Quality of Prevention of Mother to Child Transmission (PMTCT) of HIV Services in Public Hospitals of Hadiya Zone, Southern Ethiopia

Abstract Background: Client satisfaction with the quality of prevention of mother-to-child transmission (PMTCT) of the Human Immunodeficiency Virus (HIV) services is essential if continual utilisation of the services, leading to reduction in MTCT is to be achieved, especially in rural settings of Africa, including Ghana.Methods: A facility-based descriptive cross-sectional design was adopted, using a pretested semi-structured questionnaire to collect data from a systematic random sample of 567 pregnant women and postnatal mothers receiving PMTCT services from 44 health facilities. Data were analysed using STATA version 14.0 software. Simple frequency and percentages were used to present data on categorical variables. Chi- square was used to determine association between categorical and outcome variables and multivariable logistic regression analyses were conducted to determine the strength of the associations between categorical and outcome variables at a p- value <0.05 and a 95% confidence interval.Results: The overall satisfaction with PMTCT services among respondents was low (42.7%). After adjusting the multivariable logistic regression model for confounders, respondents who resided in urban areas [AOR=2.21(95% CI: 1.37-3.55); p<0.001] and those who experienced no language barrier [AOR=2.86(95% CI: 1.88-4.36); p<0.001] were more likely to be satisfied with PMTCT services respectively. Respondents who received services at health centers [AOR=0.33(95% CI: 0.18-0.60); p<0.001] and hospitals [AOR=0.41(95% CI: 0.23-0.72); p=0.002] and women who spend more than an hour in receiving PMTCT [AOR=0.41(95% CI: 0.21-0.75); p=0.004] and those who said they would not recommend the PMTCT services to others [AOR=0.25(95% CI: 0.22-0.90); p=0.019] were respectively less likely to be satisfied with PMTCT services.Conclusion: Improvement of PMTCT services in the Oti region should take into consideration the quality of services rendered in hospitals and health centres while striving to reduce the waiting time across all facilities to make clients recommend PMTCT services to others.

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Faculty Opinions recommendation of Assessment of strategies for male involvement in the prevention of mother-to-child transmission of HIV services in Blantyre, Malawi.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718227653.793489300 ◽

2014 ◽

Author(s):

Elizabeth Ngugi

Keyword(s):

Male Involvement ◽

Mother To Child Transmission ◽

Child Transmission ◽

Hiv Services ◽

Mother To Child

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Does facility readiness promote high-quality of provider-initiated HIV testing and counseling to pregnant women? A national survey for improving policy of prevention of mother-to-child transmission of HIV in Tanzania

AIDS Research and Therapy ◽

10.1186/s12981-021-00362-y ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Deogratius Bintabara ◽

Athanase Lilungulu ◽

Shakilu Jumanne ◽

Mzee M. Nassoro ◽

Bonaventura C. Mpondo

Keyword(s):

Pregnant Women ◽

Hiv Testing ◽

Mother To Child Transmission ◽

Child Transmission ◽

High Quality ◽

Hiv Testing And Counseling ◽

Mother To Child ◽

Facility Readiness ◽

Testing And Counseling

Abstract Background Provider-initiated HIV testing and counseling (PITC) is a recommended approach to screen for HIV to all pregnant women during antenatal care (ANC) visits, and all with HIV positive results have to be enrolled into prevention of mother-to-child transmission of HIV (PMTCT) program. However, little is known about the relationship between facility readiness and the uptake of PITC to pregnant women attending ANC in Tanzania. Therefore, this study assessed whether the facility readiness promotes the uptake of PITC to the pregnant women attending ANC for the purpose of improving the PMTCT interventions in Tanzania. Methods This study analyzed data for health facilities obtained from the 2014–2015 Tanzania service provision assessment survey. The Primary outcome measure was a composite variable (with score of 0–5) in which its higher scores indicates provision of high-quality of PITC. Also, facilities scored higher in the PMTCT service readiness index were considered to have high readiness to provide PMTCT services. In Poisson regression analyses, a series of models were fitted to assess whether there is an association between provision of high-quality of PITC and facility readiness. In all statistical analysis, a P < 0.05 was considered significant. Results Out of 1853 included first-visit ANC consultations, only about one-third of pregnant women received all five components required for PITC. The mean percentage of PMTCT readiness score was moderate 63.96 [61.32–66.59]%. In adjusted model, we found that facility with high readiness to provide PMTCT services was significantly associated with the provision of high-quality of PITC (model 2: [β = 0.075, P = 0.00]). Conclusion In order to increase high-quality of PITC services, efforts should be made to improve the PMTCT facility readiness by increasing availability of trained staffs, diagnostic tools, and ARTs among health facilities in Tanzania.

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Female perspectives of male partners’ inclusion in the prevention of mother-to-child HIV transmission programme in KwaZulu-Natal

Curationis ◽

10.4102/curationis.v39i1.1691 ◽

2016 ◽

Vol 39 (1) ◽

Author(s):

Mondli Miya ◽

Tennyson Mgutshini

Keyword(s):

Pregnant Women ◽

Hiv Transmission ◽

Public Hospitals ◽

Sub Saharan Africa ◽

Child Health Services ◽

Mother To Child Transmission ◽

Male Partners ◽

Child Transmission ◽

Financial Investment ◽

Mother To Child

Background: The South African government intervened by implementing the prevention of mother–to-child transmission programme (PMTCT) to curb the HIV transmission from mother to child during and after pregnancy. The PMTCT programme has been at the forefront of global prevention efforts since 1998. Without treatment, the risk of transmission ranges from one in five to one in two newborns; however, the risk of mother-to-child transmission can be reduced to as low as 2%–5% with evidenced interventions. Sub-Saharan Africa, and most particularly South Africa, is the most affected by the pandemic despite having the largest financial investment in PMTCT services across the continent.Objectives: The objectives of the study were to describe and explore the female perspectives of male inclusion in the prevention of mother-to-child HIV transmission programme in KwaZulu-Natal.Methodology: A qualitative, descriptive, explorative study was conducted through in-depth individual interview of pregnant women until data saturation.Results: The findings of the study revealed that the existing design of public hospitals was not wholly conducive to facilitating male inclusion in maternal and child health services. Resources were largely insufficient to support the participation of pregnant mothers and any attempts to support the inclusion of males needed to be based on a clear increase in service provision.Conclusion: The study recommended male partners’ inclusion in the prevention of mother- to-child HIV transmission to support effective management of HIV in pregnancy and PMTCT programmes. The inclusion of men will provide the holistic support needed by pregnant women on PMTCT programmes.

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Prevalence, Seroconversion and Mother-To-Child Transmission of Dual and Triplex Infections of HIV, Hepatitis B and C Viruses Among Pregnant Women in Nigeria: Study Protocol

10.21203/rs.3.rs-72777/v1 ◽

2020 ◽

Author(s):

George Uchenna Eleje ◽

Ikechukwu Innocent Mbachu ◽

Uchenna Chukwunonso OGWALUONYE ◽

Stephen Okoroafor KALU ◽

Chinyere Ukamaka ONUBOGU ◽

...

Keyword(s):

Quality Of Life ◽

Hepatitis B ◽

Pregnant Women ◽

Hiv Care ◽

Seroprevalence Rate ◽

Mother To Child Transmission ◽

Child Transmission ◽

Triple Infection ◽

Mother To Child

Abstract Background: Nigeria contributes significantly to the global burden of HIV, Hepatitis B and C infections, either singly or in combinations, despite progress in HIV care regionally and globally. Although some limited data on mono infection of HIV, Hepatitis B and C virus infections do exists, that of dual and triplex infections, including seroconversion and mother-to-child transmission (MTCT) rates necessary for planning to address the scourge of infections in pregnancy are not available.Objectives: To determine the seroprevalence, rate of new infections, MTCT of dual and triple infections of HIV, Hepatitis B and C viruses and associated factors, among pregnant women in Nigeria. Method: A multicenter prospective cohort study will be conducted in six tertiary health facilities randomly selected from the six geopolitical zones of Nigeria. All eligible pregnant women are to be tested at enrollment after informed consent for HIV, Hepatitis B and C infections. While those positive for at least two of the infections in any combination will be enrolled into the study and followed up to 6 weeks post-delivery, those negative for the three infections or positive for only one of the infections at enrolment will be retested at delivery using a rapid diagnostic test. On enrolment into the study relevant information, will be obtained, and laboratory test of CD4 count, liver function test and full blood counts, and prenatal ultrasonography will also be obtained/performed. Management of mother-newborns pairs will be according to appropriate national guidelines. All exposed newborns will be tested for HIV, HBV or HCV infection at birth and 6 weeks using PCR technique. The study data will be documented on the study case record forms. Data will be managed with SPSS for windows version 23. Ethical approval was obtained from National Health Research Ethics Committee (NHREC) (NHREC/01/01/2007-23/01/2020).Conclusion: Pregnant women with multiple of HIV, HBV and C infections are at increased risk of hepatotoxicity, maternal and perinatal morbidity and mortality. Additionally, infected pregnant women transmit the virus to their unborn baby even when asymptomatic. Children born with any of the infection have significantly poorer quality of life and lower five-year survival rate. Unfortunately, the seroconversion and MTCT rates of dual or triplex infections among pregnant women in Nigeria have not been studied making planning for prevention and subsequent elimination of the viruses difficult. The study is expected to fill this knowledge gaps. Nigeria joining the rest of the world to eliminate the triple infection among children rest on the availability of adequate and reliable data generated from appropriately designed, powered study using representative population sample. The establishment of the three-in-one study of prevalence, rate of new infection, rate and risk factor for MTCT of dual and triple infection of HIV, Hepatitis B and C viruses among pregnant women in Nigeria is urgently needed for policy development and planning for the improvement of the quality of life of mothers and the elimination of childhood triplex infection.

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