Participation of traditional birth attendants in prevention of mother-to-child transmission of HIV services in two rural districts in Zimbabwe: a feasibility study

Pärna, Kersti; Usin, Janika; Ringmets, Inge
January 2008
BMC Public Health;2008, Vol. 8 Issue 1, p401
Academic Journal
Background: Prevention of Mother-to-Child Transmission of HIV (PMTCT) is among the key HIV prevention strategies in Zimbabwe. A decrease in use of antenatal care (ANC) services with an increase in home deliveries is affecting the coverage of PMTCT interventions in a context of accelerated economic crisis. The main objective was to evaluate acceptability and feasibility of reinforcing the role of traditional birth attendants (TBAs) in family and child health services through their participation in PMTCT programmes in Zimbabwe. Methods: A community based cross-sectional survey was undertaken using multistage cluster sampling in two rural districts through interviews and focus group discussions among women who delivered at home with a TBA, those who had an institutional delivery and TBAs. Results: 45% of TBAs interviewed knew the principles of PMTCT and 8% delivered a woman with known HIV-positive status in previous year. Of the complete package of PMTCT services, more than 75% of TBAs agreed to participate in most activities with the exception of performing a blood test (17%), accompanying new-borns to closest health centre to receive medication (15%) and assisting health centres in documentation of the link ANC-PMTCT services (18%). Women who delivered at home were less likely to have received more than one ANC service or have had contact with a health centre compared to women who delivered in a health centre (91.0% vs 72.6%; P < 0.001). Also, 63.6% of the women who delivered in a health centre had the opportunity to choose the place of delivery compared to 39.4% of women who delivered at home (P < 0.001). More than 85% of women agreed that TBAs could participate in all activities related to a PMTCT programme with the exception of performing a blood test for HIV. Concerns were highlighted regarding confidentiality of the HIV-serostatus of women. Conclusion: Although the long-term goal of ANC service delivery in Zimbabwe remains the provision of skilled delivery attendance, PMTCT programmes will benefit from complementary approaches to prevent missed opportunities. TBAs are willing to expand their scope of work regarding activities related to PMTCT. There is a need to reinforce their knowledge on MTCT prevention measures and better integrate them into the health system.


Related Articles

  • Knowledge and practice of prevention of mother-to-child transmission of HIV among traditional birth attendants in Lagos State, Nigeria. Balogun, Mobolanle; Odeyemi, Kofo // Pan African Medical Journal;2011, Vol. 5, p1 

    Background:Traditional birth attendants (TBAs) assist most deliveries in Nigeria. Knowing and understanding all issues surrounding HIV/AIDS and Prevention of Mother-To-Child Transmission of HIV (PMTCT) can help them to protect themselves and others. This study aimed to assess the knowledge and...

  • Swaziland: MSF rolls out innovative medical approach to prevent mother-to-child HIV/AIDS transmission.  // African Business News;9/20/2013, p21 

    The article reports that since February 2013, an innovative approach referred to as prevention of mother-to-child transmission, option B+ (PMTCT B+) has been rolled. It is possible in Swaziland to completely avoid transmission of the AIDS virus from the mother to the child, and to keep the...

  • AIDS Drug Assistance Programs in the Era of Routine HIV Testing. Bassett, Ingrid V.; Farel, Claire; Szmuilowicz, Emily D.; Walensky, Rochelle P. // Clinical Infectious Diseases;9/1/2008, Vol. 47 Issue 5, p695 

    AIDS [Acquired Immunodeficiency Syndrome] Drug Assistance Programs, operating within the larger Ryan White Program, are state-based, discretionary programs that provide a drug "safety net" for low-income and uninsured individuals infected with human immunodeficiency virus (HIV). Although the...

  • Milk Mysteries: Why Are Women Who Exclusively Breast-Feed Less Likely to Transmit HIV during Breast-Feeding? Kuhn, Louise // Clinical Infectious Diseases;3/1/2010, Vol. 50 Issue 5, p770 

    The author reflects the result of the study to determine the potential explanations for the HIV transmission-reducing effects of exclusive breast-feeding. He states that result of the study shows that breast-feeding persisted as a strong predictor of less postnatal HIV transmission. However, he...

  • Great challenges to PMTCT in the South: the role of the developed nations in supporting strategies that work. Onyango, Dorothy // Retrovirology;2008 Supplement 1, Vol. 5, Special section p1 

    Introduction Prevention of mother to child transmission of HIV (PMTCT) has continued to gain immense significance in the fields of HIV prevention and care, mostly in the last 10 years. This significance has come about due to the growing recognition that HIV is not only in blood and sexual fluids...

  • HIV prevention in ongoing patient care. Pinkowish, Mary Desmond // Patient Care;Sep2003, Vol. 37 Issue 9, p13 

    Reports that the U.S. Centers for Disease Control and Prevention has released guidelines that are intended to help a range of health care providers communicate more effectively with their patients about lowering the risk of HIV transmission. Recommended means of screening patients for their...

  • Classification of Transmission Risk in the National HIV/AIDS Surveillance System. Lee, Lisa M.; McKenna, Matthew T.; Janssen, Robert S. // Public Health Reports;Sep/Oct2003, Vol. 118 Issue 5, p400 

    Risk behavior information is essential for allocating resources and developing effective HIV prevention strategies. Over time, transmission risk information on HIV/AIDS cases has been less likely to be reported to the national surveillance system. The Centers for Disease Control and Prevention...

  • Sexually Transmitted Infections among Adolescents and Young Adults in India. Sarkar, Narendra Nath // International Medical Journal;Jul2008, Vol. 15 Issue 3, p205 

    Objectives: The aim of this study is to enumerate and elucidate the type and nature of sexually transmitted infections (RTI) including HIV/AIDS affecting people in India. Methods: Data were extracted from the literature using MEDLINE database service for years 2002-07. The original articles,...

  • Rapid Testing May Not Improve Uptake of HIV Testing and Same Day Results in a Rural South African Community: A Cohort Study of 12,000 Women. Mkwanazi, Ntombizodumo B.; Patel, Deven; Newell, Marie-Louise; Rollins, Nigel C.; Coutsoudis, A.; Coovadia, H. M.; Bland, R. M. // PLoS ONE;2008, Vol. 3 Issue 10, p1 

    Background: Rapid testing of pregnant women aims to increase uptake of HIV testing and results and thus optimize care. We report on the acceptability of HIV counselling and testing, and uptake of results, before and after the introduction of rapid testing in this area. Methods and Principal...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics