scholarly journals Contextual Effect of Community Health Center and Other Determinants of Midwife Performance in the Implementation in the Prevention Mother to Child Transmission Counselling and Testing: A Multilevel Model Evidence

2020 ◽  
Vol 5 (1) ◽  
pp. 35-47
Author(s):  
Sringatin Sringatin ◽  
◽  
Uki Retno Budihastuti ◽  
Endang Sutisna Sulaeman ◽  
◽  
...  
Keyword(s):  
Community Health ◽  
Health Center ◽  
Multilevel Model ◽  
Community Health Center ◽  
Contextual Effect ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Model Evidence ◽  
Mother To Child

Does Community Health Centers Have Contextual Effect on Midwife Performance in the Implementation of Prevention Mother to Child Transmission Counseling and Testing?

2020 ◽  
Author(s):  
◽  
Uki Retno Budihastuti ◽  
Endang Sutisna Sulaeman ◽  
◽  
◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Centers ◽  
Work Performance ◽  
Health Centers ◽  
Contextual Effect ◽  
Good Work ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Counseling And Testing ◽  
Mother To Child

ABSTRACT Background: Prevention mother to child transmission counseling and testing (PMTCT) service is primarily provided at health facility level. However, their full implementation requires strong linkages with communities. The purpose of this study was to examine contextual effect of community health centers on midwife performance in the implementation of PMTCT? Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at 24 community health centers in Madiun, East Java, from August to September 2019. A sample of 184 midwives was selected by total sampling. The dependent variable was implementation of PMTCT. The independent variables were age, tenure, knowledge, training, work performance, and accreditation. The data were collected by questionnaire and analyzed by a multiple linear regression. Results: Implementation of PMTCT counseling and testing improved with tenure ≥8 years (b= 0.51; 95% CI= 0.15 to 0.87; p= 0.006), good knowledge (b= 0.61; 95% CI= 0.33 to 0.89; p<0.001), had trained (b= 0.41; 95% CI= 0.08 to 0.74; p= 0.014), good work performance (b= 0.56; 95% CI= 0.21 to 0.92; p= 0.002), and good accreditation (b= 0.49; 95% CI= 0.04 to 0.95; p= 0.031). Implementation of PMTCT counseling and testing reduced with midwives age ≥35 years (b= -0.51; 95% CI= -0.80 to -0.21; p= 0.001). Conclusion: Implementation of PMTCT counseling and testing improves with tenure ≥8 years, good knowledge, had trained, good work performance, and good accreditation. Implementation of PMTCT counseling and testing reduces with midwives age ≥35 years. Keywords: implementation, prevention mother to child transmission, work performance, accreditation Correspondence: Sringatin. Dolopo Regional Public Hospital, Madiun, East Java. Jl. Raya Dolopo 117, Dolopo, Madiun 63174, East Java, Indonesia. Email: [email protected]. Mobile: 081231683090. DOI: https://doi.org/10.26911/the7thicph.03.96

scholarly journals Cessation of breastfeeding and associated factors in the era of elimination of mother to child transmission of HIV at Ndejje Health Center, Uganda: a retrospective cohort study

2020 ◽  
Author(s):  
Jackslina Gaaniri Ngbapai ◽  
Jonathan Izudi ◽  
Stephen Okoboi
Keyword(s):  
Cohort Study ◽  
Health Center ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Associated Factors ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
One Year ◽  
Living With Hiv ◽  
Mother To Child

Abstract BackgroundBreastfeeding an infant exposed to Human Immunodeficiency Virus (HIV) carries the risk of HIV acquisition whilst not breastfeeding poses a higher risk of death from malnutrition, diarrhea, and pneumonia. In Uganda, mothers living with HIV are encouraged to discontinue breastfeeding at 12 months but data are limited. We examined the frequency and factors associated with cessation of breastfeeding at one year among mothers living with HIV at Ndejje Health Center IV, a large peri-urban health facility in Uganda.MethodsThis retrospective cohort study involved all mothers living with HIV and enrolled in HIV care for ≥ 12 months between June 2014 and June 2018. We abstracted data from registers, held focus group discussions with mothers living with HIV and key informant interviews with healthcare providers. Cessation of breastfeeding was defined as the proportion of mothers living with HIV who had discontinued breastfeeding at one year. We summarized quantitative data descriptively, tested differences in outcome using Chi-square and t - tests, and established independently associated factors using modified Poisson regression analysis at 5 % statistical significance level. We thematically analyzed qualitative data to enrich and triangulate the quantitative results. ResultsOf 235 participants, 150 (63.8 %) had ceased breastfeeding at one year and this was independently associated with the infant being male (Adjusted Risk Ratio [aRR] 1.25, 95 % confidence interval [CI] 1.04, 1.50), the mother being multiparous (aRR 1.26, 95 % CI 1.04-1.53), and the initiation of breastfeeding being on the same-day as birth (aRR 0.06, 95 % CI 0.01-0.41). The reasons for ceasing breastfeeding included male infants over breastfeed than females, maternal literacy and knowledge adequacy about breastfeeding, support and reminders from the partner, and boys can bite once they get teeth. ConclusionSuboptimal proportion of infants were ceased from breastfeeding at one year and this might increase the risk of mother to child transmission of HIV. Cessation of breastfeeding was more likely among male infants and multiparous mothers but less likely when breastfeeding was initiated on the same-day as birth. Interventions to enhance cessation of breastfeeding should target none multiparous mothers and those with female infants.

scholarly journals Cessation of breastfeeding and associated factors in the era of elimination of mother to child transmission of HIV at Ndejje health center, Uganda: a retrospective cohort study

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Jackslina Gaaniri Ngbapai ◽  
Jonathan Izudi ◽  
Stephen Okoboi
Keyword(s):  
Cohort Study ◽  
Health Center ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Associated Factors ◽  
Hiv Care ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Living With Hiv ◽  
Mother To Child

Abstract Background Breastfeeding an infant exposed to Human Immunodeficiency Virus (HIV) carries the risk of HIV acquisition whilst not breastfeeding poses a higher risk of death from malnutrition, diarrhea, and pneumonia. In Uganda, mothers living with HIV are encouraged to discontinue breastfeeding at 12 months but data are limited. We examined the frequency and factors associated with cessation of breastfeeding at 1 year among mothers living with HIV at Ndejje Health Center IV, a large peri-urban health facility in Uganda. Methods This retrospective cohort study involved all mothers living with HIV and enrolled in HIV care for ≥12 months between June 2014 and June 2018. We abstracted data from registers, held focus group discussions with mothers living with HIV and key informant interviews with healthcare providers. Cessation of breastfeeding was defined as the proportion of mothers living with HIV who had discontinued breastfeeding at 1 year. We summarized quantitative data descriptively, tested differences in outcome using Chi-square and t - tests, and established independently associated factors using modified Poisson regression analysis at 5% statistical significance level. We thematically analyzed qualitative data to enrich and triangulate the quantitative results. Results Of 235 participants, 150 (63.8%) had ceased breastfeeding at 1 year and this was independently associated with the infant being male (Adjusted Risk Ratio [aRR] 1.25, 95% confidence interval [CI] 1.04, 1.50), the mother being multiparous (aRR 1.26, 95% CI 1.04–1.53), and the initiation of breastfeeding being on the same-day as birth (aRR 0.06, 95% CI 0.01–0.41). The reasons for ceasing breastfeeding included male infants over breastfeed than females, maternal literacy and knowledge adequacy about breastfeeding, support and reminders from the partner, and boys can bite once they get teeth. Conclusion Suboptimal proportion of infants were ceased from breastfeeding at 1 year and this might increase the risk of mother to child transmission of HIV. Cessation of breastfeeding was more likely among male infants and multiparous mothers but less likely when breastfeeding was initiated on the same-day as birth. Interventions to enhance cessation of breastfeeding should target none multiparous mothers and those with female infants.

scholarly journals HUBUNGAN DUKUNGAN BIDAN DENGAN PEMERIKSAAN PMTCT (PREVENTION MOTHER TO CHILD TRANSMISSION) PADA IBU HAMIL DI PUSKESMAS KASIHAN II BANTUL

2020 ◽  
Vol 3 (1) ◽  
pp. 6-12
Author(s):  
Esitra Herfanda ◽  
Indah Pratiwi
Keyword(s):  
Pregnant Women ◽  
Health Center ◽  
Health Care Facilities ◽  
Hiv And Aids ◽  
P Value ◽  
Mother To Child Transmission ◽  
Primary Health Center ◽  
Child Transmission ◽  
Primary Health ◽  
Mother To Child

HIV and AIDS transmission to infants can be prevented by comprehensive and effective PMTCT (Prevention Mother to Child Transmission) efforts in health care facilities. The role of the midwife in encouraging pregnant women to conduct PMTCT examinations is to provide support in the form of information, appreciation, instrumental and emotional information about HIV and AIDS thoroughly to the client until the client understands and gives the permission to conduct PMTCT examinations. The purpose of this study was to determine the correlation between midwife’s support and PMTCT examinations of pregnant women at Kasihan II Primary Health Center of Bantul. This research was conducted using observational analytic methods with cross sectional approach. Data collection techniques employed accidental sampling as many as 40 pregnant women as the respondents. The research instrument was a questionnaire with chi square as data analysis. The results of the study obtained showed that 80% among 40 respondents received good support, and 82.5% conducted PMTCT examinations. There was a correlation between midwife’s support and PMTCT examinations for pregnant women in Kasihan II Primary Health Center of Bantul with p value = 0.000 (p <0.05). Thus, it can be concluded that there was a correlation between midwife’s support and PMTCT examination for pregnant women at Kasihan II Primary Health Center of Bantul.   Keywords: Midwife, Support, PMTCT.

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