Elimination of Mother-To-Child Transmission of HIV in Nigeria: The Roles, Preparedness and Determinants of Successful Involvement of Traditional Birth Attendants

Abiodun, Olumide; Sotunsa, John; Ani, Franklin; Olaleye, Atinuke O; Taiwo, Agboola

doi:10.4172/2155-6113.1000481

Cited by 10 publications

(8 citation statements)

References 18 publications

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“…According to the UNAIDS 2017 report, 32% of HIV positive pregnant women had access to ART in 2016, and there were 37,000 new infections among children [ 9 ]. It has been reported that MTCT rate is about 32% in Nigeria [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

Perception and practice of breastfeeding among HIV positive mothers receiving care for prevention of mother to child transmission in South-East, Nigeria

et al. 2018

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BackgroundAlthough the risk of HIV transmission through breastfeeding is reduced considerably with the use of antiretroviral therapy, infant feeding by HIV positive mothers remains controversial. Weighing risks against benefits generates intense debate among policymakers, program managers and service providers in sub-Saharan Africa, considering that the major causes of infant death of malnutrition and infectious diseases, could be prevented if mothers breastfeed their babies. Whereas breastfeeding involves some risk of HIV transmission, not breastfeeding poses considerable risk to infant survival. This study investigated perceptions and practice of breastfeeding of HIV-exposed infants among HIV positive mothers.MethodsA cross-sectional descriptive study was conducted in Enugu metropolis among HIV positive mothers receiving care for prevention of mother-to-child transmission of HIV from two public and two private hospitals. Interviewer-administered questionnaire survey was done with 550 participants as they exited the final point of service delivery. Descriptive statistics of perception and practice variables and cross tabulation of selected variables was performed.ResultsMost mothers knew that HIV could be transmitted through breast milk. The majority perceived any type of breastfeeding as beneficial to the infant: 230 (83.6%) in private facilities, and 188 (68.4%) public facilities. Over three-quarters of the mothers breastfed their infants and their reasons for breastfeeding included personal choice, cultural norms, fear of HIV status being disclosed and pressure from family members. A statistical significant association was found between; (i) practice of breastfeeding and marital status, (p < 0.01), and (ii) practice of breastfeeding and household income provider (p = 0.02). However, neither marital status (AOR 1.4; 95% CI 0.3, 6.8) nor being the household income provider (AOR 4.9; 95% CI 0.6, 12.9) is a significant predictor of breastfeeding of HIV-exposed infants.ConclusionsBreastfeeding remains a common trend among HIV positive women and it is associated with economic independence of women and social support. Fear of stigma negatively affects practice of breastfeeding. Hence, HIV positive mothers need economic independence and the support of family members to practice recommended infant feeding options.

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Section: Methodsmentioning

confidence: 99%

Perception and practice of breastfeeding among HIV positive mothers receiving care for prevention of mother to child transmission in South-East, Nigeria

et al. 2018

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“…Unlike South Africa and Kenya, where more than 95% and 80% of eligible women receive prevention of mother-to-child transmission (PMTCT) services, respectively, 1 PMTCT coverage in Nigeria has stagnated at 30%, resulting in an estimated 75 000 new infant HIV infections per year. 219 Similarly, only 15% of Nigerian women aged 15–49 years use contraception for limiting and spacing of births. On average, a Nigerian woman gives birth to 6·5 children in her lifetime.…”

Section: Integration Of Hiv and Other Health Services: Modelled Scenamentioning

confidence: 99%

Advancing global health and strengthening the HIV response in the era of the Sustainable Development Goals: the International AIDS Society—Lancet Commission

et al. 2018

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“…Large number of the population that patronizes the PMVs and TBAs do not perceive them as low-quality practitioners of Western medicine, but instead view them as quality providers of African medicine 1 . This has become a socio-cultural factor influencing the high patronage of these cadre of health care delivery.…”

Section: Factors Influencing Patronage Of Pmvs/tbasmentioning

confidence: 99%

“…WHO estimates on the density of providers per 100,000 people in Nigeria in 2003 to include; 28 physician; 170 nurses; 5 pharmacists and 91 community health workers. This thus demands compensation of the low health resources from the non-formal health service providers like PMVs and TBAs [1].…”

Section: Factors Influencing Patronage Of Pmvs/tbasmentioning

confidence: 99%

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Level of awareness versus level of participation in the HIV/AIDS response among Non-formal health care providers in Nigeria; a comparative study

Chizoba¹

2016

TIJMD

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Background: Large portion of Nigeria's population use the services of non-formal health care providers like patent medicine vendors (PMV) and traditional birth attendants (TBA), seeing that 65% of deliveries in Nigeria occur in such non-formal health setting. Though studies demonstrate increase in HIV/AID awareness among PMV/TBAs there is yet an unclear evidence of their level of participation in the HIV/AIDS response, even as health financing and engagement of these private sector becomes important implementation research question in Nigeria. This study aims to compare level of awareness versus level of participation of the non-formal health care providers in the HIV/AIDS response in Nigeria. Method: By cross-sectional design, questionnaire was used to get responses from 210 PMVs and 135 TBAs across 6 Local Government Areas in Ebonyi State, Nigeria. Responses were analyzed using percentages and frequency distribution. Results: Mean age is 34 years. Highest education level was secondary school at 59%. HIV/AIDS awareness level was >80% but participation was at 48%. Conclusion: HIV Awareness has increased among TBA/PMV but their participation level in HIV/AIDS response is still low. Integration of this group into public health sector could increase participation.

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Elimination of Mother-To-Child Transmission of HIV in Nigeria: The Roles, Preparedness and Determinants of Successful Involvement of Traditional Birth Attendants

Cited by 10 publications

References 18 publications

Perception and practice of breastfeeding among HIV positive mothers receiving care for prevention of mother to child transmission in South-East, Nigeria

Perception and practice of breastfeeding among HIV positive mothers receiving care for prevention of mother to child transmission in South-East, Nigeria

Advancing global health and strengthening the HIV response in the era of the Sustainable Development Goals: the International AIDS Society—Lancet Commission

Level of awareness versus level of participation in the HIV/AIDS response among Non-formal health care providers in Nigeria; a comparative study

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