A Review to Identify the Gaps in Prevention of Mother to Child Transmission of HIV Services in Nigeria
Journal of Scientific Research and Reports,
Page 67-78
DOI:
10.9734/jsrr/2020/v26i830296
Abstract
Background: Nigeria has the second largest burden of maternal to child transmission of HIV (MTCT) in the world at a rate of 30% and has the largest burden of paediatric HIV infection globally at the rate of 10%. Effective prevention of mother to child transmission of HIV (PMTCT) can drastically reduce the paediatric HIV infection to 2%. However, recent evidence reveals yawning gaps in the PMTCT services in Nigeria, where out of estimated 9.2 million pregnancies, only about 3 million received HIV counselling and testing (HCT). This review is to unravel the unmet needs for PMTCT of HIV services in Nigeria.
Methods: Keywords from objectives of review are MTCT and PMTCT which were used to search for related literatures through online libraries of national and international journals; Medline and PubMed including google. 62 related literatures/studies were initially generated and then narrowed down to 19 literatures were selected which met the inclusion criteria- less than 10 year and related to objective of review.
Findings: There are unmet needs for PMTCT of HIV services in Nigeria due to challenges like low HCT/PMTCT service uptake (35.5%), low HCT/PMTCT service delivery facilities (27%), low ANC (58%) and low (35%) delivery in formal health setting.
Conclusion: PMTCT target in Nigeria has not been met. Regular training of existing health workforce including the TBAs and the adoption of the recommendations for an HIV-free generation will bridge the HCT / PMTCT of HIV services gap identified in this review.
Keywords:
- PMTCT
- gaps
- HIV
- child transmission
How to Cite
References
Available:http://naca.gov.ng/
Accessed Jan 2016.
National baseline survey of primary health care services and utilization in Nigeria survey report; 2011.
Available:https://cchangeprogram.org/sites/default/files/CChange_Nigeria_PMTCT
Accessed January 2016.
Violari A, Paed FC, Mark F. Cotton, Diana M. Gibb, Abdel G. Babiker, Jan Steyn, Shabir A. Madhi, Paed FC, Patrick Jean-Philippe, James A, McIntyre Cotton MF, Gibb DM, et al. Early antiretroviral therapy and mortality among HIV-infected infants. N Engl J Med. 2008;359(21):2233–2244.
Population Reference Bureau; 2011.
Available:http://www.prb.org/
(Accessed January 2016)
Federal Ministry of Health Nigeria. National HIV/AIDS and Reproductive Health Survey (NARHS Plus II, 2012); 2012.
Available:http://www.unaids.org/sites/default/files/en/dataanalysis/knowyourresponse (Accessed Jan 2016)
National PMTCT communication Strategy, Nigeria; (2014).
Available:https://cchangeprogram.org/sites/default/files/CChange_Nigeria_PMTCT (Accessed Jan 2016)
Adogu P, Okonkwo KC, Emelumadu OF, Ofunnu CA, Ilika AL. Nigerian HIV positive mother tested negative after fifty-four months on HAART. Journal of Advances in Medicine and Medical Research. 2014; 5(9):1181-1187.
Available:https://doi.org/10.9734/BJMMR/20; 5/13116
National agency for the control of AIDS (NACA) meeting report; 2014.
Available:http://www.unaids.org/sites/default/files/country/documents/NGA_narrative. (Accessed February 2016)
Christian O. Isichei, Arthur J. Ammann. The role of trained birth attendants in delivering PMTCT services. American Journal of Health Research. 2015:3(4); 232-238.
Available:http://www.sciencepublishinggroup.com/j/ajhr
HIV/AIDS Division, Federal Ministry of Health. National operational plan for the elimination of mother to child transmission (EMTCT) of HIV in Nigeria, 2015–2016. HIV/AIDS Division Federal Ministry of Health 2nd Floor, Edo House Plot 75 Ralph Sodeinde Street Central Business District Abuja, Nigeria; 2014.
Available:info@nascp.gov.ng,
www.nascp.gov.ng
National PMTCT training slide; 2013.
Available:http://pmtct.or.tz/resource/national-training-refresher-package-pmtct-trainer
(Accessed December 2015)
Adogu PO, Nwabueze SA, Adinma ED, Ilika AL, Ikechebelu JI. Infant feeding choices and practices as risk factors of mother-to-child-transmission of HIV among exposed Infants in Nnamdi Azikiwe University Teaching Hospital Nnewi. AFRIMEDIC Journal. 2012;3(1): 1-12.
National agency for the control of AIDS: Global AIDS Response country progress report: Nigeria GARPR; 2012.
Available:http://www.unaids.org/sites/default/files/country/documents/NGA_narrative (Accessed December 2015)
National agency for the control of AIDS. 2011 Annual Report. Abuja: NACA; 2012.
Available:http://www.unaids.org/sites/default/files/en/dataanalysis/knowyourresponse (Accessed Jan 2016)
National Population Commission (NPC) [Nigeria] and ICF International. 2014. Nigeria Demographic and Health Survey Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF International; 2010.
Federal Ministry of Health. National Strategic Health Development Plan (NSHDP); 2010–2015.
Available:http://www.health.gov.ng/doc/NSHDP.pdf
(Accessed January 2016)
Federal Ministry of Health. Human resources for health strategic plan, 2008- 2012; 2007.
Available:http://www.who.int/workforcealliance/countries/Nigeria_HRHStrategicPlan
Accessed February 2016
Kathy Attawell. Scaling up prevention of mother-to-child transmission of HIV. Tearfund; 2008.
Available:http://tilz.tearfund.org/~/media/files/tilz/hiv/c8786_web.pdf
National Population Commission (NPC) [Nigeria] and ICF International. 2014. Nigeria Demographic and Health Surve; 2013.
Available:https://dhsprogram.com/pubs/pdf/FR293/FR293.pdf
(Accessed February 2016)
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