Married Men Perceptions and Barriers to Participation in the Prevention of Mother-to-Child HIV Transmission Care in Osogbo, Nigeria

Men’s role in HIV prevention is pivotal to changing the course of the epidemic. Men’s barriers toward participation in Prevention of Mother-to-Child Transmission (PMTCT) have not been adequately documented. This study is therefore designed to determine men’s level of awareness and barriers to their participation in PMTCT programmes in Osogbo, Nigeria. This study was a descriptive qualitative one that utilized Focus Group Discussion (FGD). One-hundred and sixty married men were selected by convenience sampling and interviewed. Data collected were analysed using content analysis technique. Demographic data were analysed using SPSS 15.0 software to generate frequency tables. Participants mean age was 31.9 ± 5.9 years. Many of the participants had heard about PMTCT and the majority agreed that it is good to accompany their wife to Antenatal Care (ANC) but only few had ever done so. Societal norms and cultural barriers were the leading identified barriers for male involvement in PMTCT programmes. The majority of the participant perceived it was a good idea to accompany their wife to antenatal care but putting this into practice was a problem due to societal norms and cultural barriers. Community sensitization programmes such as health education aimed at breaking cultural barriers should be instituted by government and nongovernmental agencies.

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Factors associated with the utilization of antenatal care and prevention of mother-to-child HIV transmission services in Ethiopia: applying a count regression model

BMC Women s Health ◽

10.1186/s12905-018-0679-9 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 5

Author(s):

Elias Asfaw Zegeye ◽

Josue Mbonigaba ◽

Zacharie Tsala Dimbuene

Keyword(s):

Antenatal Care ◽

Regression Model ◽

Hiv Transmission ◽

Factors Associated ◽

Mother To Child

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Pregnant women’s retention and associated health facility characteristics in the prevention of mother-to-child HIV transmission in Indonesia: cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2019-034418 ◽

2020 ◽

Vol 10 (9) ◽

pp. e034418

Author(s):

Christina Lumbantoruan ◽

Margaret Kelaher ◽

Michelle Kermode ◽

Endang Budihastuti

Keyword(s):

Antenatal Care ◽

Health Facility ◽

Hiv Transmission ◽

Cross Sectional Study ◽

Health Facilities ◽

Hiv Positive ◽

Pmtct Programme ◽

Cross Sectional ◽

Hiv Epidemic ◽

Mother To Child

ObjectivesDespite the national effort to integrate the Prevention of Mother-to-Child Transmission (PMTCT) programme into antenatal care clinics in Indonesia, the rate of mother-to-child HIV transmission remains high. This national study was conducted to describe PMTCT programme performance and to identify health facility characteristics associated with this performance in order to inform programme planning and policy development.DesignA retrospective cross-sectional study in December 2017.SettingAll health facilities providing PMTCT programmes in Indonesia.ParticipantsAll health facilities registering at least one woman in antenatal care in 2017.InterventionPMTCT data extraction from the national reporting system on HIV/AIDS and government reports.OutcomesWomen retention in the PMTCT programme for at least 3 months and associated health facility characteristics.ResultsA total of 373 health facilities registering 6502 HIV-positive women in antenatal care were included in the analysis. One-third of women (2099) never started antiretroviral treatment. Of the 4403 women who started, 2610 (57%) were retained; 462 (10%) were not retained; and the retention status of 1252 (28%) women referred out of the health facilities was unknown. Compared with primary health centres, hospitals were more likely to retain women (OR=2.88, 95% CI 2.19 to 3.79). The odds of retention were higher in hospital types A and B (OR=3.89, 95% CI 3.19 to 4.76), located within concentrated HIV epidemic areas (OR=2.09, 95% CI 1.83 to 2.38) and a high-priority area for the HIV programme (OR=1.83, 95% CI 1.60 to 2.09). We observed no differential retention between women who initiated PMTCT under different options (B+/non-B+).ConclusionsWe observed low retention of HIV-positive pregnant women in the PMTCT programme in Indonesia in 2017. Additional efforts are needed to improve women’s retention in the PMTCT programme. Retention could be increased through the delivery of PMTCT programmes by replicating strategies implemented at hospital types A and B located in concentrated HIV epidemic areas where an HIV programme is a high priority.

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Prevention of HIV Transmission from Mother to Child: Challenges to the Successful Program Implementation and Practice in Indonesia

Journal of the International Association of Providers of AIDS Care (JIAPAC) ◽

10.1177/23259582211040701 ◽

2021 ◽

Vol 20 ◽

pp. 232595822110407

Author(s):

Kemal Nazaruddin Siregar ◽

Laily Hanifah ◽

Rikawarastuti ◽

Lely Wahyuniar

Keyword(s):

Pregnant Women ◽

Program Implementation ◽

System Analysis ◽

Hiv Transmission ◽

Health Workers ◽

Group Discussion ◽

Policy Implications ◽

Local Policy ◽

Hiv Test ◽

Mother To Child

Introduction: The level of human immunodeficiency virus (HIV) transmission from mother to child in Indonesia ranks first worldwide. Newborn babies in Indonesia are at greater risk of experiencing the burden of HIV infection than babies born in other countries. Objectives: To explore the full extent of Prevention of Mother to Child Transmission (PMTCT) in South Sulawesi Province in 2020 and to discuss program and policy implications for PMTCT. Methods: This is a health system analysis study with a qualitative approach using focus group discussion, in-depth interviews, and observations in primary health centers and hospitals. Results: There is no local policy and guidelines for PMTCT programs and services; the coverage of HIV testing in pregnant women has not achieved 100% according to the target. There are limitations to human resources in public and private services to conduct the program. The assistance’s activities to ensure antiretroviral (ARV) adherence are limited, and HIV-positive women faced stigma and discrimination, not only from the community but also from health workers. Recommendations: Some recommendations are to improve the HIV test coverage to 100% in pregnant women as well as the coverage and quality of ARV treatment.

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Acceptability, Predictors and Attitudes of Canadian Women in Labour Toward Point-of-Care HIV Testing At A Single Labour and Delivery Unit

Canadian Journal of Infectious Diseases and Medical Microbiology ◽

10.1155/2014/160370 ◽

2014 ◽

Vol 25 (4) ◽

pp. 201-206 ◽

Cited By ~ 3

Author(s):

Salikah Iqbal ◽

Leanne R De Souza ◽

Mark H Yudin

Keyword(s):

Hiv Testing ◽

Hiv Transmission ◽

Point Of Care ◽

Social Stigma ◽

Demographic Data ◽

Labour Pain ◽

Rapid Hiv Testing ◽

Delivery Unit ◽

Mother To Child ◽

Hiv Negative

OBJECTIVE: To assess attitudes and opinions surrounding point-of-care HIV testing among Canadian women, and to determine predictors for acceptance of testing.METHODS: A survey assessing acceptability and attitudes toward rapid HIV testing was distributed on the labour and delivery unit in an academic hospital (St Michael’s Hospital) in Toronto, Ontario, in 2011. Information collected included demographic data, health and pregnancy history, willingness to undergo rapid HIV testing while in labour and barriers to testing.RESULTS: Responses in 92 completed questionnaires were analyzed. The mean age of respondents was 32 years and all were HIV negative. Twelve percent of patients reported having at least one risk factor for HIV transmission. The study showed that only 59% of women were willing to be tested at the time of survey completion, and these women stated that they would accept saliva, urine or serum testing. If found to be positive, 96% would accept antiretroviral treatment and 94% would formula feed their infants. Of the 41% who were not willing to be tested, their reasons for refusal included “don’t want to know” (39%) and being in “too much labour pain” (29%). Regardless of willingness to be tested, the most frequently cited barriers to testing were social stigma (64%) and reaction from partners (69%).CONCLUSIONS: Canadian women in labour were willing to undergo rapid HIV testing via urine, saliva or serum. If found to be positive, women were willing to undergo treatment and to formula feed to prevent mother-to-child transmission of HIV.

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Towards Elimination of Mother-To-Child Transmission of HIV in Rwanda: A Nested Case-Control Study of Risk Factors for Transmission

10.21203/rs.3.rs-107192/v1 ◽

2020 ◽

Author(s):

Eric Remera ◽

Placidie Mugwaneza ◽

Frederique Chammartin ◽

Augustin Mulindabigwi ◽

Gentille Musengimana ◽

...

Keyword(s):

Risk Factors ◽

Antenatal Care ◽

Single Mothers ◽

Hiv Transmission ◽

Case Control Study ◽

Universal Access ◽

Conditional Logistic Regression ◽

Case Control ◽

Mother To Child ◽

Control Study

Abstract Background: Mother-to-child HIV transmission (MTCT) has substantially declined since the scale-up of prevention programs around that world, including Rwanda. To achieve full elimination of MTCT, it is important to understand the risk factors associated with residual HIV transmission, defined as MTCT at the population-level that still occur despite universal access to PMTCT+; .Methods: We performed a case control study of children born from mothers with HIV with known vital status at 18 months from birth who were followed in three national cohorts between October and December 2013, 2014, and 2015 in Rwanda. Children with HIV were matched in a ratio of 1:2 with HIV-uninfected children and a conditional logistic regression model was used to investigate risk factors for MTCT.Results: In total, 84 children with HIV were identified and matched with 164 non-infected children. The median age of mothers from both groups was 29 years (interquartile range (IQR): 24-33). Of these mothers, 126 (51.4%) initiated antiretroviral therapy (ART) before their pregnancy on record. In a multivariable regression analysis, initiation of ART in the third trimester (Adjusted Odds Ratio [aOR]: 7.71; 95% Confidence Interval [95% CI]: 2.19-27.10) and during labor or post-partum (aOR: 9.42; 95% CI: 3.15-28.19), compared to initiation of ART before pregnancy increased the risk of MTCT. Similarly, offspring of single mothers (aOR: 4.81; 95% CI: 1.60-14.46), and absence of postpartum neonatal ART prophylaxis (aOR: 5.64; 95% CI: 1.81-17.53) were factors significantly associated with MTCT.Conclusion: Late presentation for antenatal care and lack of postpartum infant prophylaxis are still the most important risk factors to explain MTCT in the era of universal access. Improved early attendance at antenatal care, early ART initiation, and enhancing the continuum of care especially for single mothers is crucial for MTCT elimination in Rwanda.

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Integrating Prevention of Mother-to-Child HIV Transmission Into Routine Antenatal Care

JAIDS Journal of Acquired Immune Deficiency Syndromes ◽

10.1097/01.qai.0000163196.36199.89 ◽

2005 ◽

Vol 40 (4) ◽

pp. 486-493 ◽

Cited By ~ 52

Author(s):

Thomas K Welty ◽

Marc Bulterys ◽

Edith R Welty ◽

Pius M Tih ◽

George Ndikintum ◽

...

Keyword(s):

Antenatal Care ◽

Hiv Transmission ◽

Routine Antenatal Care ◽

Mother To Child

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Male involvement in antenatal care redefined: A cross-sectional survey of married men in Lang'ata district, Kenya

African Journal of Midwifery and Women s Health ◽

10.12968/ajmw.2013.7.3.117 ◽

2013 ◽

Vol 7 (3) ◽

pp. 117-122 ◽

Cited By ~ 1

Author(s):

Micah Matiang'i ◽

Aloo Mojola ◽

Margret Githae

Keyword(s):

Antenatal Care ◽

Male Involvement ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Married Men

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Prevention of Mother-to-Child HIV Transmission Service Utilization among Pregnant Women in Northeast Ethiopia: A Cross-Sectional Survey

Scientifica ◽

10.1155/2020/7584975 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Betregiorgis Zegeye ◽

Gorems Lemma ◽

Abebe Balcha ◽

Mitku Mammo Taderegew

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Service Utilization ◽

Hiv Transmission ◽

Utilization Rate ◽

Northern Ethiopia ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Debre Berhan ◽

Mother To Child

Background. Targeting pregnant women attending antenatal care clinics provides a unique opportunity for implementing the Prevention of Mother-to-Child Transmission (PMTCT) programs against human immunodeficiency virus (HIV) infection of newborn babies. The objective of this study was to assess the PMTCT service utilization rate and to characterize its reasons among pregnant women attending antenatal care clinics at selected public health facilities in Debre Berhan Town, Northern Ethiopia. Methods. A facility-based cross-sectional survey was conducted among 355 pregnant women from May 1 to June 15, 2019. The participants were selected by systematic random sampling technique, and data were collected using a pretested interviewer-administered structured questionnaire. Descriptive statistics like frequency, mean, and standard deviation were reported using text, table, and graphs. Results. The mean ages of the respondents were 24 (±5.6) years, and the majority of the respondents (287 (80.8%)) were urban residents. In this study, prevention of mother-to-child HIV transmission service utilization rate was 86.8%. The most frequently mentioned reasons for not utilization of services were fear of stigma and discrimination (42.6%), fear of rejection by partner (19.1%), fear of positive test results (17.0%), lack of awareness (12.7%), and wastage of time (8.5%). Hence, continuous health education and comprehensive counseling are necessary to increase the awareness and reduce stigma, fear of the positive result, and partner rejection.

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