Access to HIV/Aids care for mothers and children in sub-Saharan Africa
Adherence to the postnatal PMTCT program
Bibliographic Data
| ID | 19442920 |
|---|---|
| Authors | Mercy Nassali (0000-0002-9501-7803, Makerere University), Damalie Nakanjako (0000-0002-0935-2112, Makerere University, corresponding author), Daniel Kyabayinze (0000-0002-0539-1341, c Research Department, Malaria Consortium Africa , COMDIS , Kampala , Uganda), Jolly Beyeza (Makerere University), Anthony Okoth (Makerere University), Twaha Mutyaba (Makerere University) |
| Year | 2009 |
| Volume | 21 |
| Issue | 9 |
| Pages | 1124-1131 |
| Publication date | 2009-09-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540120802707467 |
| PMID | 20024771 |
| OpenAlex | W2005087233 |
| Language | EN |
| Citations received | 15 |
| References cited | 17 |
Despite scale up of perinatal prevention of mother-to-child transmission (PMTCT) of HIV interventions, postnatal continuity of comprehensive HIV/AIDS care, for both the mother and baby, remains a challenge in developing countries. We determined adherence to the postnatal PMTCT program (PN-PMTCT) and the associated factors among mothers at a public urban hospital in Uganda. We interviewed HIV-positive postnatal mothers on discharge and we determined adherence to PN-PMTCT by the proportion of mothers that honored their return appointments by the end of eight weeks postpartum. We had focus group discussions to assess factors that influence adherence to PN-PMTCT. Of 289 mothers, only 110 (38%) adhered to PN-PMTCT. Previous attendance of a routine postnatal review and having access to a phone were significantly associated with adherence to PMTCT among mothers older than 25 years (odds ratio (OR) 3.6 (95% confidence interval (CI); 1.2-10.4)) and (OR 3.1 (95% CI; 1.3-7.1)), respectively. On the other hand, Christianity (OR 3.2 (95% CI; 1.1-9.0)) was significantly associated with adherence to PN-PMTCT among mothers below 25 years of age. Mothers' perceived benefits of the PN-PMTCT program, easy access to the program, and presence of social support from a spouse were important motivators for mothers to adhere to PN-PMTCT. Even with improved antenatal and intra-partum PMTCT services, only a third of the HIV-infected mothers adhered to the PN-PMTCT program. Mothers who previously attended a routine postnatal care were 3.6 fold more likely to adhere to PN-PMTCT. We recommend strategies to increase mothers' adherence to PN-PMTCT interventions in order to increase access to HIV/AIDS care for mothers and children in sub-Saharan Africa
Attendance · Confidence interval · Developing country · Family medicine · Odds ratio · Postnatal Care · Pregnancy · Psychological intervention · Spouse · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Nursing · Poverty, Education, and Child Welfare · Internal Medicine
Impact of Geographic and Transportation-Related Barriers on HIV Outcomes in Sub-Saharan Africa
A Systematic Review of Individual and Contextual Factors Affecting ART Initiation, Adherence, and Retention for HIV-Infected Pregnant and Postpartum Women
Reasons for poor adherence to antiretroviral therapy postnatally in HIV-1 infected women treated for their own health
Facilitating HIV status disclosure for pregnant women and partners in rural Kenya
Adherence and virologic suppression during the first 24 weeks on antiretroviral therapy among women in Johannesburg, South Africa - a prospective cohort study
Prenatal and Postnatal Intimate Partner Violence and Associated Factors Among HIV-Infected Women in Rural South Africa
Low Birthweight, Retention in HIV Care, and Adherence to ART Among Postpartum Women Living with HIV in Ghana
Couples’ decision making regarding the use of multipurpose prevention technology (MPT) for pregnancy and HIV prevention
Exploring the relevance of male involvement in the prevention of mother to child transmission of HIV services in Blantyre, Malawi
Disclosure of HIV serostatus among pregnant and postpartum women in sub-Saharan Africa
Factors influencing utilization of postpartum CD4 count testing by HIV-positive women not yet eligible for antiretroviral treatment
HIV status disclosure patterns and male partner reactions among pregnant women with HIV on lifelong ART in Western Kenya
The impact of HIV couple testing and counseling on social support among pregnant women and their partners in Lilongwe, Malawi
Factors affecting adherence to short-course ARV prophylaxis for preventing mother-to-child transmission of HIV in sub-Saharan Africa
Intimate partner violence and HIV-positive women's non-adherence to antiretroviral medication for the purpose of prevention of mother-to-child transmission in Lusaka, Zambia
Antenatal Couple Counseling Increases Uptake of Interventions to Prevent HIV-1 Transmission
Mortality of infected and uninfected infants born to HIV-infected mothers in Africa
Prevention of Mother-to-Child HIV Transmission in Resource-Poor Countries
Intrapartum and neonatal single-dose nevirapine compared with zidovudine for prevention of mother-to-child transmission of HIV-1 in Kampala, Uganda
To tell or not to tell
Exploring socio-economic conditions and poor follow-up rates of HIV-exposed infants in Johannesburg, South Africa
Acceptance of Routine Testing for HIV among Adult Patients at the Medical Emergency Unit at a National Referral Hospital in Kampala, Uganda
Maternal Health and HIV
| Unique citing works | 15 |
|---|---|
| Citations per year | 1 |
| Citation span | 2011 - 2022 (12) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 15 |