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

Karl Peltzer(1), Thabang Mosala(2), Olive Shisana(3), Ayanda Nqueko(4), Nolwandle Mngqundaniso(5),


(1) Nairawebs Design
(2) 
(3) 
(4) 
(5) 
Corresponding Author

Abstract


The aim of this study was to investigate knowledge of PMTCT and to describe potential barriers that might affect acceptability of interventions for PMTCT in a resource poor setting in South Africa. The sample included 1534 pregnant women recruited at first antenatal care visit from 5 clinics implementing PMTCT (61%) and from 5 communities around the 5 clinic areas (39%). In addition, the mothers or mothers-in-law (70.9%) and husbands or partners (58.2%) of the pregnant women were interviewed at their homes. Results indicate that major potential barriers in implementing PMTCT programmes in a resource poor setting included physical access to the health facility, PMTCT knowledge, stigma and support, HIV testing, and delivery preference. 

 

Keywords: Access to health facility, barriers, mother to child transmission, resource poor setting, South Africa


References


Doherty T, Besser M, Donohue S, Kamoga N, Stoops N, Williamson L & Visser R. An evaluation of the Prevention of Mother to-child Transmission (PMTCT) of HIV initiative in South Africa: lessons and key recommendations. Durban: Health Systems Trust, 2003.

Doherty TM, McCoy D & Donohue S. Health system constraints to optimal coverage of the prevention of mother-to-child HIV transmission programme in South Africa: lessons from the implementation of the national pilot programme. Afr Health Sci 2005; 5(3): 213-218.

Bajunirwe F and Muzoora M Barriers to the implementation of programs for the prevention of mother-to-child transmission of HIV: a cross-sectional survey in rural and urban Uganda. AIDS Research and Therapy 2005; http://aidsrestherapy.com/content/2/1/10.

Karamagi CAS, Tumwine JK, Tylleskar T & Heggenhougen KH. Antenatal HIV testing in rural eastern Uganda in 2003:

incomplete rollout of the prevention of mother-to-child transmission of HIV programme. BMC International Health and Human Rights 2006; 6: 6.

Peltzer K, Mosala T, Dorkenoo E & Gumede T. Health facility baseline report on Preventing Mother-To-Child Transmission (PMTCT) in a district of the Eastern Cape. Johannesburg: Ford Foundation, 2003.

Dorkenoo E, Gumede T, Maluleke K & Shaikh N. Prevention of mother-to-child transmission: a report of an assessment of a pilot programme in 15 health facilities in Gauteng Province. Cape Town: Human Sciences Research Council, 2003.

Bulterys, ML Nolan, DJ Jamieson, K Dominguez, MG (2002) Advances in the prevention of mother-to-child HIV transmission: current issues, future challenges. AIDScience, 2(4), February 28, 2002.

Moore M. A behavior change perspective on integrating PMTCT and safe motherhood programs: a discussion paper. Washington, D.C.: The Change Project: AED/The Manoff Group, 2003.

Nieburg P, Cannell T, Morrison JS. Expanded HIV testing: critical gateway to HIV treatment and prevention requires major resources, effective protections. Washington DC: Center for Strategic and International Studies, 2005.

Burke J. Infant HIV infection: acceptability of preventive strategies in central Tanzania. AIDS Educ Prev 200.


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