Reasons for loss to follow-up among mothers registered in a prevention-of-mother-to-child transmission program in rural Malawi

Bwirire, L.D.; Fitzgerald, Margaret; Zachariah, Rony; Chikafa, V.; Massaquoi, Moses; Moens, M.; Kamoto, Kelita; Schouten, Erik J

doi:10.1016/j.trstmh.2008.04.002

Cited by 125 publications

(149 citation statements)

References 13 publications

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“…Our findings are consistent with those of other studies [16][17][18][19] in which it was found that implementation of PMTCT services for pregnant women improves the coverage and acceptability of screening and related services. Our findings that providers' organization and motivation play a crucial role in improving the use of HIV testing and PMTCT services are also consistent with those of previous studies [10].…”

Section: Discussionsupporting

confidence: 93%

Nurses and midwives’ perceptions of option B+ treatment protocol for the prevention of mother-to-child transmission of HIV in Lubumbashi, Democratic Republic of Congo

Diese¹,

Villeneuve²,

Salumu³

et al. 2017

Virol Res Rev

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Background : Antiretroviral combination therapy is known as option B+ for the prevention of mother-to-child transmission (PMTCT) of human immunodeficiency virus (HIV). Administration of therapy is a task delegated to nurses and midwives who are involved in pre-and post-natal consultations in the health facilities that have integrated this intervention. This study was carried out to understand the perceptions of providers in Lubumbashi, Democratic Republic of Congo regarding the tasks delegated to them, and to identify the challenges they face in implementation of option B+.

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Section: Discussionsupporting

confidence: 93%

Nurses and midwives’ perceptions of option B+ treatment protocol for the prevention of mother-to-child transmission of HIV in Lubumbashi, Democratic Republic of Congo

Diese¹,

Villeneuve²,

Salumu³

et al. 2017

Virol Res Rev

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“…Since integration of PMTCT services within the ANC was not universally available in all the health centres pregnant women may be reluctant to be seen in the waiting area with HIV/AIDS patients. The social stigma and the potential consequences in case AIDS Care 277 of disclosure of their HIV status to their family may prevent some women to attend for follow-up to the clinic (Bwirire et al, 2008). After delivery, a significant percentage of babies (19.3%) were also lost to follow-up showing a second bottleneck in the programme.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a PMTCT programme in rural Western Kenya

et al. 2011

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We assess the coverage of a Prevention of Mother-to-child Transmission (PMTCT) programme in Busia (Kenya) from 1 January 2006 to 31 December 2008 and estimate the risk of transmission of HIV. We also estimate the odds of HIV transmission according to pharmacological intervention received. Programme coverage was estimated as the proportion of motherÁbaby pairs receiving any antiretroviral (ARV) regimen among all HIVpositive women attending services. We estimated the mother-to-child transmission (MTCT) rate and their 95% confidence interval (95%CI) using the direct method of calculation (intermediate estimate). A caseÁcontrol study was established among all children born to HIV-positive mothers with information on outcome (HIV status of the babies) and exposure (data on pharmacological intervention). Cases were all HIV-positive children and controls were the HIV-negative ones. Exposure was defined as: (1) complete protocol: ARV prescribed according World Health Organisation recommendations; (2) partial protocol: does not meet criteria for complete protocol; and (3) no intervention: ARVs were not prescribed to both mother and child. Babies were tested using DNA Polymerase Chain Reaction at six weeks of life and six weeks after breastfeeding ceased. In the study period, 22,566 women accepted testing, 1668 were HIV positive (7.4%; 95%CI 7.05Á7.73); 1036 (62%) registered in the programme and 632 were lost. Programme coverage was 40.4% (95%CI 37.9Á42.7). Out of the 767 newborns, 28 (3.6%) died, 148 (19.3%) defaulted, 282 (36.7%) were administratively censored and 309 (40.2%) babies completed the follow-up as per protocol; 49 were HIV positive and MTCT risk was 15.86% (95%CI 11.6Á20.1). The odds of having an HIV-positive baby was 4.6 times higher among pairs receiving a partial protocol compared to those receiving a complete protocol and 43 times higher among those receiving no intervention. Our data show a good level of enrolment but low global coverage rate. It demonstrates that ARV regimens can be implemented in low resource rural settings with marked decreases of MTCT. Increasing the coverage of PMTCT programmes remains the main challenge.

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“…13 24 Uma das fontes de suporte social instrumental mencionada [16][17][18][19] são os PPTVs, os quais utilizaram uma abordagem centrada na família e dessa forma, contribuíram para divulgação do estado sorológico, e para a adesão aos antirretrovirais. Nesta perspectiva 13,19,23 destaca-se a importância da participação de mulheres em PPTV, as quais realizaram a divulgação de seu diagnóstico e receberam apoio dos seus familiares. Assim, foram evidenciadas as…”

Section: Discussão Fontes E As Repercussões Do Suporte Social Instrumunclassified

“…Participação em programas de prevenção 13,16,[18][19][20][23][24][25][26][27][28] Acolhimento da equipe de saúde 11,16,21,24 Educação em saúde 20 Conforto das condições de saúde 24 Divulgação do estado sorológico [16][17][18][19] Aderir às medidas de profilaxia da TV 11,[16][17][18][19] Repercussões na saúde sexual 13 Deus e a fé 15,24,27 Divulgação do estado sorológico 29 Motivação para aceitar o diagnóstico e o tratamento 24 repercussões na saúde sexual: consideraram-se com maior capacidade para negociar o planejamento familiar, além do uso de preservativo, e solicitar ao companheiro que realizasse o teste de anticorpos do HIV.…”

Section: Suporte Instrumentalunclassified

“…Entretanto, os estudos [23][24][25][26][27][28] demonstram algumas barreiras para perda do seguimento do acompanhamento do PPTV como o acesso diante das dificuldades financeiras enfrentadas pelas gestantes. Além disso, as mulheres com doenças oportunistas decorrentes da infecção pelo HIV que procuraram cuidados para sua própria saúde, encontraram incompleta a oferta de medicamentos, e, ainda, relataram longos tempos de espera para atendimentos hospitalares.…”

Section: Suporte Instrumentalunclassified

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Suporte social de gestantes com HIV: revisão narrativa

Quadros¹,

Hausen²,

Reis

et al. 2017

Rev Enferm UFSM

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Objetivo: Identificar, na produção científica, as fontes e repercussões de suporte social das gestantes com HIV. Método: Revisão narrativa nas bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde, National Library of Medicine/National Institutes of Health e SciVerse Scopus. O levantamento dos dados ocorreu em fevereiro de 2016, quando foram incluídos 20 estudos submetidos à análise temática com categorização teórica de suporte social (instrumental e emocional). Resultados: As principais fontes do suporte instrumental foram: participação em programas de prevenção, acolhimento e educação em saúde pela equipe; e do suporte emocional foram o companheiro, amigos, familiares e Deus. As principais repercussões foram na revelação do diagnóstico e adesão à profilaxia da transmissão vertical. Conclusão: A falta de articulação entre as fontes de suporte social pode implicar no abandono dos cuidados em saúde materno e infantil.

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Reasons for loss to follow-up among mothers registered in a prevention-of-mother-to-child transmission program in rural Malawi

Cited by 125 publications

References 13 publications

Nurses and midwives’ perceptions of option B+ treatment protocol for the prevention of mother-to-child transmission of HIV in Lubumbashi, Democratic Republic of Congo

Nurses and midwives’ perceptions of option B+ treatment protocol for the prevention of mother-to-child transmission of HIV in Lubumbashi, Democratic Republic of Congo

Effectiveness of a PMTCT programme in rural Western Kenya

Suporte social de gestantes com HIV: revisão narrativa

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