Determinants to Elimination of Mother to Child Transmission of HIV among Patients at Nakuru County Referral Hospital, Kenya

Authors

  • Boniface Ambani Isindu Community Health and Epidemiology, Kenyatta University, Kenya
  • Joachim Osur Community Health and Epidemiology, Kenyatta University, Kenya
  • Alloys Orago Community Health and Epidemiology Kenyatta University Kenya

DOI:

https://doi.org/10.31695/IJASRE.2021.34015

Keywords:

MTCT transmission rates, Global Plan towards the elimination of new HIV infections among children by 2015, Respondents, Ante Natal Clinic, Kenya Aids Indicator survey 2012, eMTCT, PMTCT, United Nations General Assembly, Nakuru County Referral Hospital

Abstract

Elimination of mother-to-child transmission of HIV (eMTCT) services are critical to achieve national and global targets of 90% antiretroviral therapy (ART) coverage in PMTCT, and mother-to-child transmission rates less than 5%.

Despite substantial progress in efforts to reduce MTCT of HIV in Kenya, HIV transmission from mother to child remains at 3.6 % .MTCT rate in some of the health facilities in Nakuru is still higher than the global initiative recommendation of <5% due to socio-cultural factors.

In this paper, important issues concerning sustained high MTCT rates are addressed and potential determinants contributing to high MTCT rates in some of the health facilities in Nakuru County are also highlighted.

A mixed study was conducted among patients in whose main objective was to investigate the determinants to eMTCT. Specific objectives were to determine the level of knowledge on eMTCT among patients at the facility, to investigate the social determinants affecting eMTCT, and to establish cultural beliefs and practices causing high rates.

 The paper argues that various stakeholders, including the community, need to scale up of socio mobilization and awareness on Prevention of Mother to Child Transmission program, increase knowledge on PMTCT to reduce socio-cultural practices which will lower the eMTCT rates in the facilities.

References

African Journal of Midwives and women’s health, 2010WHO/UNAIDS/UNICEF (2010) 'Towards Universal Access: Scaling up priority HIV/AIDS interventions in the health sector, Geneva

Kenya Aids Indicator Survey (2012), NASCOP ,Nairobi, Kenya. Ministry of Health Nairobi, Kenya.

Kenya Demographic and Health Survey, 2008.

Kenya Demographic and Health Survey, KDHS (2008). Central Bureau of Statistics Nairobi, Kenya. Ministry of Health Nairobi, Kenya

Kenya Demographic and Health Survey, KDHS (2009). Central Bureau of Statistics Nairobi, Kenya. Ministry of Health Nairobi, Kenya

Lu L et al (2009), "HIV incidence in pregnancy and in the first post-partum year and implications for PMTCT programs: Francistown, Botswana", CDC

Lundkvist, J. & Staflin, E. (2011). Nurses’ counseling to mothers to prevent mother to child transmission of HIV through breastfeeding. A qualitative study. Institutionen för Medicin OCH hälsa Omvårdnad. Universitetsadjunkt Eva Molander IMH.

Munda, E., Elia, J.M., Ahmed, A.M. & Rogath, S.K. (2017). Male partner involvement in the prevention of mother to child transmission of HIV infection in Mwanza Region, Tanzania. The Pan African Medical Journal.27:90. doi:10.11604/pamj.2017.27.90.8901. Available online at: http://www.panafrican-med-journal.com/content/article/27/90/full

National AIDS and STI Control Programme (2009) Kenya AIDS Indicator Survey 2007: Final Report, Ministry of Health, Nairobi, Kenya.

Nguyen TA, Oosterhoff P, Pham YN, Hardon A, Wright P (2009) Health workers’ views on the quality of prevention of mother-to-child transmission and postnatal care for HIV-infected women and their

UNAIDS/WHO/UNICEF (3 April 2008), "Children and AIDS: Second stocktaking report"

UNFPA 2008: Mortality Update 2008: New York. UNFPA

USAID (2008) In focus: Women and AIDS: Prevention of Mother-to-Child HIV Transmission. [Accessed on 3rd September 2008].

World Health Organization, WHO (2009). Monitoring the geographical distribution of the health workforce in rural and underserved areas. Spotlight on Health Workforce Statistics, Issue 8, October 2009.Geneva: WHO.

Published

2021-05-25

How to Cite

Boniface Ambani Isindu, Joachim Osur, & Alloys Orago. (2021). Determinants to Elimination of Mother to Child Transmission of HIV among Patients at Nakuru County Referral Hospital, Kenya. International Journal of Advances in Scientific Research and Engineering (IJASRE), 7(5), 70-75. https://doi.org/10.31695/IJASRE.2021.34015

Issue

Section

Articles