scholarly journals Eliminating Mother to Child Transmission of HIV in Arua District Through Mother–Baby–Pair Points

2021 ◽  
Vol 6 (2) ◽  
pp. 39
Author(s):  
Eddy Ika ◽  
Isaac Wonyima Okello ◽  
Kizito Omona
Keyword(s):  
Health Center ◽  
Cross Sectional Study ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Group Discussions ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Mixed Methods Approach ◽  
Government Hospitals ◽  
Mother To Child

Introduction: Mother-to-child transmission is the leading cause of HIV infection in children. Without treatment, half of these HIV infected children die before their second birthday.Purpose: To establish the contribution of mother-baby-pair points approach to eMTCT outcomes in Arua District Uganda.Material and Methods: A descriptive and analytical cross sectional study design which employed mixed methods approach was used. 196 HIV positive breast feeding mothers from three government hospitals (Arua Regional Referral Hospital, Adumi Health Center IV and Oli Health Center IV) were interviewed. Data was collected using structured questionnaires, focus group discussions and interviews guides.Results: Majority 168 (85.7%) of the respondents and their babies were enrolled to eMTCT care immediately after delivery and up to 17(8.7%) were enrolled beyond two weeks after delivery. Reasons for enrolment into care included; counseling before, during and after pregnancy on the importance of adherence to ART, early enrolment into care and delivery in a health facility. Most of the babies enrolled in mother-baby-points were HIV sero-negative (75.5%) with only 6.6% of them being sero-positive, thus signifying the contribution of mother-baby-points towards eliminating mother-child-transmission of HIV. Age of mothers was associated with retention on eMTCT care (χ2(5) =11.19, p=0.048). Again, having had any form of education on eMTCT was associated with retention on eMTCT care (p=0.001).Conclusion: The degree of enrollment in to eMTCT care was high but some mothers who still enrolled late. This affects early infant diagnosis, uptake of eMTCT services and retention of mothers and their infants.

scholarly journals Knowledge and utilization of prevention of mother-to-child transmission of HIV services among pregnant women in Tanzania

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Esther Ngadaya ◽  
Angela Shija ◽  
Calvin Sindato ◽  
Amos Kahwa ◽  
Godfather Kimaro ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Significant Proportion ◽  
Cross Sectional Study ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Cross Sectional ◽  
Correct Knowledge ◽  
Comprehensive Knowledge ◽  
Mother To Child ◽  
Hiv Negative

Background: Human Immunodeficiency Virus (HIV) infection among children is mainly vectored through mother-to-child transmission. Prevention of mother-to-child-transmission strategy is highly effective; however, its accessibility and utilization is affected by the lack of knowledge among other factors. Methods: A cross-sectional study was conducted among antenatal care attendees in two districts in Tanzania to determine their knowledge and utilization of the prevention of MTCT services. Results:  We interviewed 160 antenatal care attendees aged 18-45 years with a mean (SD) age of 30.4 (6.3) years; 74 (46.2 %) were HIV-infected. HIV-infected women demonstrated significantly correct knowledge of HIV (p=0.001) and AIDS (p=0.014) than uninfected individuals. HIV-infected women also significantly demonstrated correct knowledge of mother-to-child transmission during pregnancy than HIV-uninfected women (p=0.016) and during delivery (p=0.005). A significant proportion of HIV-positive women compared to HIV-negative women were aware that correct use of antiretroviral during pregnancy can reduce the risk of mother-to-child-transmission of HIV (p<0.039), but only 6 (3.75%) of all women were aware that correct use of antiretroviral during delivery can significantly reduce the risk of mother-to-child-transmission. HIV-infected women had significant comprehensive knowledge of HIV/AIDS (p=0.001) and prevention of mother-to-child transmission of HIV (p=0.006) than HIV-negative women. Comprehensive knowledge prevention of mother-to-child transmission of HIV was low among the study participants. Male partners’ involvement in maternal antenatal care was significantly higher among HIV-infected women than males from the HIV-infected women group (p<0.006). Conclusion: The study demonstrated inadequate knowledge of PMTCT among women who made ANC visits. HIV uninfected women had poorer knowledge compared to the HIV-infected ones. Routine HIV counseling and testing services were highly accepted among these women.

scholarly journals Prevention of mother-to-child transmission of HIV: a cross-sectional study in Malawi

2018 ◽  
Vol 96 (4) ◽  
pp. 256-265 ◽  
Author(s):  
M van Lettow ◽  
M Landes ◽  
JJ van Oosterhout ◽  
E Schouten ◽  
H Phiri ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Mother To Child Transmission ◽  
Sectional Study ◽  
Child Transmission ◽  
Cross Sectional ◽  
Mother To Child

scholarly journals Lessons about the reliability of congenital syphilis and vertical HIV transmission data learned from case reviews in Uruguay: a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Susana Cabrera ◽  
Mariangela Freitas Silveira ◽  
Ana Visconti ◽  
Fabian García ◽  
Rafael Aguirre ◽  
...  
Keyword(s):  
Health Care ◽  
Gestational Age ◽  
Congenital Syphilis ◽  
Cross Sectional Study ◽  
Mother To Child Transmission ◽  
Sectional Study ◽  
Child Transmission ◽  
Cross Sectional ◽  
Pregnancy Diagnosis ◽  
Mother To Child

Abstract Background In Uruguay it is mandatory to review all cases of positive HIV or reactive syphilis tests in pregnancy and peripartum. We compared the rates of mother-to-child transmission of syphilis and HIV detected by case reviews to those obtained from the usual surveillance system and described the characteristic of vertical transmission cases. Methods This is a cross-sectional study performed with secondary data obtained from official government sources, for all the country cases of maternal to child transmission of HIV and syphilis from 2012 to 2017, with descriptive analyses. For congenital syphilis analyses, the following pregnancy characteristics were investigated: number of antenatal checks, gestational age at pregnancy diagnosis, gestational age at syphilis test and diagnosis, adequate treatment, and treatment of partners. Sociodemographic characteristics included type of health care (public/private), maternal age, distribution of ethnic minorities, maximum educational attainment, presence of partner, planned pregnancy, drug and alcohol use, domestic violence, previous maternal diagnosis of syphilis, and previous children with congenital syphilis. Results Coverage of syphilis case reviews increased from 82% in 2014 to 97.4% in 2017. For HIV, this coverage reached 100% in 2017 and elimination of mother to child transmission was achieved. A marked decline in congenital syphilis was noted in the public health care sector, especially in the capital Montevideo, whereas the private sector has remained below the elimination target. Variables related with congenital syphilis in exposed children were late pregnancy diagnosis, < 5 antenatal checks, delayed diagnosis of gestational syphilis, lower rate of correct treatment for gestational syphilis, untreated partner, low maternal schooling, unplanned pregnancy, history of syphilis, and having other children with syphilis. Conclusion The use of case reviews provided knowledge regarding the accurate number of mother-to-child transmission cases and the evolution of elimination of mother to child transmission in the country. The results suggest that rates must be adjusted, providing an opportunity to improve the reliability of surveillance data, and point the need to address specific gaps in order to improve the quality of care during pregnancy, delivery, and the neonatal period.

scholarly journals Nurses’ compliance with prevention of mother-to-child transmission national guidelines in selected sites in Kinshasa, Democratic Republic of Congo

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Augustin R.M. Amboko ◽  
Petra Brysiewicz
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Cross Sectional Study ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
National Guidelines ◽  
Cross Sectional ◽  
Republic Of Congo ◽  
Self Reporting Questionnaire ◽  
Mother To Child

Background: The Democratic Republic of Congo (DRC) implemented a prevention of mother-to-child transmission (PMTCT) of HIV infection programme in maternal, newborn and child health (MNCH) services in 2001 with nurses as key personnel. To date there is no informationin the DRC and specifically in Kinshasa with respect to compliance with PMTCT national guidelines.Aim: The study aimed at describing nurses’ compliance with the PMTCT national guidelines in selected PMTCT sites of Kinshasa.Methods: A descriptive cross-sectional study was conducted in Kinshasa with 76 nurses in 18 selected PMTCT sites. The nurses’ compliance with PMTCT national guidelines was assessed using a healthcare provider self-reporting questionnaire developed by the researchers.Results: The study showed that the mean score of nurses’ compliance with PMTCT nationalg uidelines was 74% (95% CI: 69% – 78%) which progressively decreased and was significantly different across different MNCH services (p = 0.025). With respect to categories of PMTCT recommendations, nurses were compliant with those related to education in labour and delivery, and antenatal services. Sociodemographic characteristics such as training, length of service and category of nurses did not influence nurses’ compliance score.Conclusion: These findings showed that nurses were noncompliant with PMTCT national guidelines, with the score level being 80% or more in the three MNCH services/units. Improvement of nurses’ ‘compliance with the PMTCT national guidelines requires effective monitoring of full integration of PMTCT as routine activities in MNCH care.

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