Mother-to-child transmission of HIV and utilization of preventive services in Anambra South Senatorial Zone, Nigeria: Practice considerations for social workers

2020 ◽  
pp. 002087282090174
Author(s):  
Chinyere Onalu ◽  
Prince Agwu ◽  
Uzoma Okoye ◽  
Ali Agha

Low- and middle-income countries, including Nigeria, are often associated with poor health outcomes, such as the prevalence of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). Mother-to-child transmission (MTCT) is a dominant driver of HIV/AIDS in these countries, necessitating the need to prevent such mode of transmission. With the availability of prevention of mother-to-child transmission (PMCTC) services in Anambra State, Nigeria, it becomes important to investigate the utilization of these services. This is needful given the relatively high percentage of vertical transmission in the state. To conduct this study, data were sourced using six focus group discussions involving 15 health workers and 24 HIV-positive mothers selected from three health facilities that dispense PMCTC services. Findings revealed that PMTCT services in the study area had setbacks owing to facility-based inefficiencies, low-level awareness and-coverage of the services at the grass-roots level, weak social support and cultural/religious beliefs, among others. To contain these setbacks, social workers as welfare/human rights professionals were recommended to be engaged.

2019 ◽  
Vol 4 (1) ◽  
pp. 55 ◽  
Author(s):  
Nimas Ayu Lestari Nurjanah ◽  
Tri Yunis Miko Wahyono

Background: HIV / AIDS is still a global health problem which needs to be addressed including prevention of HIV / AIDS transmission from mother to child. Prevention of transmission is carried out by implementing the Prevention of Mother to Child Transmission or PMTCT program. The PMTCT program is considered successful in reducing the risk of mother-to-child transmission, but this has not been done well and thoroughly, various kinds of challenges have occurred in the implementation of the PMTCT program.Objective: To know the challenges that occur in implementing the PMTCT programMethod: This study uses a systematic review based on Preferred Reporting Items For Systematic Reviews & Meta-Analyzes (PRISMA)  to identify all the literature published using relevant keywords.Results: challenges in implementing the PMTCT program are the lack of information on HIV treatment, lack of family support, the heavy workload experienced by health workers and the limited availability of HIV testing equipment and drug stocks.Conclusion:  The success of efforts to prevent HIV / AIDS transmission from mother to child does not depend on one party only, but involves several parties, the active role of health workers in providing education and information about HIV / AIDS to mothers and their families is not enough but must be added with active roles and support from family members to HIV mothers as the primary motivator for good behavior in accordance with the guidelines for PMTCT.


Author(s):  
Berliana Irianti ◽  
Widya Juliarti ◽  
Yuliana Novita

Acquired Immunodeficiency Syndrome (AIDS) ialah sekumpulan tanda atau gejala klinis pada penderita HIV akibat infeksi oportunistik karena penurunan sistem kekebalan tubuh. HIV dapat menular melalui hubungan seksual yang tidak aman, pemakaian jarum suntik secara bergantian, dan dari ibu hamil yang terinfeksi HIV ke bayinya Indonesia merupakan salah satu dari negara di Asia yang memiliki kerentanan HIV akibat dampak perubahan ekonomi dan kehidupan sosial. Ibu hamil sangat rentan dalam penularan HIV karena bayi dapat tertular HIV melalui plasenta, proses persalinan, dan saat sang ibu memberi ASI. Sejalan dengan semakin meningkatnya kasus penularan HIV dari ibu keanak, pemerintah melakukan berbagai upaya pengendalian melalui program PPIA (Pencegahan Penularan HIV dari ibu ke anak) atau PMTCT (Prevention of Mother-to-Child Transmission), yaitu melakukan pemeriksaan HIV pada kehamilan secara dini dan mengikuti program pencegahan penularan HIV dari ibu ke bayi merupakan rangkaian upaya pengendalian kasus HIV/AIDS Berdasarkan survey yang dilakukan masih banyak ditemukan masalah dalam hal dikeluarga tentang pentingnya melakukan tes HIV pada ibu hamil di Kecamatan Rumbai Pesisir. Maka dari itu, perlu diatasi dengan diadakannya sosialisasi/ penyuluhan tentang tes HIV dan pemeriksaan pada ibu hamil.


2021 ◽  
Vol 15 (1) ◽  
pp. 195-203
Author(s):  
Dhesi Ari Astuti ◽  
Mohammad Hakimi ◽  
Yayi Suryo Prabandari ◽  
Ida Safitri Laksanawati ◽  
Atik Triratnawati

Objective: Mothers with HIV are likely to transmit the virus to their babies during pregnancy, delivery, or through breastfeeding. According to studies, the risk of mother-to-child HIV transmission among mothers that do not receive any form of treatment during pregnancy is approximately 15-45%. In Indonesia, the lack of a prevention program for HIV led to the provision of antiretroviral therapy (ART) for the prevention of mother-to-child transmission (PMTCT). The policies, financial facilities, the healthcare system, and human resources, including health workers, are factors that influence the PMTCT. This research discusses the perceptions of several doctors and midwives regarding the prevention of mother-to-child transmission at public health centers. Furthermore, information regarding policies and implementation of the PMTCT program at public health centers in Yogyakarta was qualitatively collected through semi-structured interviews. Methods: This research involved 6 participants, comprising of 3 heads of public health centers and 3 midwives as the HIV/AIDS program managers. A total of 5 themes were selected for the interview, namely policies of mandatory HIV testing for pregnant mothers, inadequate knowledge of the virus, need for PMTCT training, infrastructure and facilities, and HIV retesting. Results: Pregnant mothers are at potential risk of exposing health workers to HIV. They are also prone to contracting the virus due to poor educational background and less exposure to health information. Therefore, midwives need Prongs 3 and 4 to avoid contracting the virus while assisting pregnant mothers. Presently, there is a shortage of health promotion media for PMTCT, which include both electronic and print educational media. Therefore, the implementation of HIV testing in Indonesia is mandatory for pregnant mothers at their first antenatal care (ANC). However, despite the importance of conducting this test before labor, there is no regulation to ensure its implementation. Conclusion: The success of HIV mitigation is closely associated with the participation of academicians, policymakers, and community networks in providing collaborative planning strategies for the reduction of its spread, and evaluation of the mitigation result.


Author(s):  
Chandrashekhara Chandrashekhara ◽  
Sandeepkumar O

Children are innocent victims of HIV infection through vertical transmission. Children who are HIV positive, either through mother-to-child transmission or following sexual abuse, are often not told what could happen to them, and they will certainly be frightened when they experience symptoms.


Curationis ◽  
2003 ◽  
Vol 26 (3) ◽  
Author(s):  
L Roets

The transmission of HIV/AIDS from mother to child is the main cause of HIV/AIDS in children and child mortality. Two-thirds of children with HIV/AIDS are infected in the intrapartum period (Farley, 2000:1-2). Midwives, through effective practices, can lower the transmission of HIV/AIDS from mother to child in the intrapartum period. The aim of the study was to determine which preventive practices registered midwives in provincial labour wards in Bloemfontein, implement to lower the risk of mother to child transmission of HIV/AIDS and in doing so to lower child mortality.


Author(s):  
Dr. Shilpa Karir ◽  
Dr. Smita Kumari Panda ◽  
Dr. Sadhu Charan Panda

Globally, around 34 million people are living with HIV in 2010, and 35% of the pregnant women are tested for HIV in the low and middle income countries. HIV infection in pregnancy has become a complication of pregnancy in some developing countries. This has major implications for the management of pregnancy and birth. A cross sectional study was conducted from December 2018 – February 2019 in tertiary care hospital, VIMSAR Burla . The present study was conducted to assess the knowledge about HIV/AIDS and mother to child transmission issues among women seeking antenatal care and visiting ICTC. A sample of 150 pregnant females was used to accomplish the study. A pre- tested semi-structured questionnaire was used to gather information on the study variables. The questionnaire included variables related socio-demographics e.g., age, education status, occupation, residence, awareness about HIV/AIDS. The study reflected that 83.4% of the women had heard of the term HIV/AIDS which reflects a relatively high level of awareness about the term but subsequently dropping levels of awareness about the routes of transmission, laboratory diagnosis and the availability of drugs. Only 45.3% of the respondents were aware of ICTC. 42.7% were aware about mother to child transmission of HIV and only 32% were aware of anti-retro viral therapy for newborn. Keywords: HIV, ICTC, Antenatal


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