysts, two head of community health centres, one disease control officer from Bangli District Health Office and one officer from Bangli District AIDS Commission. Data were analysed using thematic method.Results: Pregnant women chose to have ANC service at private midwife and obstetrician instead of  public health centre. From health providers’ perspectives barrier of PMTCT implementation included lack of health human resources and a high level of stigma and discrimination related to HIV/AIDS in the community. This study revealed that there was an opportunity for PMTCT implementation in Bangli District due to positive attitudes and supports from husband and health provider toward HIV testing. Another opportunity is to involve village health cadres and community leaders in promoting HIV testing among pregnant women.Conclusions: Implementation of PMTCT program in health centre should include network of private practitioner and enhance village health cadres’ and community leaders’ participation.

Staying, leaving and returning: Trends of prevention of mother-to-child transmission retention among newly diagnosed HIV-positive pregnant and postpartum women

2021 ◽  
pp. 095646242110469
Author(s):  
Susanna A Abraham ◽  
Sheila E Clow
Keyword(s):  
District Hospital ◽  
Retention Rate ◽  
Hiv Positive ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Missed Opportunities ◽  
Cohort Design ◽  
Immunodeficiency Virus ◽  
Mother To Child ◽  
The Continuum

Uptake of services and retention throughout the Prevention of Mother-to-Child Transmission continuum are necessary to achieve the goal of reducing Mother-to-Child Transmission of Human Immunodeficiency Virus (HIV). Adopting a retrospective cohort design, we tracked the uptake of services in a district hospital in Ghana from antenatal booking through to six weeks postnatal when early infant diagnosis was conducted. Of the 1252 pregnant women booked antenatally, 94.1% ( n = 1178) received pre-test counselling, 96.3% (1134) opted for HIV testing and 3.8% ( n = 43) women tested positive for HIV throughout the continuum. The retention rate at six weeks postpartum was 67.4%. Missed opportunities occurred throughout the programme and the highest disengagement, 58.9% (23/39) occurred antenatally. Instances of re-engagement were also recorded. Establishing measures to promote retention throughout the programme is critical to ensuring HIV-infected mothers maintain their health and their exposed newborns are HIV-free. This phase of the study provided a comprehensive view of retention in the absence of any baseline.

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