Mothers' knowledge and utilization of prevention of mother to child transmission services in northern Tanzania
Mothers' knowledge and utilization of prevention of mother to child transmission services in northern Tanzania
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DOI：
10.1186/1758-2652-13-36
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发表时间：
2010-09-14
影响因子：
6
通讯作者：
Engebretsen, Ingunn M. S.
中科院分区：
文献类型：
--
作者：
Falnes, Eli Fjeld;Tylleskar, Thorkild;Engebretsen, Ingunn M. S.
背景：90%以上的艾滋病病毒感染儿童是通过母婴传播感染的。本研究的目的是：（1）评估坦桑尼亚北方莫希的五个生殖和儿童健康诊所在实施常规咨询和检测后对预防母婴传播（PMTCT）服务的利用情况;（2）探讨产后母亲对PMTCT的知识水平;（3）评估所提供咨询的质量。方法：这项研究于2007年和2008年在坦桑尼亚基利曼哈罗地区的莫希农村和城市地区进行。使用了混合方法。我们采访了446位母亲，她们带着四周大的婴儿到五个生殖和儿童健康诊所进行免疫接种。平均而言，研究所包括的城市诊所比农村诊所早两年实施该方案。我们还进行了13个母亲和护士的深入访谈，四个焦点小组讨论与母亲，和四个观察的母亲接受consultations.Results：几乎所有的母亲（98%）提供艾滋病毒检测，并提供所有接受。然而，咨询工作很仓促，几乎没有时间作出澄清。在城市产前检查诊所就诊的母亲往往比在农村就诊的母亲更了解预防母婴传播。与以前的研究相比，在该地区，我们的研究发现，PMTCT知识有所增加，辅导员有更大的信心，在他们的consultation.Conclusions：常规咨询和检测艾滋病毒在产前诊所是非常接受，包括几乎每一个母亲在这段时间。然而，由于时间和资源的限制，咨询工作并不理想。我们解释了较高水平的预防母婴传播知识之间的城市，而不是农村与会者的差异，在启动的预防母婴传播方案，因此，方案的成熟。与早期的研究在这种情况下进行比较后，我们得出结论，当该计划有时间得到建立，它的接受和咨询过程中处理的主题的理解增加。
Background: 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.Methods: 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.Results: 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.Conclusions: 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.