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Predictors of HIV Positive Pregnant Women’s Use of Prevention of Mother-to-Child Transmission of HIV Services in Taraba State: A Mixed Method Approach

Received: 8 February 2022    Accepted: 8 March 2022    Published: 15 March 2022
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Abstract

Background: It has been estimated that 90 per cent of paediatric HIV is through mother – to – child transmission, and the incidence of mother-to-child transmission is 40% among HIV positive pregnant women. Research has shown a reduction in the risk of mother-to-child transmission of HIV (MTCT) to less than 2% to 5% in non-breastfeeding and breastfeeding mothers respectively with the introduction of PMTCT services such as; reproductive health services, family planning services, HIV counseling and testing/partner counselling and referral services (PCRS), antiretroviral drugs for infected women and children, safe delivery services, infant feeding options and support, early infant diagnosis within six weeks, PCR (polymerase chain reaction) test done six weeks after cessation of breast feeding, and community support. These services may be available but certain factors may interfere with their access and utilization by HIV positive pregnant women. This study therefore sought to determine factors that predict the utilization of PMTCT services among HIV positive pregnant women in Taraba State, Nigeria. Methods: The study adopted a mixed- method research design employing an institutional based cross sectional design. The population for the study consisted of 3,315 HIV positive pregnant women attending Antenatal Clinic and their service providers. Cluster random sampling technique was used to select facilities for the study. Convenience random sampling technique was used to select 605 HIV positive pregnant women (HIV positive pregnant women who were present during antenatal clinic days, who give their consent will be included in the study). The key informants for the study were selected using purposive sampling technique. A questionnaire and Key informant interview protocol were used for data collection. Percentages, Chi-square and logistic regression analyses were used to analyze the quantitative data while the qualitative data were thematically analyzed using Nvivo software. Results: Demographic factors of age, education, marital status and distance were associated with PMTCT services utilization, however, only age was a predictor of PMTCT services utilization (p≤0.05). Conclusion: The study concluded that some demographic factors (age, occupation, educational level) are associated with PMTCT services utilization, while only age predicted HIV positive pregnant women’s utilization of PMTCT services. This predictor could be addressed through health education especially among the older women, text message reminders and some incentives.

Published in International Journal of HIV/AIDS Prevention, Education and Behavioural Science (Volume 8, Issue 1)
DOI 10.11648/j.ijhpebs.20220801.15
Page(s) 24-29
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

HIV/AIDS, Socio-Demographic, Utilization, Predictors, MTCT

References
[1] Nyasulu, Y., & Nyasulu, P. Barriers to the uptake of Prevention of mother to child transmission (PMTCT) services in rural Blantyne and Balaka Districts, Malawi. Journal of Rural and Tropical Public Health. 2011; 10 48-52. Published by the Anton Brein/centre of Public Health and tropical medicine, James Cook University.
[2] AVERT. Prevention of Mother to Child Transmission of HIV. 2014. Available at http://www.avert.org/preventing-mother-child-transmission.
[3] UNAIDS. (2014). Inter-Agency task team on the prevention and treatment of HIV infection in pregnant women, mothers and children. HIV/AIDS gender and PMTCT. www.emtct-aitt.org/countries/nigeria.
[4] Matubazi, JC, Zarowsky, C. and Trotier, H. the impact of programs for prevention of mother to child transmission of HIV on Health care services and systems in sub- Saharan Africa- A review. Open J Public health Review. 2017.38 (28) Available at https://doi.org/10.1186/s40985-017-0072-5.
[5] Nkwo, P. Prevention of Mother to child Transmission of Human immunodeficiency Virus: The Nigerian Perspective. Annals of Medical and Health Sciences Research. Jan _ June; 2012. 2 (1): 56-65.
[6] NACA. FACT SHEET: Prevention of mother-to-child Transmission (PMTCT) 2016. Available at https://naca.gov.ng/fact-sheet-prevention-mother-child-transmission-pmtct-2016.
[7] Olakunle, O. B., Adeyinka, D. A., Olawepo, J. O., Pharr, J. R., Ozigbo, C. E., Wadok, S., Oladele, T., and Ezeanolue, E. E. Towards the elimination of mother-to-child transmission of HIV in Nigeria: a health system perspective of the achievements and challenges, 2019. J international Health 11, (4) Available at. https://doi.org/10.1093/inthealth/ihz018.
[8] Hailu, M., Kilfe, W and Lamesa, D. Mother –to-child transmission of HIV services and Associated factors among Antenatal Care Attending Mothers in Sebeta Town, central Ethiopia. Advances in Public Health. 2016. Available at https;//doi,org/10.1155/2016/6250898.
[9] Idris, A., K. (2011). Factors Influencing Access and Utilization of Prevention of Mother-to-child Transmission (PMTCT) of HIV Services in Sudan. KIT (Royal Tropical Institute), Development Policy & Practice Amsterdam, The Nitherlands.
[10] National Agency for the Control of AIDS Federal Republic of Nigeria Global AIDS Response Country Progress Report. 2012. http://www.unaids.org/en/dataanalysis/knowyourresponse/countryprogressreports/2012.
[11] Tshabalala, F. Utilization of antenatal care (ANC) and prevention of mother –to-child transmission of HIV (PMTCT) services in east Ekurhuleni sub-district in Gauteng province, South Africa. 2012.
[12] Adewole, F, Odutolu, O, & Sagay, S. Prevention of mother- to-child transmission of HIV. 2005.
[13] WHO (2012). Guidance on couples HIV testing and counselling including Antiretroviral therapy for treatment and prevention in sero-discordant couples. Recommendation for a Public health approach. http://www.who.int/hiv/en/.
[14] WHO, Infant feeding for the prevention mother to child transmission of HIV: e-library of evidence for Nutrition action. 2019. Available at https://www.who.int>elena>titles.
[15] Mekonnen, M. Factors Influencing Utilization of PMTCT services in Addis Ababa, Ethiopia. 2009. Available at http://www.serach4dev.nl/record/35971.
[16] Okeshola, F., & Sadiq, T. Determinants of home delivery among Hausa in Kaduna South Local Government area council of Kaduna State, Nigeria. 2013. America international journal of contemporary research 3 (5).
[17] Njoku, C. Importance of provision and utilization of MCH services. 2014. Online Researcher.
[18] Zinash, M., & Amberbir, A. Factors Associated with readiness to VCT Service among pregnant women attending ANC clinic in North West Ethiopia: A Health Belief Model approach. 2011. Ethiopian Journal of Health Science, 21 special edition.
[19] Babalola, S. & Fatusi, A. Determinants of use of maternal health services in Nigeria. Looking beyond individual and household factors. 2009. BMC pregnancy and childbirth. Available at Http;//creative commons.org/licenseby 2.0.
[20] Uranw, S., Fresier, M., Sarita K., & Nasreen, R. Effect of education on delivery practices among mothers attending health facilities in Sunsaru District Nepal 2006.
[21] Osumba, M. Examining the barriers to utilization of prevention of mother to child transmission of HIV services in Rift Valley province: Kenya. 2009. A thesis submitted in partial fulfillment for the requirements for the degree of Masters Public Health.
[22] Ministry of Health of Federal Democratic Republic of Ethiopia. ‘Health sector development program 1v’Annual Performance Report, Ministry of Health of Federal Democratic Republic of Ethiopia. Addis Ababa. Ethiopia, 2014. View at google scholar.
[23] Bajunirwe, F., & Muzoora, M., (2005). Barriers to implementation of Programs for the prevention of transmission of mother – to – child transmission of HIV: A cross sectional survey in rural and urban Uganda. Journal of AIDS Research and Therapy 2: 10. http://www.aidsrestherapy.com/content.
[24] Kehn, E. & Karfakis, J. (2014). Current practices to increase uptake, Retention and Adherence for option B+ in Malawi, 2 mother, Malawi, www.m2m.org.
[25] Muraguri, W. (2013). Factors influencing utilization of maternity services by pregnant women at Mt Kenya sub-district Hospital, Nyeri, central district, Kenya. http://www.evepository.uonbi.ac.ke.8080/handle.
[26] Fanta, W. & Worku, A. (2012). Determinants for refusal of HIV testing among women attending antenatal care in Gambella Region, Ethiopia. Journal of Reproductive Health. 9; 8.
[27] Tsegay, Y., Gebrehiwot, T., Goicelea, L., Kerstin, E., Harlemanrian, L., & Migueli S. (2013). Determinants of Antenatal and delivery care utilization in Tigray region, Ethiopia: A cross sectional study. International journal of Equity in Health. 12:30 http://www.equityhealth/.com/content.
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  • APA Style

    Rhoda Pheela Saminaka Onyekwena, Deborah Elkanah Sambo, Somtriman Paul Dogara, Azuchukwuene Godwin Chimezie, Efiong Sunday Samuel. (2022). Predictors of HIV Positive Pregnant Women’s Use of Prevention of Mother-to-Child Transmission of HIV Services in Taraba State: A Mixed Method Approach. International Journal of HIV/AIDS Prevention, Education and Behavioural Science, 8(1), 24-29. https://doi.org/10.11648/j.ijhpebs.20220801.15

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    ACS Style

    Rhoda Pheela Saminaka Onyekwena; Deborah Elkanah Sambo; Somtriman Paul Dogara; Azuchukwuene Godwin Chimezie; Efiong Sunday Samuel. Predictors of HIV Positive Pregnant Women’s Use of Prevention of Mother-to-Child Transmission of HIV Services in Taraba State: A Mixed Method Approach. Int. J. HIV/AIDS Prev. Educ. Behav. Sci. 2022, 8(1), 24-29. doi: 10.11648/j.ijhpebs.20220801.15

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    AMA Style

    Rhoda Pheela Saminaka Onyekwena, Deborah Elkanah Sambo, Somtriman Paul Dogara, Azuchukwuene Godwin Chimezie, Efiong Sunday Samuel. Predictors of HIV Positive Pregnant Women’s Use of Prevention of Mother-to-Child Transmission of HIV Services in Taraba State: A Mixed Method Approach. Int J HIV/AIDS Prev Educ Behav Sci. 2022;8(1):24-29. doi: 10.11648/j.ijhpebs.20220801.15

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  • @article{10.11648/j.ijhpebs.20220801.15,
      author = {Rhoda Pheela Saminaka Onyekwena and Deborah Elkanah Sambo and Somtriman Paul Dogara and Azuchukwuene Godwin Chimezie and Efiong Sunday Samuel},
      title = {Predictors of HIV Positive Pregnant Women’s Use of Prevention of Mother-to-Child Transmission of HIV Services in Taraba State: A Mixed Method Approach},
      journal = {International Journal of HIV/AIDS Prevention, Education and Behavioural Science},
      volume = {8},
      number = {1},
      pages = {24-29},
      doi = {10.11648/j.ijhpebs.20220801.15},
      url = {https://doi.org/10.11648/j.ijhpebs.20220801.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijhpebs.20220801.15},
      abstract = {Background: It has been estimated that 90 per cent of paediatric HIV is through mother – to – child transmission, and the incidence of mother-to-child transmission is 40% among HIV positive pregnant women. Research has shown a reduction in the risk of mother-to-child transmission of HIV (MTCT) to less than 2% to 5% in non-breastfeeding and breastfeeding mothers respectively with the introduction of PMTCT services such as; reproductive health services, family planning services, HIV counseling and testing/partner counselling and referral services (PCRS), antiretroviral drugs for infected women and children, safe delivery services, infant feeding options and support, early infant diagnosis within six weeks, PCR (polymerase chain reaction) test done six weeks after cessation of breast feeding, and community support. These services may be available but certain factors may interfere with their access and utilization by HIV positive pregnant women. This study therefore sought to determine factors that predict the utilization of PMTCT services among HIV positive pregnant women in Taraba State, Nigeria. Methods: The study adopted a mixed- method research design employing an institutional based cross sectional design. The population for the study consisted of 3,315 HIV positive pregnant women attending Antenatal Clinic and their service providers. Cluster random sampling technique was used to select facilities for the study. Convenience random sampling technique was used to select 605 HIV positive pregnant women (HIV positive pregnant women who were present during antenatal clinic days, who give their consent will be included in the study). The key informants for the study were selected using purposive sampling technique. A questionnaire and Key informant interview protocol were used for data collection. Percentages, Chi-square and logistic regression analyses were used to analyze the quantitative data while the qualitative data were thematically analyzed using Nvivo software. Results: Demographic factors of age, education, marital status and distance were associated with PMTCT services utilization, however, only age was a predictor of PMTCT services utilization (p≤0.05). Conclusion: The study concluded that some demographic factors (age, occupation, educational level) are associated with PMTCT services utilization, while only age predicted HIV positive pregnant women’s utilization of PMTCT services. This predictor could be addressed through health education especially among the older women, text message reminders and some incentives.},
     year = {2022}
    }
    

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    T1  - Predictors of HIV Positive Pregnant Women’s Use of Prevention of Mother-to-Child Transmission of HIV Services in Taraba State: A Mixed Method Approach
    AU  - Rhoda Pheela Saminaka Onyekwena
    AU  - Deborah Elkanah Sambo
    AU  - Somtriman Paul Dogara
    AU  - Azuchukwuene Godwin Chimezie
    AU  - Efiong Sunday Samuel
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    DO  - 10.11648/j.ijhpebs.20220801.15
    T2  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
    JF  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
    JO  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
    SP  - 24
    EP  - 29
    PB  - Science Publishing Group
    SN  - 2575-5765
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    AB  - Background: It has been estimated that 90 per cent of paediatric HIV is through mother – to – child transmission, and the incidence of mother-to-child transmission is 40% among HIV positive pregnant women. Research has shown a reduction in the risk of mother-to-child transmission of HIV (MTCT) to less than 2% to 5% in non-breastfeeding and breastfeeding mothers respectively with the introduction of PMTCT services such as; reproductive health services, family planning services, HIV counseling and testing/partner counselling and referral services (PCRS), antiretroviral drugs for infected women and children, safe delivery services, infant feeding options and support, early infant diagnosis within six weeks, PCR (polymerase chain reaction) test done six weeks after cessation of breast feeding, and community support. These services may be available but certain factors may interfere with their access and utilization by HIV positive pregnant women. This study therefore sought to determine factors that predict the utilization of PMTCT services among HIV positive pregnant women in Taraba State, Nigeria. Methods: The study adopted a mixed- method research design employing an institutional based cross sectional design. The population for the study consisted of 3,315 HIV positive pregnant women attending Antenatal Clinic and their service providers. Cluster random sampling technique was used to select facilities for the study. Convenience random sampling technique was used to select 605 HIV positive pregnant women (HIV positive pregnant women who were present during antenatal clinic days, who give their consent will be included in the study). The key informants for the study were selected using purposive sampling technique. A questionnaire and Key informant interview protocol were used for data collection. Percentages, Chi-square and logistic regression analyses were used to analyze the quantitative data while the qualitative data were thematically analyzed using Nvivo software. Results: Demographic factors of age, education, marital status and distance were associated with PMTCT services utilization, however, only age was a predictor of PMTCT services utilization (p≤0.05). Conclusion: The study concluded that some demographic factors (age, occupation, educational level) are associated with PMTCT services utilization, while only age predicted HIV positive pregnant women’s utilization of PMTCT services. This predictor could be addressed through health education especially among the older women, text message reminders and some incentives.
    VL  - 8
    IS  - 1
    ER  - 

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Author Information
  • Department of Nursing Sciences, Faculty of Health Sciences, Taraba State University, Jalingo, Nigeria

  • Department of Nursing Sciences, Faculty of Health Sciences, Taraba State University, Jalingo, Nigeria

  • Department of Nursing Sciences, Faculty of Health Sciences, Taraba State University, Jalingo, Nigeria

  • Department of Nursing Sciences, Faculty of Health Sciences, Taraba State University, Jalingo, Nigeria

  • Department of Human Kinetics and Health Education, Faculty of Education, University of Nigeria, Nsukka, Nigeria

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