Factors Contributing to Irregular Attendance in Prevention of Mother-to-Child Transmission (PMTCT) of HIV Services
Repository Posting Date2017-07-25T15:58:11Z
Author(s)Uwamahoro, Marie Claire
Author DetailsMarie Claire Uwamahoro, MSN, BSN, RN
Lead Author Sigma AffliationNon-member
Other Title(s)Global Perspectives on HIV Prevention
Level of EvidenceN/A
Mother-to-child transmission (MTCT) of HIV remains a major public health problem and continues to account for a substantial proportion of new HIV infections among young children (Deressa et al., 2014; Gourlay et al.,2013). The global estimates showed that 150,000 children were newly infected with HIV in 2015; most of them were from developing countries with more than 90% found in sub-Sahara African countries (WHO, 2015).
To halt this problem, the Prevention of Mother to Child Transmission (PMTCT) services have been put in place worldwide (Balira et al., 2015; WHO, 2015). The PMTCT services in Rwanda are free of charge. The package is available at primary level of health care system and it involves provider-initiated HIV testing and counselling during antenatal care visits and labour wards, provision of antiretroviral drugs; prophylaxis or lifelong antiretroviral therapy to HIV positive women and their infants (MOH, 2012).
The main challenge that the services faces is the irregular attendance of women.
The anecdotal observation of four consecutive months (September-December 2015) showed that an estimate of 20% of women were irregular in PMTCT at Kinyinya Health Center.
The purpose of this study was to assess factors contributing to irregular attendance of women in PMTCT services.
The study was conducted at Kinyinya health center/Kigali Rwanda. A quantitative cross-sectional design was used and 62 women were enrolled. A self administerd questionaire was used to collect data.The dependent variable was regularity (yes or no). Then the irregularity was subdivided into 2 categories (1 to 3 times, 4 and more times).The data was analyzed using SPSS version 21.0. Cross-tabulation and chi-square test (p value of
The mean age of participants was 26 years. The majority of participants 32(51.6.4%) only attended primary education, 42(67.7%) were in low income and 30(48.3%) illegally married. The results revealed that 38 (61%) were irregular in PMTCT. Among those with irregularities, 27 (70.6 %) missed 1 to 3 appointments and 8(30%) missed 4 and more appointments). Low level of education (P-value
The results of this study showed factors contributing to irregular attendance in PMTCT services. The most common were: the level of education, monthly income, lack of husband’ support and long waiting time.