scholarly journals Factors influencing prevention of mother to child HIV transmission service utilization among HIV positive women in Amhara National Regional State, Ethiopia: A thematic content analysis

2019 ◽  
Author(s):  
Zebideru Zewdie Abebe ◽  
Mezgebu Yitayal Mengistu ◽  
Yigzaw Kebede Gete ◽  
Abebaw Gebeyehu Worku
Keyword(s):  
Content Analysis ◽  
Service Utilization ◽  
Hiv Positive ◽  
Pmtct Service ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Thematic Content Analysis ◽  
Thematic Content ◽  
Hiv Positive Women ◽  
Mother To Child

AbstractIntroductionMother to child transmission (MTCT) of HIV is the major source of HIV infection among children under the age of 15 years. Prevention of mother to child transmission (PMTCT) service has been an important strategy in preventing HIV infections in infants. However, improving PMTCT service uptake and continuum of care still remains a significant impediment in the Amhara Region of Ethiopia. The aim of this study was to explore factors that may hinder and promote PMTCT service utilization among HIV positive women.MethodsPhenomenological study design was used. Three focus group discussions (FGDs) with HIV positive women and five in-depth interviews with health care workers were conducted from the selected health institutions. Data analysis was conducted using thematic content analysis. ATLAS/ti version 7.5.16 software was used to assist in coding and analysis of the qualitative data.ResultsThe findings of the study revealed that there are a range of factors that influence HIV positive women on PMTCT service utilization. Stigma, discrimination, limited knowledge on HIV, lack of partner and family support, and not getting friendly service from health facility were factors that might hinder PMTCT service utilization. The experiences of HIV positive mothers revealed that continuous partner support, previous history of getting HIV free child, good health worker support, and advice by mother support group were factors that promote utilization of PMTCT service.ConclusionsStrengthening community awareness on HIV, engaging male involvement in PMTCT care and getting friendly service were the key determinants for the better PMTCT service utilization.

UNMET NEED FOR CONTRACEPTION AMONG HIV-POSITIVE WOMEN IN LESOTHO AND IMPLICATIONS FOR MOTHER-TO-CHILD TRANSMISSION

2009 ◽  
Vol 41 (2) ◽  
pp. 269-278 ◽  
Author(s):  
TIMOTHY ADAIR
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Hiv Positive ◽  
Mother To Child Transmission ◽  
Hiv Status ◽  
Child Transmission ◽  
Childbearing Age ◽  
Hiv Positive Women ◽  
Mother To Child ◽  
Unmet Need For Contraception

SummaryIn Lesotho, the risk of mother-to-child-transmission (MTCT) of HIV is substantial; women of childbearing age have a high HIV prevalence rate (26·4%), low knowledge of HIV status and a total fertility rate of 3·5 births per woman. An effective means of preventing MTCT is to reduce unwanted fertility. This paper examines the unmet need for contraception to limit and space births among HIV-positive women in Lesotho aged 15–49 years, using the 2004 Lesotho Demographic and Health Survey. HIV-positive women have their need for contraception unmet in almost one-third of cases, and multivariate analysis reveals this unmet need is most likely amongst the poor and amongst those not approving of family planning. Urgent action is needed to lower the level of unmet need and reduce MTCT. A constructive strategy is to improve access to family planning for all women in Lesotho, irrespective of HIV status, and, more specifically, integrate family planning with MTCT prevention and voluntary counselling and testing services.

scholarly journals HIV Mother-to-Child Transmission, Mode of Delivery, and Duration of Rupture of Membranes: Experience in the Current Era

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Siobhan Mark ◽  
Kellie E. Murphy ◽  
Stanley Read ◽  
Ari Bitnun ◽  
Mark H. Yudin
Keyword(s):  
Mode Of Delivery ◽  
Case Series ◽  
Vaginal Birth ◽  
Hiv Positive ◽  
Entire Group ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Viral Loads ◽  
Hiv Positive Women ◽  
Mother To Child

Objective. To evaluate whether the length of time of rupture of membranes (ROM) in optimally managed HIV-positive women on highly active antiretroviral therapy (HAART) with low viral loads (VL) is predictive of the risk of mother to child transmission (MTCT) of the human immunodeficiency virus (HIV).Study Methods. A retrospective case series of all HIV-positive women who delivered at two academic tertiary centers in Toronto, Canada from January 2000 to November 2010 was completed.Results. Two hundred and ten HIV-positive women with viral loads <1,000 copies/ml delivered during the study period. VL was undetectable (<50 copies/mL) for the majority of the women (167, 80%), and <1,000 copies/mL for all women. Mode of delivery was vaginal in 107 (51%) and cesarean in 103 (49%). The median length of time of ROM was 0.63 hours (range 0 to 77.87 hours) for the entire group and 2.56 hours (range 0 to 53.90 hours) for those who had a vaginal birth. Among women with undetectable VL, 90 (54%) had a vaginal birth and 77 (46%) had a cesarean birth. Among the women in this cohort there were no cases of MTCT of HIV.Conclusions. There was no association between duration of ROM or mode of delivery and MTCT in this cohort of 210 virally suppressed HIV-positive pregnant women.

scholarly journals Predictors of Unmet Need for Family Planning among HIV Positive Women in Care in Federal Teaching Hospital Gombe, Nigeria

2020 ◽  
pp. 26-33
Author(s):  
A. Mohammed ◽  
D. Chiroma ◽  
C. H. Laima ◽  
M. A. Danimoh ◽  
P. A. Odunze
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Hiv Care ◽  
Hiv Positive ◽  
P Value ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Hiv Positive Women ◽  
History Of ◽  
Mother To Child

Background: Elimination of mother-to-child transmission (EMTCT) of Human Immunodeficiency Virus (HIV) requires adequate and continuous use of family planning commodities among women of reproductive age. This can be made possible by reducing the proportion of HIV positive women with unmet need for family planning. The study aims to determine the factors associated with having unmet need among women in HIV care. Methods: A cross sectional study was conducted using an interviewer administered questionnaire to study 325 women on HIV care. Cluster sampling technique was used to select the study respondents from the clinic. Results: Less than half of the respondents (40%) were currently using family planning, 35% had unmet need for family planning with 53.6% having unmet need for spacing while 46.4% having unmet need for limiting. Women with no history of previous use of family planning were fifteen times more likely to have unmet need for family planning than those with history of previous use of family planning (p value <0.001, CI 2.511-15.770). Also women with more than five deliveries were eight times more likely to have unmet need for family planning (p value 0.004, CI 0.001-0.279) while women with 2-5 deliveries are four times likely to have unmet need for family planning (p value 0.035, CI 0.005-0.832). Conclusion: A high proportion of women receiving ART care still have unmet need for family planning despite incorporating this service in HIV care. It is therefore important to target high risk groups to reduce the proportion of women with unmet need for family planning which will invariable reduce mother to child transmission of HIV.

scholarly journals Utilization of Prevention of Mother-to-Child Transmission of HIV Services and Associated Factors among Antenatal Care Attending Mothers in Sebeta Town, Central Ethiopia

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Hailu Merga ◽  
Kifle Woldemichael ◽  
Lamessa Dube
Keyword(s):  
Hiv Infection ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Service Utilization ◽  
Associated Factors ◽  
Pmtct Service ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Cross Sectional ◽  
Mother To Child

Background. HIV transmission from mother to child continues to be the major source of HIV infection among children under the age of fifteen. Targeting pregnant women attending antenatal clinics provides a unique opportunity for implementing prevention of mother-to-child transmission (PMTCT) programs against HIV infection of newborn babies. This study assessed utilization of PMTCT service of HIV and associated factors among ANC attending mothers.Methods. An institutional based cross-sectional study was conducted from February 20 to March 30, 2015, using exit interviews with 377 ANC attendees using consecutive sampling method. In-depth interviews with service provider were conducted to complement the quantitative data. Data were entered and analysed using EpiData and SPSS, respectively.Results. The prevalence of PMTCT service utilization was 86.9% in this study. Only 8.6% of respondents attended the facility for HCT. After controlling confounders using logistic regression, PMTCT service utilization was associated with age (25–34) of respondents (AOR (95% CI) = 0.46 (0.22, 0.97)), mother’s occupational status (being merchant AOR (95% CI) = 0.31 (0.12, 0.83), government employee AOR (95% CI) = 0.05 (0.01, 0.28), student AOR (95% CI) = 0.1 (0.01, 0.44), and daily laborer AOR (95% CI) = 0.13 (0.05, 0.33)), husband’s educational status (lack of formal education (AOR (95% CI) = 3.3 (1.1, 9.9))), having discussion with husband (AOR (95% CI) = 6.1 (2.6, 14.1)), partner tested (AOR (95% CI) = 8.2 (1.9, 34.46)), and being not satisfied with the service (AOR (95% CI) = 0.46 (0.2, 0.99)).Conclusions. This study revealed that utilization of HIV counseling and testing during antenatal care was high among pregnant women in Sebeta town. It highlights that focusing on improvement of quality and coverage of health services has significant effects on PMTCT service utilization. Effective use or uptake of ARV drug among HIV-positive pregnant women should be further investigated so that utilization will be enhanced.

scholarly journals HIV-Positive Women Taking Lifelong Antiretroviral Therapy Report Better Adherence Than Women Taking Short-Course Prophylaxis During and After Pregnancy Under PMTCT Program Option A in Lusaka, Zambia

2017 ◽  
Vol 6 (1) ◽  
pp. 27 ◽  
Author(s):  
Karen Marie Hampanda, PhD, MPH ◽  
Lisa L. Abuogi, MD, MS ◽  
Yusuf Ahmed, MPH, BM
Keyword(s):  
Antiretroviral Therapy ◽  
Sub Saharan Africa ◽  
Hiv Positive ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Cross Sectional ◽  
Therapy Regimen ◽  
Hiv Positive Women ◽  
Short Course ◽  
Mother To Child

Background and Objectives: HIV-positive women’s adherence to antiretrovirals is critical for prevention of mother-to-child transmission. We aimed to establish if mothers taking triple lifelong antiretroviral therapy report higher adherence compared to mothers taking short-course prophylaxis under Option A in Lusaka, Zambia.Methods: In this clinic-based cross-sectional study, we interviewed 320 HIV-positive mothers at a large public health facility in Lusaka in 2014. Participants reported adherence using a visual analog scale. Multiple logistic regression models were used to determine the adjusted odds of adherence by mother’s prescribed regimen.Results: Women taking lifelong triple antiretroviral therapy report higher adjusted odds of adherence during pregnancy, postpartum, and to giving the infant prophylaxis compared to women to women taking short-course prophylaxis.Discussion: Women on lifelong therapy may have better adherence compared to women on short course prophylaxis because they knew their positive status for longer or were symptomatic with HIV-related disease. The lifelong therapy regimen may be easier for women to follow, particularly because they are required to give the infant prophylaxis for a shorter duration of time.Conclusions and Global Health Implications: Our results indicate that lifelong triple antiretroviral therapy has the potential to promote better drug adherence during and after pregnancy among women living with HIV in sub-Saharan Africa, compared to short-course antiretroviral regimens.Key words: HIV-positive Women • Prevention of Mother-to-Child Transmission • Antiretroviral Therapy • Adherence • Zambia • Option A • PMTCT • ARTCopyright © 2017 Hampanda et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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