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Review
. 2014 Oct 15:19:154.
doi: 10.11604/pamj.2014.19.154.4225. eCollection 2014.

Barriers to successful implementation of prevention-of-mother-to-child-transmission (PMTCT) of HIV programmes in Malawi and Nigeria: a critical literature review study

James Christian Okoli  1 , Gail Elizabeth Lansdown  1
Affiliations
Review

Barriers to successful implementation of prevention-of-mother-to-child-transmission (PMTCT) of HIV programmes in Malawi and Nigeria: a critical literature review study

James Christian Okoli et al. Pan Afr Med J. .

Abstract

Mother-to-child-transmission (MTCT) of HIV still remains a significant route of new HIV infection in children in Malawi and Nigeria, despite the introduction of Prevention-of-Mother-to-Child-Transmission (PMTCT) of HIV programmes in both countries. A critical literature review, based on the findings from 12 primary research articles, explores the reasons for the inadequacy and failure of PMTCT. Findings show socioeconomic and sociocultural factors as the biggest barriers to the success of PMTCT programmes. Other factors include: limited male involvement, the organization of PMTCT and health workers' inefficiency. In conclusion, PMTCT programmes will remain inefficient unless these factors are addressed. There is an urgent need to strengthen PMTCT programmes by stakeholders through a collaborative strategic effort to ensure high PMTCT programme uptake in Malawi and Nigeria, in order to eliminate HIV/AIDS in children.

Keywords: Africa; HIV/AIDS; Malawi; Nigeria; PMTCT; VCT; antiretroviral drugs; breastfeeding; mother-to-child-transmission.

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Figures

Figure 1
Figure 1
Taxonomic map showing the combination of identical and similar codes to form them
See this image and copyright information in PMC

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