Challenges to delivering quality care in a prevention of mother-to-child transmission of HIV programme in Soweto, South Africa

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dc.contributor.authorMnyani, Coceka Nandipha
dc.contributor.authorMcIntyre, James
dc.date.accessioned2021-10-08T07:17:48Z
dc.date.available2021-10-08T07:17:48Z
dc.date.issued2013
dc.description.abstractObjectives: There has been little focus on quality of care provided in prevention of mother-to-child transmission of HIV (PMTCT) services in South Africa. We assessed quality of care in PMTCT services in Soweto, South Africa, focusing on knowledge and experiences of healthcare workers and HIV-infected pregnant women accessing the services. Methods: A cross-sectional survey was conducted between November and December 2009. A total of 201 HIV-infected pregnant women and 80 healthcare workers, from 10 antenatal clinics, were interviewed using standardised questionnaires. Results: The median gestational age at first antenatal visit was 20 weeks and 32 weeks at the time of the interview. The majority of the women, 71.5%, discovered that they were HIV-infected in the index pregnancy, and 87.9% disclosed their HIV status. Overall, 97.5% received counselling and 33.5% were members of a support group. Knowledge of antenatal and intrapartum PMTCT interventions was correct in 62.7% and 43.3% of the women, respectively. Support group membership and current use of antiretroviral prophylaxis did not impact on the quality of knowledge. Of the healthcare workers, 43.8% were professional nurses and 37.5% were lay counsellors. The majority, 80.0%, felt satisfied with their knowledge of PMTCT guidelines and 96.3% felt competent in managing HIV-infected pregnant women. Yet, there were important deficiencies in knowledge of the guidelines. Conclusion: In our study, knowledge of PMTCT interventions was low in both clients and healthcare workers. These findings point to a need to improve quality of care in PMTCT services, especially with increasingly complex PMTCT interventions recommended by international policies.
dc.identifier.apacitationMnyani, C. N., & McIntyre, J. (2013). Challenges to delivering quality care in a prevention of mother-to-child transmission of HIV programme in Soweto, South Africa. <i>Southern African Journal of Hiv Medicine</i>, 14(2), 64 - 177. http://hdl.handle.net/11427/34824en_ZA
dc.identifier.chicagocitationMnyani, Coceka Nandipha, and James McIntyre "Challenges to delivering quality care in a prevention of mother-to-child transmission of HIV programme in Soweto, South Africa." <i>Southern African Journal of Hiv Medicine</i> 14, 2. (2013): 64 - 177. http://hdl.handle.net/11427/34824en_ZA
dc.identifier.citationMnyani, C.N. & McIntyre, J. 2013. Challenges to delivering quality care in a prevention of mother-to-child transmission of HIV programme in Soweto, South Africa. <i>Southern African Journal of Hiv Medicine.</i> 14(2):64 - 177. http://hdl.handle.net/11427/34824en_ZA
dc.identifier.issn1608-9693
dc.identifier.issn2078-6751
dc.identifier.ris TY - Journal Article AU - Mnyani, Coceka Nandipha AU - McIntyre, James AB - Objectives: There has been little focus on quality of care provided in prevention of mother-to-child transmission of HIV (PMTCT) services in South Africa. We assessed quality of care in PMTCT services in Soweto, South Africa, focusing on knowledge and experiences of healthcare workers and HIV-infected pregnant women accessing the services. Methods: A cross-sectional survey was conducted between November and December 2009. A total of 201 HIV-infected pregnant women and 80 healthcare workers, from 10 antenatal clinics, were interviewed using standardised questionnaires. Results: The median gestational age at first antenatal visit was 20 weeks and 32 weeks at the time of the interview. The majority of the women, 71.5%, discovered that they were HIV-infected in the index pregnancy, and 87.9% disclosed their HIV status. Overall, 97.5% received counselling and 33.5% were members of a support group. Knowledge of antenatal and intrapartum PMTCT interventions was correct in 62.7% and 43.3% of the women, respectively. Support group membership and current use of antiretroviral prophylaxis did not impact on the quality of knowledge. Of the healthcare workers, 43.8% were professional nurses and 37.5% were lay counsellors. The majority, 80.0%, felt satisfied with their knowledge of PMTCT guidelines and 96.3% felt competent in managing HIV-infected pregnant women. Yet, there were important deficiencies in knowledge of the guidelines. Conclusion: In our study, knowledge of PMTCT interventions was low in both clients and healthcare workers. These findings point to a need to improve quality of care in PMTCT services, especially with increasingly complex PMTCT interventions recommended by international policies. DA - 2013 DB - OpenUCT DP - University of Cape Town IS - 2 J1 - Southern African Journal of Hiv Medicine LK - https://open.uct.ac.za PY - 2013 SM - 1608-9693 SM - 2078-6751 T1 - Challenges to delivering quality care in a prevention of mother-to-child transmission of HIV programme in Soweto, South Africa TI - Challenges to delivering quality care in a prevention of mother-to-child transmission of HIV programme in Soweto, South Africa UR - http://hdl.handle.net/11427/34824 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34824
dc.identifier.vancouvercitationMnyani CN, McIntyre J. Challenges to delivering quality care in a prevention of mother-to-child transmission of HIV programme in Soweto, South Africa. Southern African Journal of Hiv Medicine. 2013;14(2):64 - 177. http://hdl.handle.net/11427/34824.en_ZA
dc.language.isoeng
dc.publisher.departmentCentre for Infectious Disease Epidemiology and Research
dc.publisher.facultyFaculty of Health Sciences
dc.sourceSouthern African Journal of Hiv Medicine
dc.source.journalissue2
dc.source.journalvolume14
dc.source.pagination64 - 177
dc.source.urihttps://dx.doi.org/10.4102/sajhivmed.v14i2.80
dc.subject.otherHIV
dc.subject.otherPMTCT
dc.subject.otherpregnant women
dc.subject.otherSoweto
dc.subject.otherSouth Africa
dc.titleChallenges to delivering quality care in a prevention of mother-to-child transmission of HIV programme in Soweto, South Africa
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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