Knowledge, attitudes and practices of health personnel of maternities in the prevention of mother-to-child transmission of HIV in a sub-Saharan African region with high transmission rate: some solutions proposed

Nkwabong, Elie; Nguel, Romuald Meboulou; Kamgaing, Nelly; Jippe, Anne Sylvie Keddi

doi:10.1186/s12884-018-1876-0

Cited by 15 publications

(21 citation statements)

References 12 publications

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“…These findings was poorer than that reported from recent studies among health workers Nigeria and South Africa [17,29,30]. The results of this study were however similar to other studies which reported an insufficient knowledge among health workers of HIV transmission and strategies for prevention of MTCT [31][32][33][34].…”

Section: Discussioncontrasting

confidence: 66%

“…In previous studies, significant associations were described between the level of knowledge of PMTCT and factors such as age, profession, duration of post qualification experience, training, gender, previous training on PMTCT and midwifery qualification [17,29,30,31,36]. Though most of the respondents in our study had received training on PMTCT of HIV and infant feeding counselling for HIV-infected mothers, none of these factors were found to be independently associated with knowledge at both univariate and multivariate regression levels.…”

Section: Discussioncontrasting

confidence: 49%

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Knowledge, Attitude and Practice Survey of the Recommended Infant Feeding Guidelines for HIV Positive Mothers by Primary Health Care Workers in Uyo, Nigeria

Bassey

Ekrikpo

Ekanem

2020

AJRID

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Background: Safe and appropriate feeding is a key intervention that can prevent mother to child transmission of HIV. This study aimed at determining the level of knowledge, attitude and current practice of primary health care (PHC) workers in Uyo of the recommended infant feeding guidelines for infants of HIV-infected mothers. Methodology: This was an analytical cross-sectional study carried out among 130 primary health care workers in 15 PHCs in Uyo metropolis, Akwa Ibom State, Nigeria. Data was collected using self-administered questionnaires in English and analyzed using the Statistical Package for Social Sciences (SPSS) version 25.0. Results: Nineteen (14.6%) and 111 (85.4%) respondents had a fair and poor level of knowledge of MTCT of HIV and infant feeding options respectively. One hundred and six (81.5%) and 100 (76.9%) respondents had received training on PMTCT of HIV and infant feeding counselling for HIV-infected mothers respectively. The majority of respondents exhibited positive attitude regarding infant feeding options for HIV exposed babies. One hundred and twenty (92.3%) considered it correct for an HIV-infected woman to breastfeed her baby and 125 (96.2%) considered breast milk alone adequate food for babies in the first 6 months of life. Predictor of negative attitude was lack of training on infant feeding counseling (OR 15, P=0.02, 95%CI 1.64-138.07). Most 107 (82.3%) cited exclusive breastfeeding with introduction of complementary feeds at 6 months as the most common method accepted by their clients. Conclusion: Gaps in the knowledge of PHC workers in Uyo on MTCT and Infant feeding options and practice were identified which can be addressed by qualitative training, effective monitoring and supportive supervision.

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Section: Discussioncontrasting

confidence: 66%

Section: Discussioncontrasting

confidence: 49%

Knowledge, Attitude and Practice Survey of the Recommended Infant Feeding Guidelines for HIV Positive Mothers by Primary Health Care Workers in Uyo, Nigeria

Bassey

Ekrikpo

Ekanem

2020

AJRID

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“…A total of 183 HPs were enrolled in the study, with the median age of 37 years (IQR, [30][31][32][33][34][35][36][37][38][39][40][41][42][43][44]. Less than a quarter (19%) were male.…”

Section: Pmtct Knowledge and Practices Of Health Providers Descriptio...mentioning

confidence: 99%

Current state of prevention of mother-to-child transmission of HIV in informal health centers in Douala and Ebolowa, Cameroon

Amboua-Schouamé

Bigna

SCHOUAME

et al. 2022

Preprint

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Background : Informal health care providers are key actors for health care provision in developing countries for poor populations. Thus, in Cameroon, in 2017, there were more than 3,000 Informal Health facilities. In a context of elimination of mother-to-child transmission of HIV, we describe the offer of Prevention of Mother to Child Transmission of HIV (PMTCT) in informal health centers. Methods : This two-phase cross-sectional study was carried out in two cities in Cameroon notably Douala and Ebolowa. The first step was conducted from March 2019 to July 2019 in 110 informal health centers and the second from August 2019 to January 2020 with 183 Health Providers in these informal health centers. Standardized questionnaires were administered. Data collected were entered in kobo Collect software. Descriptive statistics and logistic regression at a level of significance of 5% were used. Results : Of the 110 informal health centers, 109 integrated HIV testing into the antenatal check-up package. Among them, 43% (47/109) reported giving antiretroviral treatment to HIV infected pregnant women, while the remaining referred them to formal HIV care centers. Regarding delivery services, 52% (53/101) of those who offered them referred HIV exposed newborn for further PMTCT care. Knowledge of PMTCT was insufficient among 51% (94/183) of health providers and 90% (165/183) had insufficient PMTCT practices. Health providers with no PMTCT experience were more likely to have insufficient knowledge of PMTCT (aOR= 32.04, 95%CI: 6.29 to 163.10, p<0.001) whereas, those without any formal PMTCT training were more at risk of having insufficient knowledge (aOR= 3.02, 95%CI: 1.06 to 8.64, p=0.03) and insufficient practices (OR= 4.35, 95%CI: 1.44 to 13.09, p=0.009) towards PMTCT. Conclusion : Given their proximity to the populations and the PMTCT activities they conduct most often; particular attention should be paid to PMTCT in informal health centers.

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“…High rates of mother-to-child HIV transmission (MTCT) may contribute to an increase in pandemic rates. Research conducted by Nkwabong et al (2018) stated that knowledge is very important in implementing PMTCT program policies by midwives and has a significant influence (AOR= 9.01; 95% CI= 1.82 to 48.60).…”

Section: The Effect Of Midwife Knowledge On the Implementation Of Pmtct Prog Rammentioning

confidence: 99%

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

Sringatin

Budihastuti²,

Sulaeman

2020

J HEALTH POLICY MANAGE

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Background: High transmission of HIV from mother to child can contribute to an increase in the number of pandemic events. Transmission of HIV from mother to baby can be prevented by the PMTCT (Prevention of Mother to Child HIV Transmission) program. The purpose of this study is to analyze the implementation of PMTCT program policies by midwives. Subjects and Method:The design used in this study was observational analytic with cross sectional approach. The number of samples is 184 subjects. The sampling was done using total sampling. The independent variables included midwives' knowledge, midwife's age, job satisfaction, team performance, work environment, community support, training, and length of work. Meanwhile, the dependent variable is the implementation of PMTCT policies. Variable data collection was performed using a questionnaire and analyzed using multilevel analysis with Stata 13. Results: The implementation of PMTCT policies increased influenced by period of working ≥8 years (b= 0.50; 95% CI= 0.61 to 0.85; p= 0.004), training ≥2 times (b= 0.44; 95% CI= -0.13 to 0.76; p= 0.005), good midwife knowledge (b= 0.65; 95% CI= 0.36 to 0.93; p<0.001), midwife satisfaction is good (b= 0.05; 95% CI= -0.21 to 0.31; p= 0.694), and midwife performance is good (b= 0.59; 95% CI= 0.25 to 0.93; p= 0.001). The implementation of PMTCT policies decreased influenced by bad working environment (b= -0.09; 95% CI= -0.36 to 0.16; p= 0.451), age ≥35 years (b= -0.51; 95% CI= -0.80 to -0.24; p< 0.001), and small community support (b= -0.06; 95% CI= -0.38 to 0.25; p= 0.692). Public health centers have weak contextual influence on the implementation of PMTCT program policies with ICC= 6.6%.

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Knowledge, attitudes and practices of health personnel of maternities in the prevention of mother-to-child transmission of HIV in a sub-Saharan African region with high transmission rate: some solutions proposed

Cited by 15 publications

References 12 publications

Knowledge, Attitude and Practice Survey of the Recommended Infant Feeding Guidelines for HIV Positive Mothers by Primary Health Care Workers in Uyo, Nigeria

Knowledge, Attitude and Practice Survey of the Recommended Infant Feeding Guidelines for HIV Positive Mothers by Primary Health Care Workers in Uyo, Nigeria

Current state of prevention of mother-to-child transmission of HIV in informal health centers in Douala and Ebolowa, Cameroon

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

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