The achilles
SOURCE: Sahara J: Journal of Social Aspects of HIV/AIDS
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2017
TITLE AUTHOR(S): V.J.Rodriguez, R.P.LaCabe, C.K.Privette, M.Douglass, K.Peltzer, G.Matseke, A.Mathebula, S.Ramlagan, S.Sifunda, G.W.Prado, V.Horigian, S.M.Weiss, D.L.Jones
KEYWORDS: HIV/AIDS, PREVENTION OF MOTHER TO CHILD TRANSMISSION (PMTCT) PROGRAMME
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 9973
HANDLE: 20.500.11910/11229
URI: http://hdl.handle.net/20.500.11910/11229
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2017
TITLE AUTHOR(S): V.J.Rodriguez, R.P.LaCabe, C.K.Privette, M.Douglass, K.Peltzer, G.Matseke, A.Mathebula, S.Ramlagan, S.Sifunda, G.W.Prado, V.Horigian, S.M.Weiss, D.L.Jones
KEYWORDS: HIV/AIDS, PREVENTION OF MOTHER TO CHILD TRANSMISSION (PMTCT) PROGRAMME
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 9973
HANDLE: 20.500.11910/11229
URI: http://hdl.handle.net/20.500.11910/11229
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
The Joint United Nations Programme on HIV and AIDS proposed to reduce the vertical transmission of HIV from 72,200 to 8300 newly infected children by 2015 in South Africa (SA). However, cultural, infrastructural, and socio-economic barriers hinder the implementation of the prevention of mother-to-child transmission (PMTCT) protocol, and research on potential solutions to address these barriers in rural areas is particularly limited. This study sought to identify challenges and solutions to the implementation, uptake, and sustainability of the PMTCT protocol in rural SA. Forty-eight qualitative interviews, 12 focus groups discussions, and one two-day workshop ) were conducted with district directors, clinic leaders, staff, and patients from 12 rural clinics. The delivery and uptake of the PMTCT protocol was evaluated using the Consolidated Framework for Implementation Research (CFIR); 15 themes associated with challenges and solutions emerged. Intervention characteristics themes included PMTCT training and HIV serostatus disclosure. Outer-setting themes included facility space, health record management, and staff shortage; inner-setting themes included supply use and availability, staff-patient relationship, and transportation and scheduling. Themes related to characteristics of individuals included staff relationships, initial antenatal care visit, adherence, and culture and stigma. Implementation process themes included patient education, test results delivery, and male involvement. Significant gaps in care were identified in rural areas. Information obtained from participants using the CFIR framework provided valuable insights into solutions to barriers to PMTCT implementation. Continuously assessing and correcting PMTCT protocol implementation, uptake and sustainability appear merited to maximize HIV prevention.-
Related Research Outputs:
- Prevention of mother to child transmission: a report of an assessment of a pilot programme in fifteen health facilities in Gauteng province
- The costing of a rural PMTCT pilot site in the Eastern Cape
- Factors influencing the utilisation of prevention of mother-to-child-transmission (PMTCT) services by pregnant women in the eastern Cape, South Africa
- The practicalities of using Nevirapine for PMTCT in under-resourced settings: the case of Qaukeni district in the eastern Cape province, South Africa
- Prevention of HIV from mother to child (PMTCT) in a resource poor setting in the Eastern Cape, South Africa: baseline survey of pregnant women
- Follow-up survey of women who have undergone PMTCT in a resource poor setting
- Barriers to prevention of HIV transmission from mother to child (PMTCT) in a resource poor setting in the Eastern Cape, South Africa
- Family planning among HIV positive and negative prevention of mother to child transmission (PMTCT) clients in a resource poor setting in South Africa
- PMTCT services in a rural district municipality of the Eastern Cape, South Africa
- Experiences of PMTCT services by HIV+ mothers in the Eastern Cape of South Africa
- Experiences of prevention of mother to child transmission services by HIV+ mothers in the Eastern Cape of South Africa
- Follow-up survey of women who have undergone a prevention of mother-to-child transmission program in a resource-poor setting in South Africa
- Barriers to implementation of PMTCT program in the Eastern Cape of South Africa
- Assessing missed opportunities for the prevention of mother-to-child HIV transmission in an Eastern Cape local service area
- Programme to improve implementation of the Prevention of Mother to Child Transmission of HIV in Gert Sibande district in Mpumalanga, South Africa: baseline assessment: preliminary report
- Optimising the implementation of the Prevention of Mother to Child Transmission (PMTCT) of HIV programme in Camdeboo Local Service Area (LSA) of the Eastern Cape, South Africa: report on rapid baseline assessment
- Optimising the implementation of the Prevention of Mother to Child Transmission (PMTCT) of HIV programme in Makana Local Service Area (LSA) of the Eastern Cape, South Africa: report on rapid baseline assessment
- Obstacles in executing preventions plans for HIV birth infections
- Barriers to implementation of PMTCT program in the Eastern Cape of South Africa
- Child and mother indicators of progress towards the MDG: a four country comparison