Mothers' knowledge and utilization of prevention of mother to child transmission services in northern Tanzania
Identifieur interne : 004710 ( Main/Exploration ); précédent : 004709; suivant : 004711Mothers' knowledge and utilization of prevention of mother to child transmission services in northern Tanzania
Auteurs : Eli Fjeld Falnes [Norvège] ; Thorkild Tyllesk R [Norvège] ; Marina Manuela De Paoli [Norvège] ; Rachel Manongi [Tanzanie] ; Ingunn Ms Engebretsen [Norvège]Source :
- Journal of the International AIDS Society [ 1758-2652 ] ; 2010.
Abstract
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.
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.
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.
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.
Url:
DOI: 10.1186/1758-2652-13-36
PubMed: 20840784
PubMed Central: 3161341
Affiliations:
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Health, University of Bergen</wicri:regionArea><wicri:noRegion>University of Bergen</wicri:noRegion></affiliation></author><author><name sortKey="De Paoli, Marina Manuela" sort="De Paoli, Marina Manuela" uniqKey="De Paoli M" first="Marina Manuela" last="De Paoli">Marina Manuela De Paoli</name><affiliation wicri:level="1"><nlm:aff id="I2">Fafo Institute for Applied International Studies, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Fafo Institute for Applied International Studies</wicri:regionArea></affiliation></author><author><name sortKey="Manongi, Rachel" sort="Manongi, Rachel" uniqKey="Manongi R" first="Rachel" last="Manongi">Rachel Manongi</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Community Health, Tumaini University, Kilimanjaro Christian Medical College, Moshi, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Department of Community Health, Tumaini University, Kilimanjaro Christian Medical College, 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wicri:level="1"><nlm:aff id="I1">Centre for International Health, University of Bergen, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Centre for International Health, University of Bergen</wicri:regionArea><wicri:noRegion>University of Bergen</wicri:noRegion></affiliation></author><author><name sortKey="Tyllesk R, Thorkild" sort="Tyllesk R, Thorkild" uniqKey="Tyllesk R T" first="Thorkild" last="Tyllesk R">Thorkild Tyllesk R</name><affiliation wicri:level="1"><nlm:aff id="I1">Centre for International Health, University of Bergen, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Centre for International Health, University of Bergen</wicri:regionArea><wicri:noRegion>University of Bergen</wicri:noRegion></affiliation></author><author><name sortKey="De Paoli, Marina Manuela" sort="De Paoli, Marina Manuela" uniqKey="De Paoli M" first="Marina Manuela" last="De Paoli">Marina Manuela De Paoli</name><affiliation wicri:level="1"><nlm:aff id="I2">Fafo Institute for Applied International Studies, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Fafo Institute for Applied International Studies</wicri:regionArea></affiliation></author><author><name sortKey="Manongi, Rachel" sort="Manongi, Rachel" uniqKey="Manongi R" first="Rachel" last="Manongi">Rachel Manongi</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Community Health, Tumaini University, Kilimanjaro Christian Medical College, Moshi, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Department of Community Health, Tumaini University, Kilimanjaro Christian Medical College, Moshi</wicri:regionArea><wicri:noRegion>Moshi</wicri:noRegion></affiliation></author><author><name sortKey="Engebretsen, Ingunn Ms" sort="Engebretsen, Ingunn Ms" uniqKey="Engebretsen I" first="Ingunn Ms" last="Engebretsen">Ingunn Ms Engebretsen</name><affiliation wicri:level="1"><nlm:aff id="I1">Centre for International Health, University of Bergen, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Centre for International Health, University of Bergen</wicri:regionArea><wicri:noRegion>University of Bergen</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of the International AIDS Society</title><idno type="eISSN">1758-2652</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>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.</p></sec><sec><title>Methods</title><p>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.</p></sec><sec><title>Results</title><p>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.</p></sec><sec><title>Conclusions</title><p>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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="De Cock, Km" uniqKey="De Cock K">KM De Cock</name></author><author><name sortKey="Fowler, Mg" uniqKey="Fowler M">MG Fowler</name></author><author><name sortKey="Mercier, E" uniqKey="Mercier E">E Mercier</name></author><author><name sortKey="De Vincenzi, I" uniqKey="De Vincenzi I">I de Vincenzi</name></author><author><name sortKey="Saba, J" uniqKey="Saba J">J Saba</name></author><author><name sortKey="Hoff, E" uniqKey="Hoff E">E Hoff</name></author><author><name sortKey="Alnwick, Dj" uniqKey="Alnwick D">DJ Alnwick</name></author><author><name sortKey="Rogers, M" uniqKey="Rogers M">M Rogers</name></author><author><name sortKey="Shaffer, N" 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sortKey="Chirapa, E" uniqKey="Chirapa E">E Chirapa</name></author><author><name sortKey="Mahomva, A" uniqKey="Mahomva A">A Mahomva</name></author><author><name sortKey="Miller, A" uniqKey="Miller A">A Miller</name></author><author><name sortKey="Simoyi, M" uniqKey="Simoyi M">M Simoyi</name></author><author><name sortKey="Maldonado, Y" uniqKey="Maldonado Y">Y Maldonado</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shetty, Ak" uniqKey="Shetty A">AK Shetty</name></author><author><name sortKey="Mhazo, M" uniqKey="Mhazo M">M Mhazo</name></author><author><name sortKey="Moyo, S" uniqKey="Moyo S">S Moyo</name></author><author><name sortKey="Von Lieven, A" uniqKey="Von Lieven A">A von Lieven</name></author><author><name sortKey="Mateta, P" uniqKey="Mateta P">P Mateta</name></author><author><name sortKey="Katzenstein, Da" uniqKey="Katzenstein D">DA Katzenstein</name></author><author><name sortKey="Maldonado, Y" uniqKey="Maldonado Y">Y Maldonado</name></author><author><name sortKey="Hill, D" uniqKey="Hill D">D Hill</name></author><author><name sortKey="Bassett, Mt" uniqKey="Bassett M">MT Bassett</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sanjana, P" uniqKey="Sanjana P">P Sanjana</name></author><author><name sortKey="Torpey, K" uniqKey="Torpey K">K Torpey</name></author><author><name sortKey="Schwarzwalder, A" uniqKey="Schwarzwalder A">A Schwarzwalder</name></author><author><name sortKey="Simumba, C" uniqKey="Simumba C">C Simumba</name></author><author><name sortKey="Kasonde, P" uniqKey="Kasonde P">P Kasonde</name></author><author><name sortKey="Nyirenda, L" uniqKey="Nyirenda L">L Nyirenda</name></author><author><name sortKey="Kapanda, P" uniqKey="Kapanda P">P Kapanda</name></author><author><name sortKey="Kakungu Simpungwe, M" uniqKey="Kakungu Simpungwe M">M Kakungu-Simpungwe</name></author><author><name sortKey="Kabaso, M" uniqKey="Kabaso M">M Kabaso</name></author><author><name sortKey="Thompson, C" uniqKey="Thompson C">C Thompson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zachariah, R" uniqKey="Zachariah R">R Zachariah</name></author><author><name sortKey="Ford, N" uniqKey="Ford N">N Ford</name></author><author><name sortKey="Philips, M" uniqKey="Philips M">M Philips</name></author><author><name sortKey="Lynch, S" uniqKey="Lynch S">S Lynch</name></author><author><name sortKey="Massaquoi, M" uniqKey="Massaquoi M">M Massaquoi</name></author><author><name sortKey="Janssens, V" uniqKey="Janssens V">V Janssens</name></author><author><name sortKey="Harries, Ad" uniqKey="Harries A">AD Harries</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Norvège</li><li>Tanzanie</li></country></list><tree><country name="Norvège"><noRegion><name sortKey="Falnes, Eli Fjeld" sort="Falnes, Eli Fjeld" uniqKey="Falnes E" first="Eli Fjeld" last="Falnes">Eli Fjeld Falnes</name></noRegion><name sortKey="De Paoli, Marina Manuela" sort="De Paoli, Marina Manuela" uniqKey="De Paoli M" first="Marina Manuela" last="De Paoli">Marina Manuela De Paoli</name><name sortKey="Engebretsen, Ingunn Ms" sort="Engebretsen, Ingunn Ms" uniqKey="Engebretsen I" first="Ingunn Ms" last="Engebretsen">Ingunn Ms Engebretsen</name><name sortKey="Tyllesk R, Thorkild" sort="Tyllesk R, Thorkild" uniqKey="Tyllesk R T" first="Thorkild" last="Tyllesk R">Thorkild Tyllesk R</name></country><country name="Tanzanie"><noRegion><name sortKey="Manongi, Rachel" sort="Manongi, Rachel" uniqKey="Manongi R" first="Rachel" last="Manongi">Rachel Manongi</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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