Counselling services in prevention of mother-to-child transmission (PMTCT) in Delhi, India: An assessment through a modified version of UNICEF-PPTCT tool

Kumar, Arvind; Singh, Bir; Kusuma, Yadlapalli S.

doi:10.1016/j.jegh.2014.12.001

Cited by 11 publications

(7 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5 Another Indian study revealed that only 30 % of men with HIV negative wife got tested in spite of pretest counseling which shows that they consider PPTCT is only for HIV positive patients. 4 Katz et al reported that 95% of men attending antenatal clinic with wife accepted HIV testing which was similar to our study. 6 A study from Ethiopia found that only 20% of pregnant women were accompanied by male partner to antenatal services but among them 82% have had HIV counseling and testing.…”

Section: Discussionsupporting

confidence: 91%

“…In the present study, we found that women were frequently accompanied by their husband when they came for antenatal checkup and most of these men had a formal knowledge about HIV infection. The main source of information to these men was found to be the media followed by medical personnel which was similar to a study from Delhi by Kumar et al 4 In the present study we found that acceptance to HIV testing during antenatal visit was good (88.6%) among the participants even before pretest counseling. Contrary to our study, a study from Maharashtra by Shiradkar et al showed a poor attendance to PPTCT clinic and reluctance to get tested for HIV among men who attended their antenatal clinic.…”

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

Attitude to counseling and testing for HIV and knowledge about prevention of mother to child transmission of HIV in men accompanying antenatal attendees at a tertiary care hospital in South India

Krishnamoorthy

Navis

2021

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Parent to child transmission is the second most common route of transmission of HIV in India contributing to 5% of new infections. This is due to underutilization of the components of PPTCT among pregnant women . As male partners remain the main decision makers in the family and influence their wife’s behaviour, poor awareness and negative attitude of men towards testing and treatment of HIV is a hindering factor in the successful implementation of the program. Therefore this study was carried out to study the awareness of men regarding HIV and PPTCT and also to assess their attitude towards testing and treatment in an antenatal clinic setting.Methods: This is a cross sectional descriptive institution based study conducted in Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India. The study participants were men who accompanied their pregnant wife to the antenatal clinic. A pretested, predesigned questionnaire was used as the survey tool to assess the knowledge of these men about PPTCT services and also to assess their attitude towards HIV testing during pregnancy. The collected data was entered in SPSS and analyzed using descriptive statistics.Results: Among participants only 68% were aware that a HIV positive mother could transmit infection to her baby and more than half of the participants were not aware that breast feeding could cause vertical transmission. Nearly 39% of the participants were not aware that mother to child transmission can be curtailed by giving ART during pregnancy. Acceptance for HIV testing was fairly good even before pretest counseling to the extent of 88.6% of the participants. Among the participants who did not want to get tested for HIV, 52.9% assumed that their HIV status will be the same as that of their wife whereas 29.4% said that they were not comfortable undergoing the test along with their wife.Conclusions: The present study shows that men lacked awareness about the concept of vertical transmission of HIV and also the various aspects of prevention of maternal to child transmission of the infection. Their attitude towards testing was positive even though they were not aware of its implications. Media should be used to create awareness and couple counseling and testing should be promoted in all PPTCT centers thereby increasing the male participation in the PPTCT program.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 89%

Attitude to counseling and testing for HIV and knowledge about prevention of mother to child transmission of HIV in men accompanying antenatal attendees at a tertiary care hospital in South India

Krishnamoorthy

Navis

2021

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…The perceived difficulty and the emotional challenge of exclusive breastfeeding can be addressed by providing ongoing comprehensive postnatal counselling on infant feeding. This is consistent with a study in Dehli, India which found that infant feeding counselling was an important predictor of good infant feeding practices [38]. Efforts should be made to implement the South African PMTCT policy guidelines stipulate that immediate to post-delivery care and before leaving the health facility, all women must counselled on the importance of exclusive breastfeeding for the first six months, and the dangers of mixed breastfeeding [12].…”

Section: Individual-level Perception Barrierssupporting

confidence: 85%

Postnatal PMTCT: Women’s Perception Barriers at a Johannesburg Health Centre, South Africa

Ngyende¹,

Bucyubaruta²,

Mugero³

2020

Health

View full text Add to dashboard Cite

Background: Maximising women's participation and ensuring optimal outcomes will require that the women's perception barriers to postnatal prevention of Mother-to-Child Transmission (PMTCT) programme of HIV be addressed. However, little is known about women's perception barriers to postnatal PMTCT programme of HIV and how these barriers affect the women's health seeking behavior and uptake. Objective: This study sought to explore the women's perception barriers to postnatal PMTCT programme at a Johannesburg Community Health Centre during April-May, 2016. Methods: A qualitative study on 30 women (aged 20-39 years) was conducted at a Johannesburg community health (CHC), South Africa, during May-June 2016, after obtaining their consent. The data was analysed thematically to understand women's perception barriers to postnatal PMTCT programme. Results: The study found that inadequate counselling was perceived to be the single key health service barrier to PMTCT programme. At the individual level, adherence to ART was considered the leading women's barriers to the postnatal PMTCT. Exclusive breastfeeding was, however, perceived as important women's barriers to the postnatal PMTCT. Inadequate emotional support from families and community was a noteworthy women's perception barrier to the programme. Conclusion: The study makes two recommendations: firstly, the staff, programme managers and health policy makers need to be aware of the women's perception barriers to the postnatal PMTCT programme. Secondly, the programme should be strengthened by addressing perception barriers to the programme to enhance women participation to ensure optimal outcomes for women and their infants.

show abstract

“…PMTCT services are designed to offer support to women living with HIV and provide them with information for both antenatal and postnatal care; however, a report by the WHO details how counseling is often provided by busy, overworked staff members, who focus only on the initial HIV test result and ART treatment (2,35,36). Evidence has suggested that women living with HIV in South Africa have inadequate knowledge of HIV transmission during the post-partum period and are unaware of EID testing schedules (37).…”

Section: Discussionmentioning

confidence: 99%

Impact of Birth HIV-PCR Testing on the Uptake of Follow-up Early Infant Diagnosis Services in Cape Town, South Africa

Dunning

Kroon

Fourie

et al. 2017

Pediatric Infectious Disease Journal

View full text Add to dashboard Cite

Introduction PCR testing at birth (‘birth-testing’) is suggested by new World Health Organization guidelines for rapid diagnosis of infants infected with HIV in utero. However there are few data on the implementation of this approach in sub-Saharan Africa and whether birth-testing affects uptake of subsequent routine early infant diagnosis (EID) testing at 6–10 weeks of age is unknown. Methods We reviewed 575 consecutive infants undergoing targeted high-risk birth-testing in Cape Town, South Africa, and matched those testing HIV-negative at birth (n=551) to HIV-exposed infants who did not receive birth-testing (n=551). Maternal and infant clinical and demographic data, including EID testing uptake, were abstracted from routine records. Results Overall 3.8% of all birth-tests conducted were positive, while later EID testing positivity rates were 0.5% for those infants testing HIV-negative at birth and 0.4% for those without birth-testing. Infants who underwent birth-testing were less likely to present for later EID compared to those without a birth-test (73% vs 85%; p<0.001). This difference persisted after adjusting for maternal and infant characteristics (adjusted odds ratio, 0.60 95% confidence interval, 0.41–0.86) and across demographic and clinical subgroups. Infants undergoing birth-testing also presented for later EID at a significantly older age (mean age 60 vs 50 days, p<0.001). Conclusions While the yield of targeted high-risk birth testing in this setting appears high, neonates testing HIV-negative at birth may be less likely to present for subsequent EID testing. For birth-testing implementation to contribute to overall EID programme goals, structured interventions are required to support follow-up EID services after negative birth-test results.

show abstract

Counselling services in prevention of mother-to-child transmission (PMTCT) in Delhi, India: An assessment through a modified version of UNICEF-PPTCT tool

Cited by 11 publications

References 26 publications

Attitude to counseling and testing for HIV and knowledge about prevention of mother to child transmission of HIV in men accompanying antenatal attendees at a tertiary care hospital in South India

Attitude to counseling and testing for HIV and knowledge about prevention of mother to child transmission of HIV in men accompanying antenatal attendees at a tertiary care hospital in South India

Postnatal PMTCT: Women’s Perception Barriers at a Johannesburg Health Centre, South Africa

Impact of Birth HIV-PCR Testing on the Uptake of Follow-up Early Infant Diagnosis Services in Cape Town, South Africa

Contact Info

Product

Resources

About