دورية أكاديمية
أعرض في EDS

Mothers' knowledge and utilization of prevention of mother to child transmission services in northern Tanzania.

التفاصيل البيبلوغرافية
العنوان: Mothers' knowledge and utilization of prevention of mother to child transmission services in northern Tanzania.
المؤلفون: Falnes EF; Centre for International Health, University of Bergen, Norway. Eli.Fjeld@cih.uib.no, Tylleskär T, de Paoli MM, Manongi R, Engebretsen IM
المصدر: Journal of the International AIDS Society [J Int AIDS Soc] 2010 Sep 14; Vol. 13, pp. 36. Date of Electronic Publication: 2010 Sep 14.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons, Inc Country of Publication: Switzerland NLM ID: 101478566 Publication Model: Electronic Cited Medium: Internet ISSN: 1758-2652 (Electronic) Linking ISSN: 17582652 NLM ISO Abbreviation: J Int AIDS Soc Subsets: MEDLINE
أسماء مطبوعة: Publication: 2017- : Hoboken, NJ : John Wiley & Sons, Inc
Original Publication: [London] : BioMed Central
مواضيع طبية MeSH: Knowledge*, HIV Infections/*prevention & control , HIV Infections/*psychology , Health Facilities/*statistics & numerical data , Infectious Disease Transmission, Vertical/*prevention & control , Mothers/*psychology, Adult ; Counseling ; Female ; HIV Infections/transmission ; Humans ; Tanzania ; Young Adult
مستخلص: Background: More than 90% of children living with HIV have been infected through mother to child transmission. The aims of our present study were to: (1) assess the utilization of the prevention of mother to child transmission (PMTCT) services in five reproductive and child health clinics in Moshi, northern Tanzania, after the implementation of routine counselling and testing; (2) explore the level of knowledge the postnatal mothers had about PMTCT; and (3) assess the quality of the counselling given.
Methods: This study was conducted in 2007 and 2008 in rural and urban areas of Moshi in the Kilimanjaro region of Tanzania. Mixed methods were used. We interviewed 446 mothers when they brought their four-week-old infants to five reproductive and child health clinics for immunization. On average, the urban clinics included in the study had implemented the programme two years earlier than the rural clinics. We also conducted 13 in-depth interviews with mothers and nurses, four focus group discussions with mothers, and four observations of mothers receiving counselling.
Results: Nearly all mothers (98%) were offered HIV testing, and all who were offered accepted. However, the counselling was hasty with little time for clarifications. Mothers attending urban antenatal clinics tended to be more knowledgeable about PMTCT than the rural attendees. Compared with previous studies in the area, our study found that PMTCT knowledge had increased and the counsellors had greater confidence in their counselling.
Conclusions: Routine counselling and testing for HIV at the antenatal clinics was greatly accepted and included practically every mother in this time period. However, the counselling was suboptimal due to time and resource constraints. We interpret the higher level of PMTCT knowledge among the urban as opposed to the rural attendees as a result of differences in the start up of the PMTCT programme and, thus, programme maturation. After comparison with earlier studies conducted in this setting, we conclude that when the programme has had time to get established, both its acceptance and the understanding of the topics dealt with during the counselling increases.
References: Int J Health Plann Manage. 2010 Jan-Mar;25(1):17-29. (PMID: 18770876)
J Assoc Nurses AIDS Care. 2008 Nov-Dec;19(6):450-60. (PMID: 19007723)
JAMA. 2000 Mar 1;283(9):1175-82. (PMID: 10703780)
AIDS. 2001 Feb 16;15(3):379-87. (PMID: 11273218)
Public Health Nutr. 2004 Aug;7(5):611-9. (PMID: 15251051)
Arch Dis Child. 2008 Apr;93(4):288-91. (PMID: 17686796)
Pediatr Int. 2007 Apr;49(2):286-92. (PMID: 17445058)
Trans R Soc Trop Med Hyg. 2009 Jun;103(6):549-58. (PMID: 18992905)
Bull World Health Organ. 2008 Apr;86(4):302-9. (PMID: 18438519)
Int J STD AIDS. 2005 Nov;16(11):755-9. (PMID: 16303072)
AIDS Res Ther. 2008 Aug 01;5:17. (PMID: 18673571)
J Acquir Immune Defic Syndr. 2007 May 1;45(1):102-7. (PMID: 17460473)
SAHARA J. 2005 Jul;2(2):244-50. (PMID: 17601006)
J Acquir Immune Defic Syndr. 2009 Nov;52 Suppl 1:S27-9. (PMID: 19858933)
Glob Health Action. 2009 Jan 23;2:. (PMID: 20027274)
Hum Resour Health. 2007 Jul 24;5:18. (PMID: 17650310)
Implement Sci. 2006 Oct 03;1:22. (PMID: 17018140)
Afr Health Sci. 2005 Sep;5(3):213-8. (PMID: 16245991)
BMC Int Health Hum Rights. 2006 May 03;6:6. (PMID: 16670031)
Trans R Soc Trop Med Hyg. 2006 Jan;100(1):1-5. (PMID: 16214193)
Hum Resour Health. 2009 May 30;7:44. (PMID: 19480710)
East Afr Med J. 2006 Nov;83(11):610-8. (PMID: 17455450)
AIDS Care. 2004 May;16(4):411-25. (PMID: 15203410)
Bull World Health Organ. 2007 Nov;85(11):843-50. (PMID: 18038074)
J Hum Lact. 2001 Nov;17(4):313-20. (PMID: 11847900)
Acta Paediatr. 2005 Mar;94(3):357-63. (PMID: 16028656)
AIDS. 2008 May 11;22(8):973-81. (PMID: 18453857)
Afr J Reprod Health. 2007 Apr;11(1):57-66. (PMID: 17982948)
Reprod Health Matters. 2002 Nov;10(20):144-56. (PMID: 12557653)
Midwifery. 2009 Dec;25(6):e1-e10. (PMID: 18164791)
تواريخ الأحداث: Date Created: 20100916 Date Completed: 20101213 Latest Revision: 20211020
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC3161341
DOI: 10.1186/1758-2652-13-36
PMID: 20840784
قاعدة البيانات: MEDLINE
الوصف
تدمد:1758-2652
DOI:10.1186/1758-2652-13-36