Challenges of primary healthcare nurses regarding the integration of HIV and AIDS services into primary healthcare in Vhembe district of Limpopo province, South Africa

Tshililo, Rose A.; Mangena-Netshikweta, L.M.; Nemathaga, L.H.; Maluleke, Mary

doi:10.4102/curationis.v41i1.1849

Cited by 1 publication

(3 citation statements)

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“…In the rural areas, to achieve EMTCT in a faster pace, services such as maternal & child health, integrated management of childhood illness (IMCI) and family planning services must be well integrated into primary healthcare. Thus, each healthcare facility should have an adequate number of well-trained health professionals (Tshililo et al 2019 ); otherwise, women and their children in the rural areas will be left behind, which would have devastating implications for SA when it comes to ending new infections and the AIDS epidemic by 2030.…”

Section: Discussionmentioning

confidence: 99%

“…Women were scared to do HIV tests and disclose their HIV status to their partners or families because of the fear of stigmatisation and rejection. This has a further negative effect of non-adherence to ARVs (Tshililo et al 2019 ). Some women resort to extreme measures, such as deciding not to attend ANC at all to escape having to do an HIV test because of the fear of stigma.…”

Section: Discussionmentioning

confidence: 99%

“…This needs to be understood in its context, which is part of what this integrative literature review aims to do. The women and/or caregivers’ behaviour of not bringing a child for confirmatory tests at 18 months and mothers who stop taking ARVs because their health has improved tremendously (Tshililo et al 2019 ) continue to put the lives of HIV-exposed children under five at risk of dying from AIDS-related illnesses (such as pneumonia) even before they turn 5 years of age. The evidence shows that the highest child mortality rates are in rural areas (Massyn et al 2018 ).…”

Section: Introductionmentioning

confidence: 99%

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Barriers to the management of children under five exposed to HIV in the rural areas of South Africa

2021

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Background: South Africa has made enormous progress in reducing mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV), however, MTCT and AIDS related death persist among children particularly in the rural areas. Lack of adherence to health policies and guidelines implementation remain one of the contributory factors to poor management of HIV-exposed children. Hence, the need to deeply explore the complexity of the problems and understand the barriers to the management of HIV exposed children in the rural areas.Objectives: To explore and synthesise the barriers to the management of children under 5 years old exposed to HIV in rural areas in South Africa.Method: An integrative literature review was conducted. An electronic search was conducted on several databases. The researchers applied the Boolean ‘ AND’/‘OR’ in combination with phrases such as ‘HIV infection*’, ‘HIV transmission’, ‘HIV-exposed infant*, child*, and neonate*’ and ‘South Africa*’. Included studies were limited to South Africa, and articles were written in English and published in peer-reviewed journals from 2005 to 2018. Both qualitative and quantitative studies between 2005 and 2018 were utilised.Results: The findings highlighted that healthcare institution-related barriers, healthcare provider-related barriers, patient-related barriers and Socio-economic-related barriers were the significant barriers to the management of HIV-exposed children in the rural areas.Conclusion: Continuous engagement with all relevant stakeholders should remain a priority in protecting HIV-exposed children. It is evident that there exist gaps in the current implementation of prevention of mother-to-child transmission (PMTCT), especially in rural areas. Therefore, intervention strategies that could improve implementation of PMTCT policy guidelines for HIV-exposed children in rural areas are needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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