Strategies to Eliminate Mother-to-Child Transmission of HIV in Addis Ababa, Ethiopia (Qualitative Study)

Girum Sebsibie Teshome,1 Lebitsi Maud Modiba2 1School of Nursing and Midwifery, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia; 2Department of Health Studies, University of South Africa, Pretoria, South AfricaCorrespondence: Girum Sebsibie TeshomeSchool of Nursing and Midwi...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Teshome GS, Modiba LM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	strategies elimination of mother to child hiv transmission hiv testing and counselling prevention of mother to child transmission disclosure breast milk bank Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/7f60c9f5bec048959a6f08e3c21e20c1
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7f60c9f5bec048959a6f08e3c21e20c1
record_format	dspace
spelling	oai:doaj.org-article:7f60c9f5bec048959a6f08e3c21e20c12021-12-02T11:52:52ZStrategies to Eliminate Mother-to-Child Transmission of HIV in Addis Ababa, Ethiopia (Qualitative Study)1179-1373https://doaj.org/article/7f60c9f5bec048959a6f08e3c21e20c12020-12-01T00:00:00Zhttps://www.dovepress.com/strategies-to-eliminate-mother-to-child-transmission-of-hiv-in-addis-a-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Girum Sebsibie Teshome,1 Lebitsi Maud Modiba2 1School of Nursing and Midwifery, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia; 2Department of Health Studies, University of South Africa, Pretoria, South AfricaCorrespondence: Girum Sebsibie TeshomeSchool of Nursing and Midwifery, College of Health Science, Addis Ababa University, EthiopiaEmail girumseb@gail.comLebitsi Maud ModibaDepartment of Health Studies, University of South Africa, South AfricaEmail modiblm@unisa.ac.zaObjective: Globally, nearly 38 million people are living with HIV, and 1.8 million are children. Each day approximately 5600 people acquire HIV. Since the emerging of HIV, 78 million people have been infected and close to 39 million have died. In developing countries, from all new HIV infections, half are because of mother-to-child transmission (MTCT). The aim of this study is to evaluate the effect of option B+ prevention of mother-to-child HIV transmission (PMTCT) and to develop strategies that contribute to eliminate MTCT in Addis Ababa, Ethiopia.Methods: The study was conducted in three hospitals of Addis Ababa, Ethiopia, with a qualitative approach. Sixteen (16) in-depth interviews of HIV-positive mothers who had PMTCT follow-up and six focus group discussions with health professionals who work at a PMTCT unit were conducted. To analyse the data ATLAS.ti version 7 was used.Results: According to the findings of this study mother-to-child HIV transmission was associated with lack of HIV-discordant couples counselling guideline, lack of HIV disclosure strategy and counselling guidelines, unavailability of special PMTCT counselling guideline for HIV-positive commercial sex worker mothers and lack of HIV-free human breast milk (banked human breast milk) for PMTCT. Based on the study findings, a strategy that contributes to eliminate MTCT was developed.Conclusion: Based on the research finding, the following four strategies were developed. Strategy 1: establish and use banked human breast milk for elimination of MTCT; Strategy 2: incorporate obligatory policy for discordant couple testing, counselling and disclosure with option B+ PMTCT; Strategy 3: develop disclosure policy and counselling guideline for PMTCT; and Strategy 4: formulate special PMTCT guideline for HIV-positive commercial sex worker mothers.Keywords: strategies, elimination of mother-to-child HIV transmission, HIV testing and counselling, prevention of mother-to-child transmission, disclosure, breast milk bankTeshome GSModiba LMDove Medical Pressarticlestrategieselimination of mother to child hiv transmissionhiv testing and counsellingprevention of mother to child transmissiondisclosurebreast milk bankImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 12, Pp 821-837 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	strategies elimination of mother to child hiv transmission hiv testing and counselling prevention of mother to child transmission disclosure breast milk bank Immunologic diseases. Allergy RC581-607
spellingShingle	strategies elimination of mother to child hiv transmission hiv testing and counselling prevention of mother to child transmission disclosure breast milk bank Immunologic diseases. Allergy RC581-607 Teshome GS Modiba LM Strategies to Eliminate Mother-to-Child Transmission of HIV in Addis Ababa, Ethiopia (Qualitative Study)
description	Girum Sebsibie Teshome,1 Lebitsi Maud Modiba2 1School of Nursing and Midwifery, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia; 2Department of Health Studies, University of South Africa, Pretoria, South AfricaCorrespondence: Girum Sebsibie TeshomeSchool of Nursing and Midwifery, College of Health Science, Addis Ababa University, EthiopiaEmail girumseb@gail.comLebitsi Maud ModibaDepartment of Health Studies, University of South Africa, South AfricaEmail modiblm@unisa.ac.zaObjective: Globally, nearly 38 million people are living with HIV, and 1.8 million are children. Each day approximately 5600 people acquire HIV. Since the emerging of HIV, 78 million people have been infected and close to 39 million have died. In developing countries, from all new HIV infections, half are because of mother-to-child transmission (MTCT). The aim of this study is to evaluate the effect of option B+ prevention of mother-to-child HIV transmission (PMTCT) and to develop strategies that contribute to eliminate MTCT in Addis Ababa, Ethiopia.Methods: The study was conducted in three hospitals of Addis Ababa, Ethiopia, with a qualitative approach. Sixteen (16) in-depth interviews of HIV-positive mothers who had PMTCT follow-up and six focus group discussions with health professionals who work at a PMTCT unit were conducted. To analyse the data ATLAS.ti version 7 was used.Results: According to the findings of this study mother-to-child HIV transmission was associated with lack of HIV-discordant couples counselling guideline, lack of HIV disclosure strategy and counselling guidelines, unavailability of special PMTCT counselling guideline for HIV-positive commercial sex worker mothers and lack of HIV-free human breast milk (banked human breast milk) for PMTCT. Based on the study findings, a strategy that contributes to eliminate MTCT was developed.Conclusion: Based on the research finding, the following four strategies were developed. Strategy 1: establish and use banked human breast milk for elimination of MTCT; Strategy 2: incorporate obligatory policy for discordant couple testing, counselling and disclosure with option B+ PMTCT; Strategy 3: develop disclosure policy and counselling guideline for PMTCT; and Strategy 4: formulate special PMTCT guideline for HIV-positive commercial sex worker mothers.Keywords: strategies, elimination of mother-to-child HIV transmission, HIV testing and counselling, prevention of mother-to-child transmission, disclosure, breast milk bank
format	article
author	Teshome GS Modiba LM
author_facet	Teshome GS Modiba LM
author_sort	Teshome GS
title	Strategies to Eliminate Mother-to-Child Transmission of HIV in Addis Ababa, Ethiopia (Qualitative Study)
title_short	Strategies to Eliminate Mother-to-Child Transmission of HIV in Addis Ababa, Ethiopia (Qualitative Study)
title_full	Strategies to Eliminate Mother-to-Child Transmission of HIV in Addis Ababa, Ethiopia (Qualitative Study)
title_fullStr	Strategies to Eliminate Mother-to-Child Transmission of HIV in Addis Ababa, Ethiopia (Qualitative Study)
title_full_unstemmed	Strategies to Eliminate Mother-to-Child Transmission of HIV in Addis Ababa, Ethiopia (Qualitative Study)
title_sort	strategies to eliminate mother-to-child transmission of hiv in addis ababa, ethiopia (qualitative study)
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/7f60c9f5bec048959a6f08e3c21e20c1
work_keys_str_mv	AT teshomegs strategiestoeliminatemothertochildtransmissionofhivinaddisababaethiopiaqualitativestudy AT modibalm strategiestoeliminatemothertochildtransmissionofhivinaddisababaethiopiaqualitativestudy
_version_	1718394935046045696

Strategies to Eliminate Mother-to-Child Transmission of HIV in Addis Ababa, Ethiopia (Qualitative Study)

Ejemplares similares