دورية أكاديمية
Towards the elimination of mother-to-child transmission of HIV in Nigeria: a health system perspective of the achievements and challenges.
| العنوان: | Towards the elimination of mother-to-child transmission of HIV in Nigeria: a health system perspective of the achievements and challenges. |
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| المؤلفون: | Olakunde BO; Department of Occupational and Environmental Health, School of Public Health, University of Nevada, Las Vegas, 4505 S Maryland Pkwy, Las Vegas, NV, USA.; National Agency for the Control of AIDS, Plot 823, Ralph Shodeinde Street, Central Business District, Abuja, Nigeria., Adeyinka DA; Department of Community Health and Epidemiology, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, Canada.; National AIDS & STIs Control Programme, Federal Ministry of Health, Plot 75, Ralph Sodeinde Street, Central Area, Abuja, Nigeria., Olawepo JO; Department of Occupational and Environmental Health, School of Public Health, University of Nevada, Las Vegas, 4505 S Maryland Pkwy, Las Vegas, NV, USA., Pharr JR; Department of Occupational and Environmental Health, School of Public Health, University of Nevada, Las Vegas, 4505 S Maryland Pkwy, Las Vegas, NV, USA., Ozigbu CE; National AIDS & STIs Control Programme, Federal Ministry of Health, Plot 75, Ralph Sodeinde Street, Central Area, Abuja, Nigeria.; Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Columbia, SC, USA., Wakdok S; National Agency for the Control of AIDS, Plot 823, Ralph Shodeinde Street, Central Business District, Abuja, Nigeria., Oladele T; National Agency for the Control of AIDS, Plot 823, Ralph Shodeinde Street, Central Business District, Abuja, Nigeria., Ezeanolue EE; Department of Pediatrics and Child Health, College of Medicine, University of Nigeria, 1, Old UNTH Road, Nsukka, Enugu, Nigeria.; HealthySunrise Foundation, 308 South Jones Blvd, Las Vegas, NV, USA. |
| المصدر: | International health [Int Health] 2019 Jul 01; Vol. 11 (4), pp. 240-249. |
| نوع المنشور: | Evaluation Study; Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 101517095 Publication Model: Print Cited Medium: Internet ISSN: 1876-3405 (Electronic) Linking ISSN: 18763405 NLM ISO Abbreviation: Int Health Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2013- : Oxford : Oxford University Press Original Publication: -2012: Kidlington, Oxford : Elsevier |
| مواضيع طبية MeSH: | Delivery of Health Care* , Government Programs* , Health Services* , Program Evaluation*, HIV Infections/*prevention & control , Infectious Disease Transmission, Vertical/*prevention & control , Pregnancy Complications, Infectious/*prevention & control, Acquired Immunodeficiency Syndrome/prevention & control ; Anti-HIV Agents/therapeutic use ; Child ; Female ; HIV ; HIV Infections/drug therapy ; HIV Infections/virology ; Humans ; Infant ; Nigeria ; Pregnancy ; Pregnancy Complications, Infectious/drug therapy ; Pregnancy Complications, Infectious/virology ; Prenatal Care |
| مستخلص: | Despite its scaled-up response for prevention of mother-to-child transmission of HIV (PMTCT), Nigeria still contributes the greatest number of infants infected with HIV worldwide. Drawing on our knowledge, and review of policy documents and research papers, we explored the achievements and challenges in the elimination of mother-to-child transmission of HIV in Nigeria using the WHO's health systems framework. We found that Nigeria has increased the number of PMTCT sites, decentralized and integrated PMTCT care for expanded service delivery, adopted task-shifting to address the shortage of skilled healthcare providers, explored alternative sources of domestic funding to bridge the funding gap and harmonized the health management information system to improve data quality. Some of the challenges we identified included: difficulty in identifying HIV-infected pregnant women because of low uptake of antenatal care; interrupted supplies of medical commodities; knowledge gaps among healthcare workers; and lack of a national unique identifying system to enhance data quality. While there have been some achievements in the PMTCT program, gaps still exist in the different blocks of the health system. Elimination of mother-to-child transmission of HIV in Nigeria will require the implementation of feasible, culturally acceptable and sustainable interventions to address the health system-related challenges. (© The Author(s) 2019. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
| فهرسة مساهمة: | Keywords: HIV; Nigeria; achievements; challenges; health system; prevention of mother-to-child transmission |
| المشرفين على المادة: | 0 (Anti-HIV Agents) |
| تواريخ الأحداث: | Date Created: 20190428 Date Completed: 20191206 Latest Revision: 20191217 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1093/inthealth/ihz018 |
| PMID: | 31028402 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1876-3405 |
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| DOI: | 10.1093/inthealth/ihz018 |