Modifiable factors within the prevention of mother-to-child transmission programme associated with failure to prevent HIV transmission in the Onandjokwe district of Namibia

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dc.contributor.authorShayo, Flavia Stratoen_ZA
dc.contributor.authorMash, Boben_ZA
dc.date.accessioned2021-11-09T09:18:44Z
dc.date.available2021-11-09T09:18:44Z
dc.date.issued2019-03-08
dc.descriptionCITATION: Shayo, F. S. & Mash, B. 2019. Modifiable factors within the prevention of mother-to-child transmission programme associated with failure to prevent HIV transmission in the Onandjokwe district of Namibia. South African Family Practice, 61(1): 24-29. doi:10.4102/safp.v61i1.5055
dc.descriptionThe original publication is available at https://safpj.co.za/index.php/safpj
dc.description.abstractBackground: Ending new paediatric HIV infections continues to be a global health priority. Cuba and other countries have demonstrated that elimination of mother-to-child transmission is possible through Prevention of Mother-to-Child Transmission (PMTCT) interventions. As Namibia works on improving PMTCT there is a need to identify the local modifiable factors to achieve zero new HIV infections. Aim: This study aimed to identify the modifiable factors within the PMTCT programme, which contributed to the acquisition of HIV infection among children. Setting: The study was carried out in the Onandjokwe District, Northern Namibia. Methods: A descriptive audit was undertaken of 59 medical records of mothers and their children under two years, who acquired HIV despite the PMTCT programme between 2014 and 2016. Results: The study found that overall HIV transmission was only 2%, but 80% of the paediatric HIV infections could be prevented by implementing the existing Namibian PMTCT recommendations. Overall 61% of modifiable factors were related to mothers, 30% to health workers and 10% to the health system. The top three modifiable factors were the mother defaulting on ART during pregnancy or breastfeeding, the health worker not intervening when the mother failed the first-line ART regimen, and poor coordination of care between the hospital and primary care. Conclusion: Although overall transmission is low with the PMTCT programme, the majority of remaining HIV infections among children under two years could be prevented by addressing the modifiable factors identified in this study.en_ZA
dc.description.urihttps://safpj.co.za/index.php/safpj/article/view/5055/0
dc.description.versionPublisher’s version
dc.format.extent6 pages
dc.identifier.citationShayo, F. S. & Mash, B. 2019. Modifiable factors within the prevention of mother-to-child transmission programme associated with failure to prevent HIV transmission in the Onandjokwe district of Namibia. South African Family Practice, 61(1): 24-29. doi:10.4102/safp.v61i1.5055
dc.identifier.issn2078-6204 (online)
dc.identifier.issn2078-6190 (print)
dc.identifier.otherdoi:10.4102/safp.v61i1.5055
dc.identifier.urihttp://hdl.handle.net/10019.1/123399
dc.language.isoen_ZAen_ZA
dc.publisherSouth African Academy of Family Physicians
dc.rights.holderAuthors retain copyright
dc.subjectAntenatal careen_ZA
dc.subjectHIV (Viruses) -- Transmission -- Namibiaen_ZA
dc.subjectHIV (Viruses) -- Prevention -- Namibiaen_ZA
dc.subjectHIV (Viruses) -- Risk factors -- Namibiaen_ZA
dc.subjectHIV-positive women -- Namibiaen_ZA
dc.subjectPregnant women -- Namibiaen_ZA
dc.subjectHIV (Viruses) -- Epidemiology -- Namibiaen_ZA
dc.titleModifiable factors within the prevention of mother-to-child transmission programme associated with failure to prevent HIV transmission in the Onandjokwe district of Namibiaen_ZA
dc.typeArticleen_ZA
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