Health> Vol.5 No.7, July 2013

Beliefs and practices of young women on utilization of prevention of mother to child transmission of HIV services in Malawi

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ABSTRACT

This study explored beliefs and actual practices of young women on utilization of Prevention of Mother to Child Transmission (PMTCT) of HIV services in Balaka district of Southern Malawi. The study design wascross sectional which utilized qualitative data collection and analysis methods. In-depth interviews were conducted on 12 young mothers of 15 to 24 years old. The respondents were drawn from 6 health centres in the district during their visits to either the under-five clinic, HIV and AIDS support groups or HIV follow up clinics. Data were analyzed using thematic analysis approach. Overall the respondents had positive beliefs on utilization of PMTCT services. They believed that adherence to PMTCT guidelines such as condom use, taking of Nevirapine (NVP) and exclusive breastfeeding protected the baby from contracting the virus. Nevertheless, all respondents believed that HIV testing was mandatory and that early weaning caused malnutrition and death of babies. Actual practice was very low. Very few young mothers breastfed exclusively, weaned their babies abruptly and took NVP as recommended. Not all positive beliefs translated into positive behavior. Lack of male support, inability of the midwives to provide comprehensive care to HIV infected mothers and their infants, and fear of stigma and discrimination were other factors that hindered utilization of PMTCT services. Culture was also a major barrier because traditionally babies are expected to be breastfed and supplements are fed to babies too. Therefore, there is a need to mobilize communities on PMTCT of HIV. Education programmes in HIV should emphasize behavior change interventions and should focus on both men and women and significant others. There is also need to intensify monitoring and evaluation of health workers’ activities to ensure that beliefs translate into positive behavior.

Cite this paper

Muheriwa, S. , Chimwaza, A. , Maluwa, A. , Nyasulu, B. and Pindani, M. (2013) Beliefs and practices of young women on utilization of prevention of mother to child transmission of HIV services in Malawi. Health, 5, 1172-1179. doi: 10.4236/health.2013.57158.

References

[1] Kafulafula, G. (2007) Post-weaning gastroenteritis and mortality in HIV-uninfected African infants receiving an- tiretroviral prophylaxis to prevent MTCT of HIV. The 14th Conference on Retroviruses and Opportunistic Infections, 25-28 February 2007, Los Angeles.
[2] WHO (2010) HIV transmission through breastfeeding: A review of available evidence from 2001 to 2007. www.who.int/entity/nutrition/topics/Paper5InfantFeedingbangkok.pdf
[3] UNICEF (2013) Count down to zero: Elimination of new HIV infections among children by 2015 and keeping their mothers alive.
[4] UNICEF (2007) The situation of women and children.
[5] Ministry of Health (2011) Clinical management of HIV in children and adults: Malawi integrated guidelines in providing HIV services in: Antenatal care, maternity care, under five clinics, family planning clinics, exposed infant? Pre-ART clinics, ART clinics. Design Printers, Lilongwe.
[6] Ministry of Health (2006) National prevention of mother to child transmission of HIV (PMTCT) training package: Participant manual. Design printers, Lilongwe.
[7] Car, L.T., van-Velthoven, M.H., Paljarvi, T., Car, J. and Atun, R. (2010) Integrating prevention of mother to child HIV transmission (PMTCT) programmes with other health services for preventing HIV infection and improving HIV outcomes in developing countries. The Cochrane Library.
[8] Munthali, A.C. (2006) Universal access indicators from Malawi: A final report.
[9] UNICEF (2009) Malawi’s children the missing face of AIDS.
[10] Bhuiya, I. (2004) Adolescent reproductive findings from intervention research in Bangladelsh.
[11] Buyungo, P. and Ategeka, J.A.K. (2005) HIV/AIDS TRAc study examining the use of prevention of mother to child transmission services among women of reproductive age. Research Division PSI, Kampala.
[12] Nguyen, T.A., Oosterhoff, P., Ngoc, Y.P., Wright, P. and Hardon, A. (2008) Barriers to access prevention of mother to child transmission for HIV positive women in a well-resourced settings in Vietnam. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=235891
[13] National Statistical Office and UNICEF (2008) Malawi multiple indicator cluster survey 2006, final report. National Statistical Office and UNICEF, Lilongwe.
[14] Ministry of Health (2008) HIV and syphilis sero-survey and national HIV prevalence and AIDS estimates report. Design Printers, Lilongwe.
[15] Braun, V. and Clarke, V. (2006) Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101. doi:10.1191/1478088706qp063oa
[16] Bajunirwe, F. and Muzoora, M. (2005) Barriers to the implementation of programs for the prevention of mother to child transmission of HIV: A cross sectional survey in rural and urban Uganda. AIDS Research and Therapy, 2, 10. doi:10.1186/1742-6405-2-10
[17] UNAIDS and WHO (2004) UN human rights guidelines. WHO, Geneva.
[18] Gama, J. (1999) A study on impact of AIDS education on condom use towards HIV/AIDS prevention among the youths at Mulanje secondary school. Unpublished Bachelors Dissertation, University of Malawi, Zomba.
[19] Mukuka, L. and Nevo, V.S. (2006) AIDS related knowledge, attitude, and behavior among adolescents in Zambia. Ethnicity and Disease, 16, 488-494.
[20] Moore, K.M. (2003) Linking women and communities with skilled childbirth care: Use of a community-designed birth preparedness card in Western Kenya [draft]. The CHANGE Project, Academy for Educational Development. The Manoff Group, Washington DC.
[21] Kasenga, F., Hurting, A.K. and Emmelin, M. (2007) Home deliveries: Implications for adherence to neverapine in a prevention of mother to child transmission programme in rural Malawi. AIDS Care, 19, 646-652. doi:10.1080/09540120701235651
[22] Leonard, A., Mane, P. and Rutenberg, N. (2001) Evidence for the importance of community involvement: Implications for initiatives to prevent mother-to-child transmission of HIV, in community involvement in initiatives to prevent mother-to-child transmission of HIV. The Population Council, Glaxo.
[23] Magoma, M., Requejo, J., Campbell, O.M.R., Cousens, S. and Fillip, V. (2010) High ANC coverage and low skilled attendance in rural Tanzanian district: A case for implementing a birth plan intervention. BMC Pregnancy and Child birth, 10, 1471-2393.
[24] Stringer, J.S., Sinkala, M., Stout, J.P., Goldenberg, R.L., Acosta, E. and Chapman, P. (2003) Comparison of two strategies for administering nevirapine to prevent perinatal HIV transmission in high-prevalence, resource-poor settings. Journal of Acquired Immune Deficiency Syndromes, 32, 506-513. doi:10.1097/00126334-200304150-00007
[25] Medley, A.M., Kennedy, C.E., Lunyolo, S. and Sweat, M.D. (2009) Disclosure outcomes, coping strategies, and life changes among women living with HIV in Uganda. Qualitative Health Research, 19, 1744. doi:10.1177/1049732309353417
[26] Manhart, L.E., Dialmy, A., Ryan, C.A. and Mahjour, J. (2000) Sexually transmitted diseases in Morocco: Gender influences on prevention and health seeking behavior. Social Science and Medicine, 50, 1369-1383. doi:10.1016/S0277-9536(99)00398-6
[27] Colton, T.C. (2005) Preventing mother to child transmission of HIV in Kenya: Pathfinder internationals’ experience 2002-2005.
[28] Njunga, J. (2008) Infant feeding experiences of HIV positive mothers enrolled in prevention of MTCT programmes— The case for rural Malawi.
[29] Ministry of Health (2009) National sexual and reproductive health and rights policy. Ministry of Health, Lilongwe.
[30] Ayouba, A., Tene, G., Cunin, P., Foupouapouognigni, Y., Menu, E. and Kfutwah, A. (2003) Low rate of mother-to-child transmission of HIV1 after Nevirapine intervention in a pilot public health program in Yaoundé, Cameroon. Journal of Acquired Immune Deficiency Syndrome, 34, 274-280. doi:10.1097/00126334-200311010-00003

  
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