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Please use this identifier to cite or link to this item:
http://hdl.handle.net/123456789/1368
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| Title: | Access to HIV/AIDS care for mothers and children in sub-Saharan Africa: adherence to the postnatal PMTCT program |
| Authors: | Nassali, Mercy
Nakanjako, Damalie
Kyabayinze, Daniel
Beyeza, Jolly
Okoth, Anthony
Mutyaba, Twha |
| Keywords: | HIV/AIDS care
PMTCT
Adherence
Access
Africa |
| Issue Date: | Sep-2009 |
| Publisher: | Routledge |
| Citation: | Nassali, M., Nakanjako, D., Kyabayinze, D., Beyeza, J., Okoth, A., Mutyaba, T. (2009). Access to HIV/AIDS care for mothers and children in sub-Saharan Africa: adherence to the postnatal PMTCT program', AIDS Care, 21(9) |
| Abstract: | 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 PNPMTCT
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. |
| URI: | http://dx.doi.org/10.1080/09540120802707467
http://hdl.handle.net/123456789/1368 |
| ISSN: | 1360-0451 |
| Appears in Collections: | Research Articles (Health-Sciences)
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| nassali-chs-res.pdf | | 134Kb | Adobe PDF | View/Open |
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