‘Making the most of our situation’: a qualitative study reporting health providers’ perspectives on the challenges of implementing the prevention of mother-to-child transmission of HIV services in Lagos, Nigeria

Kram, Nidal; Yesufu, Victoria; Lott, Breanne E.; Palmer, Kelly; Balogun, Mobolanle; Ehiri, John E.

doi:10.1136/bmjopen-2020-046263

Cited by 9 publications

(13 citation statements)

References 41 publications

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“…This finding corresponds with a qualitative study in a similar setting where the fear of disclosure among HIV-positive women was influenced by their economic dependency on men, among other factors. 26 A previous study identified the largest barrier to spousal disclosure, which was fear of negative outcomes, especially divorce. Disclosure is a process that requires preparedness and time, as described in the process-oriented framework or disclosure processes model.…”

Section: Discussionmentioning

confidence: 99%

Birth Preparedness Plans and Status Disclosure Among Pregnant Women Living with HIV Who are Receiving Antiretroviral Therapy in Ibadan, Southwest, Nigeria

Akinwaare

Okanlawon

Popoola

et al. 2023

International Journal of MCH and AIDS

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Background: Promoting the maternal health of pregnant women who are living with human immunodeficiency virus (HIV; [PWLH]) is key to reducing maternal mortality and morbidity. Thus, inadequate birth preparedness plans, non-institutional delivery, and status concealment among PWLH contribute to the spread of HIV infection and threaten the prevention of mother-to-child transmission (PMTCT). Therefore, this study aimed to assess the birth preparedness plan and status disclosure among PWLH, as well as the prevalence of HIV infection among pregnant women. Methods: The study adopted a descriptive cross-sectional research design; a quantitative approach was used for data collection. Three healthcare facilities that represented the three levels of healthcare institutions and referral centers for the care of PWLH in the Ibadan metropolis were selected for the recruitment process. A validated questionnaire was used to collect data from 77 participants within the targeted population. Ethical approval was obtained prior to the commencement of data collection. Results: The prevalence rate of HIV infection among the participants was 3.7%. Only 37.1% of the participants had a birth preparedness plan. A total of 40% of the participants tested for HIV, because testing was compulsory for antenatal registration. Only 7.1% of the participants had their status disclosed to their partners. Although 90% of the participants proposed delivering their babies in a hospital, only 80% of these participants had their status known in their proposed place of birth. Conclusion and Global Health Implications: The prevalence of HIV infection among pregnant women is very low, which is an indication of improved maternal health. However, the level of birth preparedness plan and status disclosure to partners are equally low, and these factors can hinder PMTCT. Institutional delivery should be encouraged among all PWLH, and their HIV status must be disclosed at their place of birth. Copyright © 2023 Akinwaare et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

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Section: Discussionmentioning

confidence: 99%

Birth Preparedness Plans and Status Disclosure Among Pregnant Women Living with HIV Who are Receiving Antiretroviral Therapy in Ibadan, Southwest, Nigeria

Akinwaare

Okanlawon

Popoola

et al. 2023

International Journal of MCH and AIDS

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“…The data collection process was carefully undertaken to ensure the quality of the data, and we ensured that data collectors who were selected had prior data collection experience. Prior to data collection, a pre-test was administered to ten (10) ART patients in the Asunafo North Municipal on populations that were similar. Throughout the whole data collection period, the investigators conducted intensive supervision on a daily basis.…”

Section: Quality Controlmentioning

confidence: 99%

“…Additionally, it was discovered that patients in Lagos, Nigeria, provided false contact details out of a refusal to accept HIV-positive results and to enrol in treatment, as well as a fear of stigma associated with the virus [10]. In Ghana, not much research has been conducted to investigate the precise causes of HIV patient loss from antiretroviral therapy (ART), particularly in the Asunafo South District of the Ahafo Region.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting patients on antiretroviral therapy lost to follow up in Asunafo South District of Ahafo Region, Ghana: Cross-sectional Study

Kogi,

Krah,

Asampong

et al. 2024

Preprint

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Background: Despite the increased and effective program coverage for antiretroviral therapy (ART), a considerable proportion of individuals receiving ART discontinue medication at different stages of their treatment pathway. In sub-Saharan Africa, approximately half of individuals who test positive for HIV are lost to follow-up. This study was set out to answer the following question: What are the factors that affect patients on ART loss to follow-up in the Asunafo South District of Ghana? Methodology: A cross-sectional study design with systematic random sampling was employed to select HIV patients on ART and those lost to follow-up. Stata 17.0 was used to analyze the data. A cox-proportional hazard regression was fitted in order to determine the predictor variables. Variables for the multivariable cox-proportional hazard regression model were chosen by entering the outcome variable (loss to follow-up) and explanatory variables into the model. Lastly, the association between the explanatory and outcome factors was determined using the adjusted hazard ratios and their associated 95 percent confidence interval. Findings: Patients who began antiretroviral therapy at age 41 or older had a significantly lower chance of being lost to follow-up than those who began ART at age 35 or less. Furthermore, patients who started ART with a primary education had 1.68-fold increased risk of lost to follow-up compared to patients with no education. In addition, patients in rural locations had a 2.65-fold higher likelihood of being lost to follow-up than patients in urban areas. The main reasons for missing ART appointments among patients included walking a long distance to the clinic, the cost of transportation, fear of scolding from clinic staff, stigma, and an erratic supply of antiretrovirals. In conclusion, to reduce the number of HIV patients lost to follow-up, all clinicians and stakeholders should take into account the risk factors that have been identified when providing ART services and counselling.

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“…These collaborations are essential to address the multifaceted challenges and harness the opportunities for effective delivery of healthcare services, particularly in preventing mother-to-child transmission (PMTCT) of diseases like HIV. A qualitative study conducted in Lagos, Nigeria, investigated the challenges and opportunities for effective delivery of PMTCT services from the perspectives of primary healthcare providers (Kram et al, 2021). The study highlighted the importance of addressing patient-and health system-level challenges to improve PMTCT service delivery.…”

Section: Partnerships With Healthcare Providers and Institutionsmentioning

confidence: 99%

“…To address these challenges, providers suggested the provision of adequate supplies and training of healthcare workers. Additionally, to mitigate stigmatization, participants recommended home-based care, collaboration with traditional birth attendants and religious institutions, and designating an HIV health educator for each neighborhood (Kram et al, 2021).…”

Section: Partnerships With Healthcare Providers and Institutionsmentioning

confidence: 99%

Advancing Women's Health in Nigeria: A Review of Laboratory Science Contributions Description

Maduka,

Adegoke,

Okongwu

et al. 2023

Malays. Mtl. Hlth.

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This review delineates the profound contributions of laboratory science to women’s health in Nigeria, aiming to elucidate the advancements and innovations that have been instrumental in addressing the myriad of health challenges faced by women. The method involved a meticulous examination of the existing literature, focusing on historical contexts, modern developments, diagnostic advancements, and reproductive health interventions, emphasising the practical implications of laboratory science initiatives in Nigeria. The results revealed significant insights into the efficacy of laboratory science contributions, highlighting the obstacles encountered in implementing initiatives and the repercussions for women’s health in Nigeria. The review identified discernible gaps in the literature and offered suggestions for amplified impact on women’s health, outlining potential directions for subsequent research. The conclusion underscored the indispensable role of laboratory science in deciphering the complexities of women’s health, offering a beacon of hope in the quest for enhanced women’s health in Nigeria. The recommendations emphasize the importance of addressing structural sexism in medicine, enhancing food safety, strengthening local capacity, fostering collaboration, and developing holistic and sustainable approaches to improving women’s health. This review provides a foundation upon which future endeavors can be built to elevate the health outcomes of women in Nigeria.

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‘Making the most of our situation’: a qualitative study reporting health providers’ perspectives on the challenges of implementing the prevention of mother-to-child transmission of HIV services in Lagos, Nigeria

Cited by 9 publications

References 41 publications

Birth Preparedness Plans and Status Disclosure Among Pregnant Women Living with HIV Who are Receiving Antiretroviral Therapy in Ibadan, Southwest, Nigeria

Birth Preparedness Plans and Status Disclosure Among Pregnant Women Living with HIV Who are Receiving Antiretroviral Therapy in Ibadan, Southwest, Nigeria

Factors affecting patients on antiretroviral therapy lost to follow up in Asunafo South District of Ahafo Region, Ghana: Cross-sectional Study

Advancing Women's Health in Nigeria: A Review of Laboratory Science Contributions Description

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