Barriers to Prevention of HIV Transmission from Mother to Child (PMTCT) in a Resource Poor Setting in the Eastern Cape, South Africa

The aim of the study was to identify factors influencing the utilisation of Prevention of Mother-to-Child Transmission (PMTCT) in a resource poor setting in South Africa. Opsomming Die doel van die studie was om faktore te identifiseer wat die benutting van die Voorkoming van Moeder-tot-Kind Oordrag (VMTKO) beïnvloed in ‘n omgewing in Suid-Afrika wat arm is aan hulpbronne. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

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Family Planning Among HIV Positive and Negative Prevention of Mother to Child Transmission (PMTCT) Clients in a Resource Poor Setting in South Africa

AIDS and Behavior ◽

10.1007/s10461-008-9365-5 ◽

2008 ◽

Vol 13 (5) ◽

pp. 973-979 ◽

Cited By ~ 67

Author(s):

Karl Peltzer ◽

Li-Wei Chao ◽

Pelisa Dana

Keyword(s):

South Africa ◽

Family Planning ◽

Resource Poor Setting ◽

Hiv Positive ◽

Mother To Child Transmission ◽

Child Transmission ◽

Resource Poor ◽

Mother To Child

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Follow-up Survey of Women Who Have Undergone a Prevention of Mother-to-Child Transmission Program in a Resource-Poor Setting in South Africa

Journal of the Association of Nurses in AIDS Care ◽

10.1016/j.jana.2008.05.006 ◽

2008 ◽

Vol 19 (6) ◽

pp. 450-460 ◽

Cited By ~ 21

Author(s):

Karl Peltzer ◽

Thabang Mosala ◽

Pelisa Dana ◽

Henry Fomundam

Keyword(s):

South Africa ◽

Resource Poor Setting ◽

Mother To Child Transmission ◽

Child Transmission ◽

Resource Poor ◽

Mother To Child

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Use of traditional and complementary health practices in prenatal, delivery and postnatal care in the context of hiv transmission from mother to child (PMTCT) in the Eastern Cape, South Africa

African Journal of Traditional Complementary and Alternative Medicines ◽

10.4314/ajtcam.v6i2.57087 ◽

2010 ◽

Vol 6 (2) ◽

Cited By ~ 1

Author(s):

K Peltzer ◽

N Phaswana-Mafuya ◽

L Treger

Keyword(s):

South Africa ◽

Postnatal Care ◽

Hiv Transmission ◽

Health Practices ◽

Eastern Cape ◽

Mother To Child

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Sociodemographic and lifestyle correlates of exclusive breastfeeding practices among mothers on antiretroviral therapy in the Eastern Cape, South Africa

International Breastfeeding Journal ◽

10.1186/s13006-021-00366-4 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Daniel Ter Goon ◽

Anthony Idowu Ajayi ◽

Oladele Vincent Adeniyi

Keyword(s):

South Africa ◽

Antiretroviral Therapy ◽

Exclusive Breastfeeding ◽

Hiv Transmission ◽

Cross Sectional Study ◽

Sub Saharan Africa ◽

Eastern Cape ◽

Cross Sectional ◽

Factors Associated ◽

Breastfeeding Practice

Abstract Background Exclusive breastfeeding (EBF) is associated with a reduction of postnatal HIV transmission and optimal infant growth. Given that the factors influencing exclusive breastfeeding are multi-factorial and context-specific, we examined the prevalence and factors associated with exclusive breastfeeding practice in the first 6 months among mothers on antiretroviral therapy in the Eastern Cape, South Africa. Methods This was a cross-sectional study conducted between January to May 2018, on 469 parturient women enlisted in the prevention of mother-to-child HIV transmission cohort study in the Eastern Cape. Mothers were asked to recall whether they breastfed their infant exclusively with breast milk from birth and if so, to state how long they did. We collected relevant sociodemographic, lifestyle, and maternal information by interview. Bivariate and multivariable logistic regression analyses were fitted to determine the sociodemographic and lifestyle factors associated with exclusive breastfeeding practice. Results The prevalence of six-month exclusive breastfeeding, measured since birth, was 32.0%. E Exclusive breastfeeding’s prevalence was significantly higher among married women (36.8%), unemployed women (36.6%), non-smokers (32.7%), and those who never drank alcohol (37.0%). Unemployed women (adjusted odds ratio [AOR] 1.66, 95% Confidence Interval [CI] 1.08–2.56) and those with grade 12 or less level of education (AOR 2.76, 95% CI 1.02–7.49) had a higher likelihood of practising EBF for 6 months since birth while mothers who consumed alcohol (AOR 0.54, 95% CI 0.34–0.85) were less likely to practice EBF for 6 months. Conclusions The prevalence of six-month exclusive breastfeeding in the study, although comparable with sub-Saharan Africa and worldwide prevalence, remains suboptimal. Advocacy campaigns on EBF must target alcohol cessation and the creation of a favourable workplace environment for lactating mothers.

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Antenatal HIV-1 RNA load and timing of mother to child transmission; a nested case-control study in a resource poor setting

Virology Journal ◽

10.1186/1743-422x-7-176 ◽

2010 ◽

Vol 7 (1) ◽

Cited By ~ 9

Author(s):

Kerina Duri ◽

Felicity Z Gumbo ◽

Knut I Kristiansen ◽

Nyaradzi E Kurewa ◽

Munyaradzi P Mapingure ◽

...

Keyword(s):

Case Control Study ◽

Case Control ◽

Resource Poor Setting ◽

Mother To Child Transmission ◽

Child Transmission ◽

Resource Poor ◽

Nested Case Control ◽

Mother To Child ◽

Hiv 1 ◽

Control Study

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An audit of mother to child HIV transmission rates and neonatal outcomes at a tertiary hospital in South Africa

BMC Research Notes ◽

10.1186/s13104-019-4617-1 ◽

2019 ◽

Vol 12 (1) ◽

Author(s):

Ghad Benali ◽

Tanusha Ramdin ◽

Daynia Ballot

Keyword(s):

South Africa ◽

Birth Weight ◽

Hiv Transmission ◽

Tertiary Hospital ◽

Academic Hospital ◽

Child Transmission ◽

Transmission Rates ◽

Hiv Exposure ◽

Hiv Exposed ◽

Mother To Child

Abstract Objective The aim of this study was to explore the prevalence of congenital HIV infection of neonates at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH) between 2015 and 2017, as well as compare the HIV PCR positive and HIV PCR negative neonates. Results A total number of 1443 HIV exposed neonates was examined for the study period out of a total of 5029 admissions (HIV exposure 28.6%) The study found that the rate of HIV transmission at birth was 2.52%. The majority of infants had low birth weight and were also born prematurely. These results show that, despite the introduction of the extended mother to child transmission programme, HIV transmission is high.

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Limitations in knowledge of HIV transmission among HIV-positive patients accessing case management services in a resource-poor setting

AIDS Care ◽

10.1080/09540120500373844 ◽

2006 ◽

Vol 18 (7) ◽

pp. 764-771 ◽

Cited By ~ 13

Author(s):

M. C. Smith Fawzi ◽

P. Jagannathan ◽

J. Cabral ◽

R. Banares ◽

J. Salazar ◽

...

Keyword(s):

Case Management ◽

Hiv Transmission ◽

Resource Poor Setting ◽

Hiv Positive ◽

Resource Poor ◽

Management Services

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Sociodemographic and lifestyle correlates of exclusive breastfeeding practices among mothers on antiretroviral therapy in the Eastern Cape, South Africa

10.21203/rs.3.rs-40582/v4 ◽

2021 ◽

Author(s):

Daniel Ter Goon ◽

Anthony Idowu Ajayi ◽

Oladele Vincent Adeniyi

Keyword(s):

South Africa ◽

Antiretroviral Therapy ◽

Exclusive Breastfeeding ◽

Hiv Transmission ◽

Cross Sectional Study ◽

Sub Saharan Africa ◽

Eastern Cape ◽

Cross Sectional ◽

Factors Associated ◽

Breastfeeding Practice

Abstract Background: Exclusive breastfeeding (EBF) is associated with a reduction of postnatal HIV transmission and optimal infant growth. Given that the factors influencing exclusive breastfeeding are multi-factorial and context-specific, we examined the prevalence and factors associated with exclusive breastfeeding practice in the first six months among mothers on antiretroviral therapy in the Eastern Cape, South Africa. Methods: This was a cross-sectional study conducted between January – May 2018 on 469 parturient women enlisted in the prevention of mother-to-child HIV transmission cohort study in the Eastern Cape. Mothers were asked to recall whether they breastfed their infant exclusively with breast milk from birth and if so, to state how long they did. We collected relevant sociodemographic, lifestyle, and maternal information by interview. Bivariate and multivariable logistic regression analyses were fitted to determine the sociodemographic and lifestyle factors associated with exclusive breastfeeding practice.Results: The prevalence of six-month exclusive breastfeeding, measured since birth, was 32.0%. EBF’s prevalence was significantly higher among married women (36.8%), unemployed women (36.6%), non-smokers (32.7%), and those who never drank alcohol (37.0%). Unemployed women [adjusted odds ratio (AOR) = 1.66, 95% Confidence Interval CI), 1.08-2.56] and those with grade 12 or less level of education (AOR =2.76, 95% CI, 1.02-7.49) had a higher likelihood of practising EBF for six months since birth while mothers who consumed alcohol (AOR = 0.54, 95% CI, 0.34-0.85) were less likely to practice EBF for six months. Conclusions: The prevalence of six-month exclusive breastfeeding in the study, although comparable with sub-Saharan Africa and worldwide prevalence, remains suboptimal. Advocacy campaigns on EBF must target alcohol cessation and the creation of a favourable workplace environment for lactating mothers.

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