RESEARCH PAPER
Contributory factors that lead to increase of mother-to-child transmission of HIV in Capricorn district of Limpopo Province, South Africa
 
More details
Hide details
1
University of Venda, South Africa
 
 
Submission date: 2019-11-07
 
 
Final revision date: 2020-11-19
 
 
Acceptance date: 2020-11-19
 
 
Publication date: 2021-04-12
 
 
HIV & AIDS Review 2021;20(1):39-45
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV) remains the most prevalent source of pediatric HIV infections. The prevalence of HIV is high among South African women of reproductive age, and the transmission of HIV from mothers to children is a serious concern. The study explored contributory factors, which lead to an increase in mother-to-child transmission of HIV at selected clinics in Capricorn district of Limpopo Province.

Material and methods:
The study adopted a qualitative descriptive exploratory design to uncover factors leading to MTCT of HIV. The target population were professional nurses trained in primary healthcare. Purposive sampling technique was used to sample eighteen participants from Seshego Zone clinics in Capricorn district. Unstructured interviews were conducted and audio-recorded. The transcribed data was analyzed using Tesch’s’ method of data analysis, and presented in themes and sub-themes. Ethical considerations were ensured throughout the study as well as trustworthiness of findings.

Results:
The study revealed that poor socio-economic status, traditional and religious beliefs, and lack of knowledge of patients were the major factors contributing to an increase of MTCT of HIV as well as system-related factors. However, the study indicated high knowledge about MTCT and HIV among the nurses.

Conclusions:
The study revealed that patient-related factors cause high prevalence of MTCT of HIV. For community health awareness, it is highly recommended to encourage women to abandon their beliefs in order to promote PMTCT.

 
REFERENCES (34)
1.
Anney VN. Ensuring the quality of the findings of qualitative research: looking at trustworthiness criteria. Journal of Emerging Trends in Educational Research and Policy Studies (JETERAPS) 2014; 5: 272-281.
 
2.
Ary D, Jacobs LC, Sorensen C, Razavieh A. Introduction to Research in Education. 8th ed. Wadsworth Cengage Learning; 2010.
 
3.
Balira R, Mabey D, Weiss H, Ross DA, Changalucha J, Watson‐Jones D. The need for further integration of services to prevent mother‐to‐child transmission of HIV and syphilis in Mwanza City, Tanzania. Int J Gynecol Obstet 2015; 130: S51-S57.
 
4.
Bhardwaj S, Carter C, Aarons GA, Chi BH. Implementation research for the prevention of mother-to-child HIV transmission in Sub-Saharan Africa: existing evidence, current gaps, and new opportunities. Curr HIV/AIDS Rep 2015; 12: 246-255.
 
5.
Clouse K, Fox MP, Mongwenyana C, et al. “I will leave the baby with my mother”: long‐distance travel and follow‐up care among HIV‐positive pregnant and postpartum women in South Africa.
 
6.
J Int AIDS Soc 2018; 21: e25121.
 
7.
Creswell JW. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. United States: Sage Publications, Inc.; 2013.
 
8.
Flint A. Traditional healing, biomedicine and the treatment of HIV/AIDS: contrasting South African and Native American experiences. Int J Environ Res Public Health 2015; 12: 4321-4339.
 
9.
Gopalappa C, Stover J, Shaffer N, Mahy M. The costs and benefits of Option B+ for the prevention of mother-to-child transmission of HIV. AIDS 2014; 28: S5-S14.
 
10.
Gourlay A, Birdthistle I, Mburu G, Iorpenda K, Wringe A. Barriers and facilitating factors to the uptake of antiretroviral drugs for prevention of mother‐to‐child transmission of HIV in sub-Saharan Africa: a systematic review. J Int AIDS Soc 2013; 16: 18588.
 
11.
Iwelunmor J, Ezeanolue EE, Airhihenbuwa CO, Obiefune MC, Ezeanolue CO, Ogedegbe GG. Socio-cultural factors influencing the prevention of mother-to-child transmission of HIV in Nigeria: a synthesis of the literature. BMC Public Health 2014; 14: 771.
 
12.
Katz IT, Tsai AC. Psychological therapy to improve HIV care and reduce stigma. Lancet HIV 2015; 2: e172-e173.
 
13.
Lankowski AJ, Siedner MJ, Bangsberg DR, Tsai AC. Impact of geographic and transportation-related barriers on HIV outcomes in sub-Saharan Africa: a systematic review. AIDS Behav 2014; 18: 1199-1223.
 
14.
Merga H, Woldermichael K, Dube L. Utilization of prevention of mother-to-child transmission of HIV services and associated factors among antenatal care attending mothers in Sebeta Town, Central Ethiopia. Adv Public Health 2016; 2016: 6250898.
 
15.
Mendoza MD, Lopez M. Culture, race, and ethnicity issues in healthcare. In: Paulman P, Taylor R (eds.). Family Medicine. Cham: Springer; 2015.
 
16.
Morris NK, Du Toit-Prinsloo L, Webber L, Saayman G. The prevalence of HIV in the sudden, unexplained and unexpected death population at the Pretoria Medico-Legal Laboratory. South African Journal of HIV Medicine 2016; 17: a424.
 
17.
McMahon SA, Kennedy CE, Winch PJ, Kombe M, Killewo J, Kilewo C. Stigma, facility constraints, and personal disbelief: why women disengage from HIV care during and after pregnancy in Morogoro Region, Tanzania. AIDS Behav 2017; 21: 317-329.
 
18.
National Department of Health, South African National AIDS Council. Clinical Guidelines: PMTCT (Prevention of Mother-to-Child Transmission). Pretoria: NdoH, 2010. Available at: http://www.fidssa.co.za/Conten....
 
19.
National Department of Health. National Consolidated Guidelines for the Prevention of Mother-to-child Transmission of HIV (PMTCT) and the Management of HIV in Children, Adolescents and Adults. National Department of Health. Pretoria. April 2015. Available at: https://www.health-e.org.za/20....
 
20.
National Department of Health. Annual Performance Plan, 2016/17 – 2018/19. National Department of Health. Pretoria; 2016.
 
21.
Ogbonna K, Govender I, Tumbo J. Knowledge and practice of the prevention of mother-to-child transmission of HIV guidelines amongst doctors and nurses at Odi Hospital, Tshwane District. South African Family Practice 2016; 58: 167-171.
 
22.
Ramashala MR. Factors contributing to Mother To Child Transmission (MTCT) of HIV in Seshego Zone clinics, Capricorn district in South Africa. Unpublished mini-dissertation. Limpopo: University of Venda; 2019.
 
23.
Robinson OC. Sampling in interview-based qualitative research: a theoretical and practical guide. Qual Res Psychol 2014; 11: 25-41.
 
24.
O’Neill K, Takane M, Sheffel A, Abou-Zahr C, Boerma T. Monitoring service delivery for universal health coverage: the Service Availability and Readiness Assessment. Bull World Health Organ 2013; 91: 923-931.
 
25.
Simba D, Kamwela J, Mpembeni R, Msamanga G. The impact of scaling‐up prevention of mother‐to‐child transmission (PMTCT) of HIV infection on the human resource requirement: the need to go beyond numbers. The International Journal of Health Planning and Management 2010; 25: 17-29.
 
26.
Schnake-Mahl AS, Sommers BD. Health care in the suburbs: an analysis of suburban poverty and health care access. Health Affairs 2017; 36: 1777-1785.
 
27.
Schensul JJ, Le Compte MD. Essential ethnographic data collection methods: a mixed methods approach. United States of America: Alta­mira Press; 2013.
 
28.
Spangler SA, Abuogi LL, Akama E, et al. From ‘half-dead’ to being ‘free’: resistance to HIV stigma, self-disclosure and support for PMTCT/HIV care among couples living with HIV in Kenya. Cult Health Sex 2018; 20: 489-503.
 
29.
Statistics South Africa. Mid-year population estimates. 2012 (Online). Available at: http://www.statssa.gov.za. (Accessed: 26.08.2015).
 
30.
UNAIDS. Combination HIV prevention: tailoring and coordinating biomedical, behavioural and structural strategies to reduce new HIV infections. Geneva: World Health Organization; 2010.
 
31.
UNAIDS. Global AIDS Update 2016. Geneva: World Health Organization; 2016.
 
32.
UNICEF. Children and AIDS Fifth Stocktaking Report, 2010. Geneva: World Health Organization; 2010.
 
33.
World Health Organization. The global health sector strategy on HIV/AIDS 2011-2015: an interim review of progress: abridged report. Geneva: World Health Organization; 2014.
 
34.
WHO. PMTCT strategic vision 2010–2015: preventing mother-to- child transmission of HIV to reach the UNGASS and Millennium Development Goals. Geneva: World Health Organization; 2010.
 
eISSN:1732-2707
ISSN:1730-1270
Journals System - logo
Scroll to top