Routine Intrapartum HIV Counseling and Testing for Prevention of Mother-to-Child Transmission of HIV in a Rural Ugandan Hospital

2006 ◽  
Vol 42 (2) ◽  
pp. 149-154 ◽  
Author(s):  
Jaco Homsy ◽  
Julius N. Kalamya ◽  
John Obonyo ◽  
Joseph Ojwang ◽  
Rosette Mugumya ◽  
...  
Keyword(s):  
Mother To Child Transmission ◽  
Child Transmission ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing ◽  
Mother To Child

scholarly journals Assessment of quality antenatal care-linked HIV counseling and testing as an intervention for prevention of mother-to-child transmission of HIV at government health facilities in Harari region, Eastern Ethiopia

2021 ◽  
Vol 9 ◽  
pp. 205031212110477
Author(s):  
Masresha Leta ◽  
Siraj Adem ◽  
Biniyam Daniel
Keyword(s):  
Health Facilities ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Eastern Ethiopia ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Government Health ◽  
Counseling And Testing ◽  
Post Test ◽  
Mother To Child

Objective: To assess quality of antenatal care-linked to HIV counseling and testing as an intervention for prevention of mother-to-child transmission at government health facilities in Harar Town, Eastern Ethiopia, 2020. Methods: Institutional-based cross-sectional study was done from 1 February to 30 February 2020 by applying quantitative method conducting in government health facilities in Harar town, Eastern, Ethiopia. A total of 422 participants were recruited from four governmental hospitals in Harar Town. Simple random sampling method was used to select the participants. Data were collected by three nurses selected from prospected hospitals. The collected data were cleaned, checked for quality, coded, and analyzed using “Software package Social Science, version 20” computer program. Result: From a total of 422 participants, 348 (82.5%) were satisfied with the counseling room’s privacy, and having pre-test and post-test counseling by the same person provided comfort for 357 (98.9%) of clients. Three hundred eighty-nine (92.2%) felt comfortable with the counselors’ client handling/respect; 386 (91.5%) were satisfied with technical competence of the counselors. About a quarter (25.4%) of clients had no discussion of prevention of mother-to-child transmission at all, and the majority (68.2%) comprehended that HIV counseling and testing could benefit prevention of mother-to-child transmission. Conclusion: Exit interview revealed that the basic topics were covered in most of the pre- and/or post-test sessions, and the majority of those counseled comprehended the information; however, nearly a quarter of the clients did not understand why they were offered HIV counseling and testing particularly during their pregnancy time.

scholarly journals Efficiency of HIV services in Nigeria: Determinants of unit cost variation of HIV counseling and testing and prevention of mother-to-child transmission interventions

PLoS ONE ◽  
2018 ◽  
Vol 13 (9) ◽  
pp. e0201706 ◽  
Author(s):  
Sergio Bautista-Arredondo ◽  
Gina La Hera-Fuentes ◽  
David Contreras-Loya ◽  
Ada Kwan ◽  
S. Janae Van Buren ◽  
...  
Keyword(s):  
Unit Cost ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Hiv Services ◽  
Cost Variation ◽  
Counseling And Testing ◽  
Mother To Child

scholarly journals HIV voluntary counseling and testing: An essential component in preventing mother-to-child transmission of HIV

2003 ◽  
Keyword(s):  
Pregnant Women ◽  
Hiv Transmission ◽  
Antiretroviral Drugs ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Couple Communication ◽  
Serostatus Disclosure ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Mother To Child

Positive results from clinical trials of the anti-retroviral medications zidovudine and nevirapine created the possibility of offering an affordable and feasible intervention worldwide to reduce HIV transmission from an infected pregnant woman to her infant. Governmental and nongovernmental health services in many highly affected areas of Africa, Asia, Latin America, and Eastern Europe have responded by piloting and rapidly expanding programs for the prevention of mother-to-child HIV transmission (PMTCT). Since their inception in 1999, programs have offered voluntary HIV counseling and testing (VCT) to more than 800,000 pregnant women around the world. An important objective of VCT is to identify which pregnant women are HIV-positive so they can receive antiretroviral drugs to prevent transmitting HIV to their infants. HIV counseling and testing also offer an opportunity to promote HIV prevention, encourage serostatus disclosure, and foster couple communication on HIV and PMTCT. This brief focuses on VCT in the antenatal care setting, examining service utilization by pregnant women, their perceptions of services, client outcomes as a result of undergoing HIV counseling and testing, and strategies for improving quality and coverage of VCT as a key component of PMTCT programs.

Does Community Health Centers Have Contextual Effect on Midwife Performance in the Implementation of Prevention Mother to Child Transmission Counseling and Testing?

2020 ◽  
Author(s):  
◽  
Uki Retno Budihastuti ◽  
Endang Sutisna Sulaeman ◽  
◽  
◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Centers ◽  
Work Performance ◽  
Health Centers ◽  
Contextual Effect ◽  
Good Work ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Counseling And Testing ◽  
Mother To Child

ABSTRACT Background: Prevention mother to child transmission counseling and testing (PMTCT) service is primarily provided at health facility level. However, their full implementation requires strong linkages with communities. The purpose of this study was to examine contextual effect of community health centers on midwife performance in the implementation of PMTCT? Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at 24 community health centers in Madiun, East Java, from August to September 2019. A sample of 184 midwives was selected by total sampling. The dependent variable was implementation of PMTCT. The independent variables were age, tenure, knowledge, training, work performance, and accreditation. The data were collected by questionnaire and analyzed by a multiple linear regression. Results: Implementation of PMTCT counseling and testing improved with tenure ≥8 years (b= 0.51; 95% CI= 0.15 to 0.87; p= 0.006), good knowledge (b= 0.61; 95% CI= 0.33 to 0.89; p<0.001), had trained (b= 0.41; 95% CI= 0.08 to 0.74; p= 0.014), good work performance (b= 0.56; 95% CI= 0.21 to 0.92; p= 0.002), and good accreditation (b= 0.49; 95% CI= 0.04 to 0.95; p= 0.031). Implementation of PMTCT counseling and testing reduced with midwives age ≥35 years (b= -0.51; 95% CI= -0.80 to -0.21; p= 0.001). Conclusion: Implementation of PMTCT counseling and testing improves with tenure ≥8 years, good knowledge, had trained, good work performance, and good accreditation. Implementation of PMTCT counseling and testing reduces with midwives age ≥35 years. Keywords: implementation, prevention mother to child transmission, work performance, accreditation Correspondence: Sringatin. Dolopo Regional Public Hospital, Madiun, East Java. Jl. Raya Dolopo 117, Dolopo, Madiun 63174, East Java, Indonesia. Email: [email protected]. Mobile: 081231683090. DOI: https://doi.org/10.26911/the7thicph.03.96

Uptake of HIV testing during antenatal care in Honduras

2017 ◽  
Vol 29 (6) ◽  
pp. 526-530
Author(s):  
Anne Sebert Kuhlmann ◽  
Eleanor P Bergquist ◽  
Qiang Fu ◽  
Enbal Shacham ◽  
Janine Foggia ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Hiv Testing ◽  
Standard Of Care ◽  
Married Women ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing ◽  
Vertical Transmission Of Hiv ◽  
Testing Practices ◽  
Mother To Child

In order to interrupt vertical transmission of HIV, the WHO recommends universal HIV testing during antenatal care (ANC), a policy that has been adopted by the Ministry of Health in Honduras. We examined HIV counseling and testing practices during ANC in the Honduras Demographic and Health Survey to understand compliance with this established standard of care. Among currently married women with a child aged five years or younger who attended ANC, only 66% recalled being offered HIV testing during ANC, yet 95% of those got tested. Older, less literate women who lived in a rural area, a small household, or had an older husband were significantly less likely to recall being offered HIV testing. These findings highlight necessary revisions to ANC protocols to ensure that all women in Honduras get HIV testing to interrupt mother-to-child transmission.

scholarly journals Evidence for the importance of community involvement: Implications for initiatives to prevent mother-to-child transmission of HIV

2001 ◽  
Keyword(s):  
Community Involvement ◽  
Hiv Transmission ◽  
Perinatal Transmission ◽  
Companion Paper ◽  
Lessons Learned ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Mother To Child

This paper offers lessons learned from a literature review of community involvement in biomedical and other technologies that can guide appropriate and effective introduction of services for prevention of mother-to-child transmission of HIV. A companion paper discusses research in Botswana and Zambia that showed gaps in community knowledge about HIV transmission, particularly from mother to child, and yielded insights into community perspectives about barriers to using voluntary counseling and testing services; stigma and fear associated with HIV; traditional norms on breastfeeding; and the role of family and community members in women’s decisions to participate in programs to prevent mother-to-child transmission of HIV. A separate publication (“Community involvement in the prevention of mother-to-child transmission of HIV: Insights and recommendations”) offers recommendations for community involvement strategies. Placed within the framework of community involvement, an intervention that addresses mother-to-child transmission of HIV offers an enormous opportunity to improve HIV prevention and care. Successful interventions can influence how AIDS is perceived by the community, reduce stigma, and have an effect beyond the immediate prevention of perinatal transmission.

scholarly journals Attitude to counseling and testing for HIV and knowledge about prevention of mother to child transmission of HIV in men accompanying antenatal attendees at a tertiary care hospital in South India

2021 ◽  
Vol 10 (5) ◽  
pp. 1883
Author(s):  
Nivedita Krishnamoorthy ◽  
Fatima Shanthini Navis
Keyword(s):  
Hiv Testing ◽  
Vertical Transmission ◽  
Antenatal Clinic ◽  
Successful Implementation ◽  
Care Hospital ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Counseling And Testing ◽  
Route Of Transmission ◽  
Mother To Child

Background: Parent to child transmission is the second most common route of transmission of HIV in India contributing to 5% of new infections. This is due to underutilization of the components of PPTCT among  pregnant  women . As male partners remain the main decision makers in the family and influence their wife’s behaviour, poor awareness and negative attitude of men towards testing and treatment of HIV is a hindering factor in the successful implementation of the program. Therefore this study was carried out to study the awareness of men regarding HIV and PPTCT and also to assess their attitude towards testing and treatment in an antenatal clinic setting.Methods: This is a cross sectional descriptive institution based study conducted in Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India. The study participants were men who accompanied their pregnant wife to the antenatal clinic. A pretested, predesigned questionnaire was used as the survey tool to assess the knowledge of these men about PPTCT services and also to assess their attitude towards HIV testing during pregnancy. The collected data was entered in SPSS and analyzed using descriptive statistics.Results: Among participants only 68% were aware that a HIV positive mother could transmit infection to her baby and more than half of the participants were not aware that breast feeding could cause vertical transmission. Nearly 39% of the participants were not aware that mother to child transmission can be curtailed by giving ART during pregnancy. Acceptance for HIV testing was fairly good even before pretest counseling to the extent of 88.6% of the participants. Among the participants who did not want to get tested for  HIV, 52.9% assumed that their HIV status will be the same as that of their wife whereas 29.4% said that they were not comfortable undergoing the test along with their wife.Conclusions: The present study shows that men lacked awareness about the concept of vertical transmission of HIV and also the various aspects of prevention of maternal to child transmission of the infection. Their attitude towards testing was positive even though they were not aware of its implications. Media should be used to create awareness and couple counseling and testing should be promoted in all PPTCT centers thereby increasing the male participation in the PPTCT program.

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