Uptake of prevention of mother-to-child transmission of human immunodeficiency virus interventions among infected mothers attending health facilities in Mombasa County, Kenya
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20241163Keywords:
Prevention, Mother-to-child transmission, Antenatal care, HIV/AIDS knowledgeAbstract
Background: The study was conducted in Mombasa County, Kenya, and aimed at the uptake of Prevention of Mother-to-Child Transmission interventions among HIV-infected mothers attending health facilities. A hospital-based cross-sectional study was used between May 2021 and October 2021, utilizing a self-administered structured questionnaire to collect data. The collected information was then analyzed using SPSS version 17 and STATA version 9.2.
Methods: The study utilized a descriptive cross-sectional research design.
Results: 84.8% of respondents exclusively breastfed their babies, and 77.3% received antiretroviral drugs (ARVs). Education level, being a housewife, and religion showed statistically significant associations with PMTCT service uptake (p<0.05). Additionally, 53.7% of participants demonstrated awareness of the importance of enrolling in PMTCT intervention services. The study highlighted high levels of knowledge among participants regarding PMTCT interventions, with 89.9% having correct knowledge of ARVs for children, 83.5% understanding the importance of counselling, 77.3% practicing modified infant feeding, and 85% acknowledging the necessity of delivering in a health facility. Knowledge of PMTCT components such as HIV counselling, ARV usage, facility-based delivery, and early diagnosis was significantly associated with the uptake of PMTCT interventions.
Conclusions: Utilization of PMTCT services among postnatal HIV-positive mothers was high among postnatal HIV-positive women who embraced the PMTCT interventions. The respondents had average knowledge concerning PMTCT services. This study suggests supporting and encouraging related stakeholders to provide education about MTCT.
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References
Preventing Mother-to-Child Transmission of HIV, HIV/AIDS Sudan Fact Sheet D. Available at: https://www.who.int. Accessed on 20 January 2024.
Velapi L, Mayers PM, Frantz J. Experiences of Mothers Living With HIV in a South African Prevention of Mother-to-Child Transmission of HIV Programme: A Qualitative Descriptive Study. J Assoc Nurses AIDS Care. 2023;34(2):188-97.
What countries need: Investments needed for 2010 targets. Available at: https://data.unaids.org/pub/ report/2009/jc1681_what_countries_need_en.pdf. Accessed on 20 January 2024.
Astawesegn FH, Stulz V, Agho KE, Mannan H, Conroy E, Ogbo FA. Prenatal HIV Test Uptake and Its Associated Factors for Prevention of Mother to Child Transmission of HIV in East Africa. Int J Environ Res Public Health. 2021;18(10):5289.
Kumari A, Kumar R. Fetal Outcome in HIV Positive Women at Tertiary Centre. IJOSR. 2017;5:2015-18.
Okal JO, Sarna A, Lango D, Matheka J, Owuor D, Kinywa EA, Kalibala S. Client Experiences in a Mobile-Phone Counseling Intervention for Enhancing Access to Prevention of Mother To-Child Transmission (PMTCT) Services in Kenya. Front Glob Womens Health. 2022;3:785194.
Saka AO, Onyeneho CA, Ndikom CM. Perception and utilization of prevention of mother-to-child transmission of human immunodeficiency virus (HIV) services among women living with HIV. Eur J Midwifery. 2021;5:41.
Mbonye AK, Hansen KS, Wamono F, Magnussen P. Barriers to prevention of mother-to-child transmission of HIV services in Uganda. J Biosoc Sci. 2010;42(2): 271-83.
Current HIV prevalent in Kenya, prevention, and control. Available at: https://hivpreventioncoalition. unaids.org/resources/kenya-2023-hiv-prevention-scorecard. Accessed on 20 January 2024.
Mnyani CN, Tait CL, Peters RPH, Struthers H, Violari A, Gray G, Buchmann EJ, Chersich MF, McIntyre JA. Implementation of a PMTCT programme in a high HIV prevalence setting in Johannesburg, South Africa: 2002-2015. South Afr J HIV Med. 2020;21(1):1024.
Matseke MG, Yonga AM, Kiss L, Onarheim KH. A systematic review of the effects of intimate partner violence on HIV-positive pregnant women in sub-Saharan Africa. BMC Public Health. 2022;22(1):220.
Jones DL, Rodriguez VJ, Soni Parrish M, Kyoung Lee T, Weiss SM, Ramlagan S, et al. Maternal and infant antiretroviral therapy adherence among women living with HIV in rural South Africa: a cluster randomised trial of the role of male partner participation on adherence and PMTCT uptake. Sahara J. 2021; 18(1):17-25.
Namara-Lugolobi E, Namukwaya Z, Owor M, Ouma J, Namale-Matovu J, Nakabiito C, et al. Twenty years of Prevention of Mother to Child HIV Transmission: research to implementation at a national referral hospital in Uganda. Afr Health Sci. 2022;22:22-33.
Hamilton ARL, le Roux KWDP, Young CW, Södergård B. Mentor Mothers Zithulele: exploring the role of a peer mentorship programme in rural PMTCT care in Zithulele, Eastern Cape, South Africa. Paediatr Int Child Health. 2020;40(1):58-64.
Zegeye B, Ahinkorah BO, Ameyaw EK, Seidu AA, Olorunsaiye CZ, Yaya S. Women's decision-making power and knowledge of prevention of mother to child transmission of HIV in sub-Saharan Africa. BMC Womens Health. 2022;22(1):115.
Aizire J, Fowler MG, Coovadia HM. Operational issues and barriers to implementation of prevention of mother-to-child transmission of HIV (PMTCT) interventions in Sub-Saharan Africa. Curr HIV Res. 2013;11(2):144-59.
Musarandega R, Robinson J, Sen PD, Hakobyan A, Mushavi A, Mahomva A, Woelk G. Using the critical path method to rollout and optimise new PMTCT guidelines to eliminate mother-to-child transmission of HIV in Zimbabwe: a descriptive analysis. BMC Health Serv Res. 2020;20(1):1042.
Ajewole OJ, Sparks BL, Omole OB. Uptake and factors that affect enrolment into the prevention of mother-to-child transmission of human immune-deficiency virus programme in rural Limpopo Province. S Afr Fam Pract. 2013;55(6):555-60
Gourlay A, Wringe A, Todd J, Cawley C, Michael D, Machemba R, et al. Uptake of services for prevention of mother-to-child transmission of HIV in a community cohort in rural Tanzania from 2005 to 2012. BMC Health Serv Res. 2016;16:4.
Ongaki D, Obonyo M, Nyanga N, Ransom J. Factors Affecting Uptake of PMTCT Services, Lodwar County Referral Hospital, Turkana County, Kenya, 2015 to 2016. J Int Assoc Provid AIDS Care. 2019.
Boateng D, Kwapong GD, Agyei-Baffour P. Knowledge, perception about antiretroviral therapy (ART) and prevention of mother-to-child-transmission (PMTCT) and adherence to ART among HIV positive women in the Ashanti Region, Ghana: a cross-sectional study. BMC Womens Health. 2013;13(1):2.
Deressa W, Seme A, Asefa A, Teshome G, Enqusellassie F. Utilization of PMTCT services and associated factors among pregnant women attending antenatal clinics in Addis Ababa, Ethiopia. BMC Pregnancy Childbirth. 2014;14:328.
Cherie S, Workie H, Kassie T, Bitew A, Samuel T. Pregnant Women's Knowledge, Attitude, and Practice Towards the Prevention of Mother to Child Transmission of HIV/AIDS in Dil Chora Referral Hospital, Dire Dawa, Eastern Ethiopia: A Cross-Sectional Study. HIV AIDS. 2022;14:45-60.
Harms G, Schulze K, Moneta I, Baryomunsi C, Mbezi P, Poggensee G. Mother-to-child transmission of HIV and its prevention: awareness and knowledge in Uganda and Tanzania. Sahara J. 2005;2(2):258-66.