'I think this is the only challenge… the stigma' Stakeholder perceptions about barriers to Antenatal care (ANC) and Prevention of mother-to-child transmission (PMTCT) uptake in Kano state, Nigeria

Autor: Eseoghene Adams, George I. Eluwa, Osasuyi Dirisu, Oladapo Shittu, Sylvia Adebajo, Kwasi Torpey
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
RNA viruses
0301 basic medicine
Medical Doctors
Social stigma
Maternal Health
Health Care Providers
Social Stigma
Human immunodeficiency virus (HIV)
HIV Infections
Pathology and Laboratory Medicine
medicine.disease_cause
Pediatrics
Geographical Locations
Labor and Delivery
0302 clinical medicine
Immunodeficiency Viruses
Pregnancy
Medicine and Health Sciences
Medical Personnel
030212 general & internal medicine
Pregnancy Complications
Infectious
Child
Qualitative Research
Multidisciplinary
Obstetrics and Gynecology
Prevention of mother to child transmission
Prenatal Care
Entry point
Middle Aged
Professions
Health Education and Awareness
Medical Microbiology
Viral Pathogens
Viruses
Medicine
Female
Pathogens
Thematic analysis
Pediatric Infections
Psychology
Research Article
Adult
Adolescent
Health Personnel
Science
Nigeria
Stigma (botany)
Microbiology
Young Adult
03 medical and health sciences
Nursing
Antenatal Care
Intervention (counseling)
Retroviruses
medicine
Humans
Spouses
Microbial Pathogens
Lentivirus
Organisms
HIV
Biology and Life Sciences
Patient Acceptance of Health Care
030112 virology
Infectious Disease Transmission
Vertical
Health Care
People and Places
Africa
Birth
Women's Health
Population Groupings
Qualitative research
Zdroj: PLoS ONE, Vol 15, Iss 4, p e0232028 (2020)
PLoS ONE
ISSN: 1932-6203
Popis: BackgroundDespite the progress made so far in reducing mother-to-child transmission (MTCT), Nigeria still contributes significantly to the global burden of new pediatric HIV infections. The elimination target for MTCT has not been reached and the decline in new infections among all Global Plan countries from 2009 to 2015 was lowest in Nigeria. This qualitative study explores the barriers to uptake of prevention of mother-to-child transmission (PMTCT) intervention in Kano, the second most populous state in Nigeria.MethodsKey informant interviews (KIIs) were conducted among twelve stakeholders who were purposively selected based on their knowledge and involvement in PMTCT program activities in the state. The KII guide explored the status and challenges of PMTCT uptake in Kano state. Qualitative data analysis was managed using NVIVO 11 software and themes were analyzed using thematic analysis.ResultsWe found that the key barriers to uptake of PMTCT identified by stakeholders cut across the domains of the socio-ecological model. These include-fear of stigma associated with being seen accessing HIV related services, low male partner involvement, socio-cultural beliefs about the dangers of hospital-based delivery, poor attitude of health workers, distance/cost to facilities, issues with availability of HIV test kits and poor organization of health services.ConclusionThe implementation of effective PMTCT programs would require innovative strategies that leverage improvement of Antenatal care (ANC) uptake as an entry point for PMTCT. In addition, sustaining engagement in care requires creating a supportive stigma-free environment in the community as well as spousal support to ensure women can navigate the socio-cultural barriers that limit access to health services.
Databáze: OpenAIRE
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