scholarly journals The outcome of exclusive breast feeding in infants born to HIV positive mothers on ART under SISU RAKSHA program, Bapuji child health institute, Davangere

2017 ◽  
Vol 4 (4) ◽  
pp. 1332
Author(s):  
Bhagyalakshmi R. T. ◽  
T. P. Manjunath ◽  
C. R. Banapurmath ◽  
Mruthunjaya S.
Keyword(s):  
Health Status ◽  
Child Health ◽  
Hiv Positive ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Health Institute ◽  
Hiv Positive Mothers ◽  
Hiv Seroconversion ◽  
Mother To Child

Background: Under SISU RAKSHA program (a joint initiative by SAATHII, not-for-profit organization and Bapuji child health institute, Davangere) the HIV positive pregnant mothers are enrolled, counseled and motivated during pregnancy, childbirth and breastfeeding to adhere to antiretroviral therapy (ART) and exclusive breastfeeding (EBF) to reduce mother to child transmission of HIV. Objective is to study the outcome of EBF on infants born to HIV positive mothers on ART under SISU RAKSHA program, with Outcome variables: HIV seroconversion, Growth status, Health status. Methods: 86 infant born to HIV positive mothers who completed 18 months follow up were included in the study. A prestuctured proforma was used to collect information about ART adherence, infant feeding practice, HIV seroconversion, growth and health status. Results: The HIV seroconversion of children on EBF among ART adherent mothers, 94.2 % (66/70) were non-reactive at 18th month follow up and 4.28% (3/70) were reactive. 92.8% (65/70) children growth were normal at 18th month follow up and 5.6% (4/70) were under weight and had recurrent infections. All these observations were statistically significant according to Fisher’s exact test. Conclusions: The rate of mother to child transmission of HIV and rate of other infections among children born to HIV positive mothers is reduced and growth is normal if the mother is adherent to EBF & ART. HIV positive mothers are regularly counseled and motivated to do so under the program. Therefore the SISU RAKSHA program is very effective program for prevention of mother to child transmission of HIV. 

scholarly journals Mortality and Loss to Follow-Up Among HIV-Exposed Infants After Option B+ Guideline Implementation in Amhara Regional State Referral Hospitals, Ethiopia

2021 ◽  
Vol 9 ◽  
Author(s):  
Mesfin Wudu Kassaw ◽  
Ayele Mamo Abebe ◽  
Biruk Beletew Abate ◽  
Mikiyas Amare Getu ◽  
Ayelign Mengesha Kassie
Keyword(s):  
Cumulative Incidence ◽  
Hiv Positive ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Loss To Follow Up ◽  
Regional State ◽  
Hiv Positive Mothers ◽  
Referral Hospitals ◽  
Mother To Child

Background: Prevention of mother-to-child transmission of HIV program (PMTCT) is a comprehensive approach that aimed for the wellbeing of all HIV-infected women, to prevent new HIV infection among infants born to HIV-positive mothers, and providing management for HIV-positive women and infants. Nevertheless, there was considerably high attrition within the prevention of mother-to-child transmission programs that was merely because of loss to follow-up (LTFU) followed by mortality. In resource-limited countries, one-third of infected children die before 1 year, and more than half of them die before 2 years. The aim of this study was to assess the prevalence or incidence of mortality and LTFU among infants born from HIV-positive mothers in the Amhara regional state referral hospitals, Ethiopia.Methods: This study was conducted in five Amhara regional state referral hospitals' prevention of mother-to-child transmission departments. A simple random sampling technique with proportional allocation was used to assess the outcomes of 221 exposed infants. A retrospective cohort design was used in selecting the 221 exposed infants' document from the referral hospitals of the region, Amhara. The exposed infants' profiles were documented between January 1, 2014 and May 30, 2017.Results: This study described attritions (death and loss-to-follow-up) of exposed babies in PMTCT departments of Amhara regional state referral hospitals in Ethiopia. In this study, low LTFU with zero death was reported. Residence, immunization status of babies, and place of delivery were independent factors of LTFU.Conclusions: The cumulative incidence of mortality in this study was zero. This assured that the recommended option is substantial for the elimination of HIV-caused death in 2030 as per WHO plan. However, the cumulative incidence of LTFU was not zero.

scholarly journals HIV positive mothers' beliefs about mother-to-child transmission

2006 ◽  
Vol 14 (5) ◽  
pp. 781-788 ◽  
Author(s):  
Lis Aparecida de Souza Neves ◽  
Elucir Gir
Keyword(s):  
Health Belief ◽  
Hiv Positive ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Aids Epidemic ◽  
Change Behavior ◽  
Hiv Positive Mothers ◽  
Belief Model ◽  
Prevention Methods ◽  
Mother To Child

Beliefs can influence health behavior. This qualitative study aimed to understand the beliefs that influence HIV positive mothers' behaviors towards prevention methods against mother-to-child transmission. Fourteen women were interviewed. Our research was based on the theoretical Health Belief Model, formed by the following dimensions: perceived susceptibility, perceived severity, perceived benefits and perceived obstacles. Data analysis showed reflections that evidence the paradox in the AIDS epidemic: knowledge does not change behavior; gender relations; fear of death; fear of stigma; financial problems; disbelief in the virus' existence. Identifying beliefs and understanding how to influence the conduction of the health problem can help services to promote patients' adherence.

scholarly journals EVALUASI PELAKSANAAN PREVENTION OF MOTHER TO CHILD TRANSMISSION (PMVCT) : LITERATURE REVIEW

2021 ◽  
Vol 12 (2) ◽  
pp. 236
Author(s):  
Siti Waghisatul Astutik ◽  
Antono Suryoputro ◽  
Zahroh Shaluhiyah
Keyword(s):  
Literature Review ◽  
Hiv Transmission ◽  
Hiv Positive ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Hiv Positive Mothers ◽  
Acquired Immunodeficiency ◽  
Immunodeficiency Syndrome ◽  
Mother To Child ◽  
Prevention Of Hiv

AbstrakAIDS (Acquired Immunodeficiency Syndrome) merupakan kumpulan penyakit yang disebabkan oleh Virus HIV (Human Immunodeficiency Virus) yang menular dan mematikan. Berdasarkan data Kementrian Kesehatan pada tahun 2015 jumlah anak usia ≤ 4 tahun yang terinfeksi HIV sebanyak 795, meningkat pada tahun 2016 menjadi 903. Pencegahan Penularan HIV dari Ibu ke Anak dapat dilakukan melalui 4 (empat) prong/kegiatan, yaitu : 1) Pencegahan penularan HIV pada perempuan usia reproduksi, 2) Pencegahan kehamilan yang tidak direncanakan pada ibu HIV positif, 3) pencegahan penularan HIV dari ibu hamil HIV positif ke bayi yang dikandung, dan 4) pemberian dukungan psikologis, sosial dan perawatan kepada ibu HIV positif beserta anak dan keluarganya. Pencegahan Penularan HIV dari Ibu ke Anak (PPIA) atau Prevention Mother to Child Transmission (PMTCT) merupakan program pemerintah untuk mencegah penularan virus HIV/AIDS dari ibu ke bayi yang dikandungnya. Tujuan dari literature review ini adalah untuk mengetahui konsep, model atau teori yang efektif digunakan untuk mengeketahui gambaran indeks keluarga sehat di beberapa daerah Indonesia. Metode yang digunakan dengan cara melakukan pencarian beberapa studi yang diterbitkan melalui database Google Scholar, Science direct, dan Scopus. Studi yang dipilih diterbitkan dari tahun 2017-2021. Setelah dilakukan pencarian artikel dengan kata kunci tersebut maka total artikel yang di review dalam tinjauan literatur ini sebanyak 5 (lima) artikel. Faktor yang mempengaruhi pelaksanaan PMTCT adalah kelengkapan data, kualitas SDM, gender, serta dukungan keluarga. Kata Kunci: Evaluasi, Implementsi, PMTCT AbstractAIDS (Acquired Immunodeficiency Syndrome) is a collection of diseases caused by the infectious and deadly HIV Virus (Human Immunodeficiency Virus). Based on data from the Ministry of Health in 2015 the number of children aged ≤ 4 years infected with HIV as many as 795, increased in 2016 to 903. Prevention of HIV transmission from Mother to Child can be done through 4 (four) activities, namely: 1) Prevention of HIV transmission in women of reproductive age, 2) Prevention of unplanned pregnancy in HIV-positive mothers, 3) prevention of HIV transmission from HIV-positive pregnant women to conceived babies, and 4) providing psychological, social and care support to HIV-positive mothers and their children and families. Prevention of HIV Transmission from Mother to Child (PPIA) or Prevention Mother to Child Transmission (PMTCT) is a government program to prevent transmission of HIV/AIDS virus from mother to baby. The purpose of this literature review is to know the concept, model or theory that is effectively used to know the picture of healthy family index in some areas of Indonesia. The method is used by searching for several studies published through the Google Scholar, Science direct, and Scopus databases. Selected studies are published from 2017-2021. After searching for articles with these keywords, the total articles reviewed in this literature review as many as 5 (five) articles. Factors that affect the implementation of PMTCT are the completeness of data, the quality of human resources, gender, and family support.Keywords: Evaluation, Implementation, PMTCT 

scholarly journals Measuring retention in care for HIV-positive pregnant women in Prevention of Mother-to-Child Transmission of HIV (PMTCT) option B+ programs: the Mozambique experience

2020 ◽  
Author(s):  
Laurence Ahoua ◽  
Shino Arikawa ◽  
Thierry Tiendrebeogo ◽  
Maria Laheurta ◽  
Dario Aly ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Retention In Care ◽  
Retention Rates ◽  
Hiv Positive ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Appointment Adherence ◽  
Art Initiation ◽  
Mother To Child

Abstract Background : Failure to retain HIV-positive pregnant women on antiretroviral therapy (ART) leads to increased mortality for the mother and her child. This study evaluated different retention measures for women’s engagement along the continuum of care for prevention of mother-to-child transmission (PMTCT) option B+ services in Mozambique. Methods : We compared ‘point’ retention (patient’s presence in care 12-month post-ART initiation or any time thereafter) with the following definitions: alive and in care 12 month post-ART initiation (Ministry of Health; MOH); attendance at a health facility up to 15-month post-ART initiation (World Health Organization; WHO); alive and in treatment at 1-, 2-, 3-, 6-, 9-, and 12-month post-ART initiation (Inter-Agency Task Team; IATT); and alive and in care 12-month post-ART initiation with ≥75% appointment adherence during follow-up (i.e. ‘appointment adherence’ retention) or with ≥75% of appointments met on time during follow-up (i.e. ‘on-time adherence’ retention). Kaplan-Meier survival curves were produced to assess variability in retention rates. We used ‘on-time adherence’ retention as our reference to estimate sensitivity, specificity, and proportion of misclassified patients. Results : Considering the ‘point’ retention definition, 16,840 HIV-positive pregnant women enrolled in option B+ PMTCT services were identified as ‘retained in care’ 12-month post-ART initiation. Of these, 60.3% (95% CI 59.6–61.1), 84.8% (95% CI 84.2–85.3), and 16.4% (95% CI 15.8–17.0) were classified as ‘retained in care’ using MOH, WHO, and IATT definitions, respectively, and 1.2% (95% CI 1.0–1.4) were classified as ‘retained in care’ using the ‘≥75% on-time adherence’ definition. All definitions provided specificity rates of ≥98%. The sensitivity rates were 3.0% with 78% of patients misclassified according to the WHO definition and 4.3% with 54% of patients misclassified according to the MOH definition. The ‘point’ retention definition misclassified 97.6% of patients. Using IATT and ‘appointment adherence’ retention definitions, sensitivity rates (9.0% and 11.7%, respectively) were also low; however, the proportion of misclassified patients was smaller (15.9% and 18.3%, respectively). Conclusion : More stringent definitions indicated lower retention rates for PMTCT programs. Policy makers and program managers should include attendance at follow-up visits when measuring retention in care to better guide planning, scale-up, and monitoring of interventions.

scholarly journals Measuring retention in care for HIV-positive pregnant women in Prevention of Mother-to-Child Transmission of HIV (PMTCT) option B+ programmes: the Mozambique experience

2019 ◽  
Author(s):  
Laurence Ahoua ◽  
Thierry Tiendrebeogo ◽  
Shino Arikawa ◽  
Maria Laheurta ◽  
Dario Aly ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Retention In Care ◽  
Retention Rates ◽  
Hiv Positive ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Appointment Adherence ◽  
Art Initiation ◽  
Mother To Child

Abstract Background Failure of retention of HIV-positive pregnant women on ART leads to increased mortality for the mother and her child. This study evaluated different retention measures intended to measure women’s engagement along the continuum of care for prevention of mother-to-child transmission (PMTCT) option B+ services in Mozambique. Methods We compared ‘point’ retention (patient’s presence in care at 12-months post-antiretroviral treatment (ART) initiation or any time thereafter) to the following definitions: alive and in care at 12 months post-ART initiation (Ministry of Health); attendance at a health facility up to 15 months post-ART initiation (World Health Organisation); alive and in treatment at 1, 2, 3, 6, 9, and 12 months post-ART initiation (Inter-Agency Task Team); and alive and in care at 12 months post-ART initiation with ≥75% appointment or on-time adherence during follow-up (‘appointment adherence’ and ‘on-time adherence’ retentions). Kaplan-Meier survival curves were produced to assess variability in retention rates. We used ‘on-time adherence’ retention as a gold standard to estimate sensitivity, specificity, and proportion of misclassified patients. Results Considering the ‘point’ retention definition, 16,840 HIV-positive pregnant women enrolled in option B+ PMTCT services were identified as ‘retained in care’ 12 months post-ART initiation. Of these, 60.3% (95% CI 59.6–61.1), 84.8% (95% CI 84.2–85.3), and 16.4% (95% CI 15.8–17.0) were classified as ‘retained in care’ using MOH, WHO, and IATT definitions, respectively, and 1.2% (95% CI 1.0–1.4) were classified as ‘retained in care’ using the ‘ ≥75% on-time adherence’ definition. All definitions provided specificity rates of ≥98%. The sensitivity rates were 3.0% with 78% of patients misclassified according to the WHO definition and 4.3% with 54% of patients misclassified according to the MOH definition. The ‘point’ retention definition misclassified 97.6% of patients. Using IATT and ‘appointment adherence’ retention definitions, sensitivity rates (9.0% and 11.7%, respectively) were also low; however, the proportion of misclassified patients was smaller (15.9% and 18.3%, respectively). Conclusion More stringent definitions indicated lower retention rates for PMTCT programmes. Policy makers and programme managers should include attendance at follow-up visits when measuring retention in care to better guide planning, scaling up, and monitoring of interventions.

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