Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Dec 12:2018:5127090.
doi: 10.1155/2018/5127090. eCollection 2018.

Status of Prevention of Mother-to-Child Transmission (PMTCT) Services Utilization and Factors Affecting PMTCT Service Uptake by Pregnant Women Attending Antenatal Care Clinic in Selected Health Facilities of Afar Regional State, Ethiopia

Chalachew Genet Akal  1 , Dessie Tegegne Afework  2
Affiliations

Status of Prevention of Mother-to-Child Transmission (PMTCT) Services Utilization and Factors Affecting PMTCT Service Uptake by Pregnant Women Attending Antenatal Care Clinic in Selected Health Facilities of Afar Regional State, Ethiopia

Chalachew Genet Akal et al. J Environ Public Health. .

Abstract

Mother-to-child transmission (MTCT) is the predominant way for children to acquire human immunodeficiency virus (HIV) infection worldwide including Ethiopia. Thus, objective of this study was to determine the status of prevention of mother-to-child transmission (PMTCT) services utilization and factors affecting PMTCT utilization in health facilities of Afar region, Ethiopia. A cross-sectional study was conducted from December 2014 to April 2015 taking 347 pregnant women and 22 health care providers. Data were collected using a questioner prepared separately for pregnant women and health care providers involved in PMTCT service delivery. Data were analyzed using SPSS considering P value <0.05 statistical significant. The study indicated that the PMTCT service utilization was 67.7%. The study also showed that there is statistically significant association in using PMTCT service with women education level, monthly income, and residence around PMTCT site. Though not statistically significant, excess waiting time, limited physical access to PMTCT sites, and transportation problem were identified as barriers for PMTCT service utilization by pregnant women. Though knowledge of mothers on MTCT of HIV and PMTCT service utilization in agropostural community of Afar region was promising, there were also different barriers identified hindering PMTCT utilization. Thus, we recommend "Wored" and zonal health office to create awareness on significance of PMTCT service in the community, enhance accessibility of PMTCT sites, provide up-to-date trainings for health care providers, and ensure constant supply for PMTCT service.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Professional mix of health professionals providing PMTCT service in five health facilities studied from December 2014 to April 2015 in Afar regional state, Ethiopia.
Figure 2
Figure 2
The involvement of different parties in the decision of pregnant women for HIV testing during their ANC follow up in selected health facilities of Afar region, Ethiopia from December 2014 to April 2015. HP/S: husband or partner support; HCP: health care provider; FM: family members.
Figure 3
Figure 3
Factors listed by health professionals as a major challenge in utilization of PMTCT service in five health facilities studied from December 2014 to April 2015 in the Afar regional state, Ethiopia. LTFPMTCTGM: lack of training following PMTCT guideline modification; SMED for PMTCT: shortage of materials, equipment, and drug for PMTCT, HAT: hot temperature of the area; LB: language barrier; SSPMTCTP shortage of skilled PMTCT providers; LAI on PMTC service BPMTCTU: lack of awareness and ignorance on PMTCT service by PMTCT users.
See this image and copyright information in PMC

References

    1. United States President’s Emergency Plan for AIDS Relief. Prevention of mother-to-child transmission. 2008. https://www.pepfar.gov/documents/organization/79663.pdf.
    1. Ejigu Y., Tadesse B. HIV testing during pregnancy for prevention of mother-to-child transmission of HIV in Ethiopia. PLoS One. 2018;13(8) doi: 10.1371/journal.pone.0201886.e0201886 - DOI - PMC - PubMed
    1. WHO. HIV/AIDS data and statistics. 2017. http://www.who.int/hiv/data/en/
    1. WHO. Antiretroviral Drugs for Treating Pregnant Women and Preventing HIV Infection in Infants: Towards Universal Access: Recommendations for a Public Health Approach. Geneva, Switzerland: WHO; 2006. - PubMed
    1. Federal Democratic Republic of Ethiopia, Ministry of Health. Policy and practice information for action. 2014. https://www.unicef.org/ethiopia/FMOHPolicyPracticeBulletinApril14.pdf.

MeSH terms