Modifiable factors within the prevention of mother to child transmission (PMTCT) programme associated with failure to prevent HIV transmission in the Onandjokwe district of Namibia

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dc.contributor.advisorMash, Boben_ZA
dc.contributor.authorShayo, Flavia Stratoen_ZA
dc.contributor.otherStellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care.en_ZA
dc.date.accessioned2017-11-06T12:59:28Z
dc.date.accessioned2017-12-11T10:24:40Z
dc.date.available2017-11-06T12:59:28Z
dc.date.available2017-12-11T10:24:40Z
dc.date.issued2017-12
dc.descriptionThesis (MFamMed)--Stellenbosch University, 2017.en_ZA
dc.description.abstractENGLISH SUMMARY: Background: Ending new paediatric HIV infections continues to be a global health priority. Cuba and other countries have demonstrated that elimination of mother to child transmission is possible through Prevention of Mother-to-Child Transmission (PMTCT) interventions. As Namibia works on improving PMTCT there is a need to identify the local modifiable factors to achieve zero new HIV infections. Aim: This study aimed to identify the modifiable factors within the PMTCT programme, which contributed to the acquisition of HIV infection among children in the Onandjokwe District. Setting: Onandjokwe District, Northern Namibia. Methods: A descriptive audit of the medical records of mothers and their children under two years, who acquired HIV despite the PMTCT programme. Results: The study found that 80% of the paediatric HIV infections could be prevented by implementing the existing Namibian PMTCT recommendations. Overall 55% of modifiable factors were related to mothers, 35% to health workers and 10% to the health system. The top three modifiable factors related to health workers were poor HIV viral load monitoring, failure to act on a high HIV viral load and lack of initiative in tracing defaulters. Modifiable factors related to mothers were defaulting anti-retroviral therapy in themselves or their children. Health system related factors were a lack of a recall system to ensure infants came for their medication and HIV tests. Conclusion: The majority of HIV infections among children under two years could be prevented within the PMTCT programme by addressing the identified modifiable factors in this study.en_ZA
dc.description.abstractAFRIKAANSE OPSOMMING: Geen opsomming beskikbaar.af_ZA
dc.description.versionMasters
dc.format.extent19 pages
dc.identifier.urihttp://hdl.handle.net/10019.1/102555
dc.language.isoen_ZAen_ZA
dc.publisherStellenbosch : Stellenbosch University
dc.rights.holderStellenbosch University
dc.subjectAIDS (Disease) in infants -- Namibia -- Preventionen_ZA
dc.subjectAIDS (Disease) in pregnancy -- Namibia -- Preventionen_ZA
dc.subjectHIV infections -- Transmission -- Namibiaen_ZA
dc.subjectHIV infections -- Prevention -- Namibiaen_ZA
dc.subjectUCTD
dc.titleModifiable factors within the prevention of mother to child transmission (PMTCT) programme associated with failure to prevent HIV transmission in the Onandjokwe district of Namibiaen_ZA
dc.typeThesisen_ZA
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