scholarly journals Barriers of PMTCT (Prevention Mother to Child Transmission) Program: Systematic Review

2020 ◽  
Vol 7 (3) ◽  
pp. 376-388
Author(s):  
Miftah Chairunnisa ◽  
Kanthi Devi Ayuningtyas
Keyword(s):  
Systematic Review ◽  
Program Implementation ◽  
Health Workers ◽  
Active Role ◽  
Pmtct Program ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Major Barrier ◽  
The Government ◽  
Mother To Child

HIV infection during pregnancy is a serious problem that requires special attention because the number of case increasing every year. According to UNAIDS data, more than 36.9 million people were living with HIV on 2017. An increase of 1.8 million new cases and 940,000 deaths occurs in the same year. In Indonesia especially, there were about 630,000 HIV cases on 2017 and nearly 49,000 new cases reported. This number consists of cases of vertical transmission from mother to child during pregnancy. The government has implemented PMTCT (Prevention Mother to Child Transmission) program as a solution to reduce the number of HIV cases. Nevertheless this program has not been running well due to several barriers regarding to its implementation. This study aimed to provide an understanding of various barriers to PMTCT program implementation. A systematic review approach by PRISMA design was used to study literatures from databases. Stigma or discrimination from community and health care, experienced by HIV patients, was major barrier that impede PMTCT program. In addition, lack of support from partner or family, depression, economic factors, stigma from health workers, and health workers’ income-workload discrepancy were also significantly affected the implementation. Contrary, the active role of health workers to provide counseling and education about HIV/AIDS among community as well as to client’s families was a success key of PMTCT program.

scholarly journals Tantangan Pelaksanaan Program Prevention Of Mother To Child Transmission (PMTCT): Systematic Review

2019 ◽  
Vol 4 (1) ◽  
pp. 55 ◽  
Author(s):  
Nimas Ayu Lestari Nurjanah ◽  
Tri Yunis Miko Wahyono
Keyword(s):  
Systematic Review ◽  
Health Workers ◽  
Active Role ◽  
Hiv Treatment ◽  
Pmtct Program ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Lack Of Information ◽  
Mother To Child ◽  
Hiv Aids

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.

Young Women’s Knowledge and Utilization of Prevention of Mother-to-Child Transmission (PMTCT) of HIV Services: Is There Any Relationship?

2012 ◽  
Vol 2 (3) ◽  
pp. 163-172
Author(s):  
Sadandaula R. Muheriwa ◽  
Angela Chimwaza ◽  
Alfred Maluwa ◽  
Martha Kamanga
Keyword(s):  
Hiv Transmission ◽  
Health Workers ◽  
Monitoring And Evaluation ◽  
Hiv Positive ◽  
Hiv Education ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Major Barrier ◽  
Behavior Change Interventions ◽  
Mother To Child

PURPOSE:To determine knowledge and practices of young women on utilization of prevention of mother-to-child transmission (PMTCT) of HIVservices.DESIGN:A cross-section descriptive study that used quantitative and qualitative data analysis methodologies.FINDINGS:Knowledge of PMTCT of HIV among respondents was universal. All respondents (100%,N= 184) stated that utilization of PMTCT services reduces transmission of HIV from mother to child. Respondents knew that HIV transmission can be reduced with exclusive breastfeeding (93%,n= 172), abrupt weaning at 6 months (44%,n= 81), taking single-dose nevirapine (SD-NVP; 43%,n= 79), and giving NVP to the baby (65%,n= 120). Very few respondents (4%,n= 7) stated that avoiding pregnancy is one way of preventing HIV transmission and that a mother who is HIV positive who has received SD-NVP or antiretroviral (ARV) therapy can still deliver a baby who is HIV positive. Actual practice was very low; only 14% breastfed exclusively and only 3% weaned their babies abruptly. Although all the 184 mothers were given NVP to take at onset of labor, very few respondents (22%) took NVP as recommended. Although it was recommended that all babies take NVP at birth and within 72 hr of birth, only 58% of the babies received NVP as recommended and only 3% of the women avoided pregnancy.CONCLUSION:There was a big discrepancy between knowledge and practice of PMTCT services. Culture was the major barrier because traditionally, babies are expected to be breastfed and supplements are fed to babies, too. Most mothers did not adhere to the taking of NVP at onset of labor. Therefore, there is a need to mobilize communities on PMTCT of HIV. The HIV education programmes should emphasize behavior-change interventions and should focus on both men and women, their partners, and significant others. There is also need to intensify monitoring and evaluation of health workers’ activities to ensure that knowledge is put into practice.

scholarly journals Information management in Malawi’s prevention of Mother-to-Child Transmission (PMTCT) Program: Health workers’ perspectives

2018 ◽  
Vol 29 (4) ◽  
pp. 306 ◽  
Author(s):  
Wiza Kumwenda ◽  
Gregory Kunyenje ◽  
Jimmie Gama ◽  
Jacqueline Chinkonde ◽  
Francis Martinson ◽  
...  
Keyword(s):  
Information Management ◽  
Health Workers ◽  
Pmtct Program ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Mother To Child

scholarly journals Implementation of Prevention of Mother to Child Transmission of HIV Program in South Jakarta

2018 ◽  
Vol 12 (4) ◽  
pp. 159
Author(s):  
Fase Badriah ◽  
Minsarnawati Tahangnacca ◽  
Raihana Alkaff ◽  
Takeru Abe ◽  
Laily Hanifah
Keyword(s):  
Hiv Testing ◽  
Program Implementation ◽  
Pmtct Program ◽  
Health Provider ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Women Living With Hiv ◽  
Living With Hiv ◽  
Low Coverage ◽  
Mother To Child

Even though Prevention of Mother to Child Transmission (PMTCT) program has been running in Indonesia since 2006, the proportion of human immunodeficiency virus (HIV)-infected pregnant women remains high in some districts in Indonesia. The PMTCT program aims to reduce transmission of HIV from mother to child. Thus it requires an examination of the PMTCT program implementation. The study was a qualitative study on PMTCT program implementation in South Jakarta, Indonesia, whereas the proportion of children with HIV positive in the area was quite high. The analysis used domain analysis by looking the implementation of PMTCT as a system consisting of input, process and output. PMTCT strategy is based on a comprehensive four-pronged strategy. This study found that scaling-up communication and education about PMTCT program from health provider to community was needed. In the first prong, there was no specific health provider for PMTCT program, it was still integrated with the MCH staff. PMTCT program did not disseminate information to the community.Therefore, it seemed that it was underutilized. In the second prong, implementation of HIV testing and counseling for couples of women living with HIV remained a bottleneck because women living with HIV felt fear to inform their HIV status to their partners. Thus, counseling and HIV testing for couples have not benefited at all. These women were unsatisfied with the quality of counseling, and the failure to provide antiretroviral treatments. This study found the low coverage and less responsiveness of PMTCT program to build a network of partners with various elements of government.

scholarly journals Evaluation of Senegal’s prevention of mother to child transmission of HIV (PMTCT) program data for HIV surveillance

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Ousmane Diouf ◽  
Astou Gueye-Gaye ◽  
Moussa Sarr ◽  
Abdou Salam Mbengue ◽  
Christopher S. Murrill ◽  
...  
Keyword(s):  
Pmtct Program ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Hiv Surveillance ◽  
Mother To Child ◽  
Program Data

scholarly journals Situation of PMTCT in Bhutan, 14 Years’ Experience

2020 ◽  
Vol 6 (1) ◽  
pp. 49-54
Author(s):  
Phurb Dorji ◽  
Ripa Chakma ◽  
Lekey Khandu
Keyword(s):  
Scientific Evidence ◽  
Hiv Infections ◽  
Pmtct Program ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Effective Strategies ◽  
First Case ◽  
Mtct Rate ◽  
Slow Rise ◽  
Mother To Child

Introduction: Prevention of mother-to-child transmission activities form important part of HIV/AIDS prevention program of any community or country. Methods: Information from the PMTCT Programme from the Ministry of Health and other published literature on HIV in Bhutan were reviewed. Results: The first case of mother to child transmission was reported in Bhutan in 2001. However, the retrospective study shows that one of the earliest mothers-to- child transmissions could have taken place back in 1997. Strategies for the prevention of mother-to-child transmission (PMTCT) of HIV in Bhutan have endured substantial advancement based on global scientific evidence. It is a concern as there is a slow rise in the number of HIV cases. The main modeof transmission is unsafe heterosexual practice in Bhutan. Before the planned PMTCT program, 3 children were infected. After launch of proper PMTCT program, we had all the components of effective strategies in PMCT program which have evolved with better ones with time. Due to this, MTCT was 3.2%. With undetected HIV infections, 32 children were born outside of the program and actual national MTCT rate is 5.5%. Conclusion: There is increasing number of people every year with new HIV infections. In addition, our detection gap is 45% with about 602 undiagnosed in the community. Every effort should be put forward to upscale the PMTCT program for Bhutan to eliminate Mother-to-Child transmission (MTCT) of HIV by 2020 and beyond.

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