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Review of prevention of mother to child transmission of HIV in Addis Ababa, Ethiopia

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dc.contributor.advisor Ehlers, V. J. Tefera Girma Negash 2014-11-19T13:28:25Z 2014-11-19T13:28:25Z 2014-06 2014-11-20
dc.identifier.citation Tefera Girma Negash (2014) Review of prevention of mother to child transmission of HIV in Addis Ababa, Ethiopia, University of South Africa, Pretoria, <> en
dc.description.abstract This study aimed to identify factors affecting women’s utilisation of the prevention of mother-to-child transmission (PMTCT) of HIV, evaluate the quality of PMTCT services, describe health outcomes of mothers and infants and to identify factors that influence mother-to-child transmission (MTCT) of HIV. Structured interviews were conducted with 384 women who had utilised PMTCT services. Information was also obtained from the health records of these women and of their infants. Better educated women, who had male partners and were self-employed were more likely to use PMTCT services. Being unmarried, poor and feeling stigmatised made it difficult for women to use these services. Respondents were satisfied with PMTCT services except that clinics sometimes had no medications. The health care workers followed the Ethiopian guidelines during HIV testing and counseling but not when prescribing treatment. Although the respondents’ CD4 cell counts improved, their clinical conditions did not improve. The MTCT rate was significantly higher if infants did not receive ARVs, had APGAR scores below seven, weighed less than 2.5kg at birth, were born prematurely, and if their mothers had nipple fissures. PMTCT services could be improved if more women used these services, health care workers followed the national guidelines when prescribing ARVs, clinics had adequate supplies of medicines, all infants received ARVs, and mothers’ nipple fissures could be prevented. Antenatal care should help to avoid premature births of infants weighing less than 2.5kg and having APGAR scores below 7. Future research should compare formula feeding versus breastfeeding of infants with HIV-positive mothers en
dc.language.iso en en
dc.subject APGAR score en
dc.subject Antenatal care (ANC) en
dc.subject Antiretroviral therapy (ART) en
dc.subject Antiretrorivals (ARVs) en
dc.subject Donabedian’s Model of Health Care Quality en
dc.subject Ethiopian health care services en
dc.subject Health Belief Model (HBM) en
dc.subject HIV/AIDS en
dc.subject HIV counseling and testing en
dc.subject Infant feeding options en
dc.subject Mother-to-child transmission of HIV (MTCT) en
dc.subject Nipple fissures en
dc.subject Partner testing en
dc.subject Prevention of mother to child transmission of HIV (PMTC) en
dc.subject.ddc 618.929792009633
dc.subject.lcsh HIV infections -- Ethiopia -- Addis Ababa -- Prevention
dc.subject.lcsh HIV infections -- Transmission -- Ethiopia -- Addis Ababa
dc.subject.lcsh Mother and infant -- Ethiopia -- Addis Ababa
dc.subject.lcsh Maternal health services -- Ethiopia -- Addis Ababa
dc.title Review of prevention of mother to child transmission of HIV in Addis Ababa, Ethiopia en
dc.type Thesis en
dc.description.department Health Studies en D. Litt. et Phil. (Health Studies)

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