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"I think this is the only challenge… the stigma” Stakeholder perceptions about barriers to Antenatal care (ANC) and Prevention of mother-to-child transmission (PMTCT) uptake in Kano state, Nigeria

BACKGROUND: Despite the progress made so far in reducing mother-to-child transmission (MTCT), Nigeria still contributes significantly to the global burden of new pediatric HIV infections. The elimination target for MTCT has not been reached and the decline in new infections among all Global Plan cou...

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Autores principales: Dirisu, Osasuyi, Eluwa, George, Adams, Eseoghene, Torpey, Kwasi, Shittu, Oladapo, Adebajo, Sylvia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7185580/
https://www.ncbi.nlm.nih.gov/pubmed/32339180
http://dx.doi.org/10.1371/journal.pone.0232028
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author Dirisu, Osasuyi
Eluwa, George
Adams, Eseoghene
Torpey, Kwasi
Shittu, Oladapo
Adebajo, Sylvia
author_facet Dirisu, Osasuyi
Eluwa, George
Adams, Eseoghene
Torpey, Kwasi
Shittu, Oladapo
Adebajo, Sylvia
author_sort Dirisu, Osasuyi
collection PubMed
description BACKGROUND: Despite the progress made so far in reducing mother-to-child transmission (MTCT), Nigeria still contributes significantly to the global burden of new pediatric HIV infections. The elimination target for MTCT has not been reached and the decline in new infections among all Global Plan countries from 2009 to 2015 was lowest in Nigeria. This qualitative study explores the barriers to uptake of prevention of mother-to-child transmission (PMTCT) intervention in Kano, the second most populous state in Nigeria. METHODS: Key informant interviews (KIIs) were conducted among twelve stakeholders who were purposively selected based on their knowledge and involvement in PMTCT program activities in the state. The KII guide explored the status and challenges of PMTCT uptake in Kano state. Qualitative data analysis was managed using NVIVO 11 software and themes were analyzed using thematic analysis. RESULTS: We found that the key barriers to uptake of PMTCT identified by stakeholders cut across the domains of the socio-ecological model. These include—fear of stigma associated with being seen accessing HIV related services, low male partner involvement, socio-cultural beliefs about the dangers of hospital-based delivery, poor attitude of health workers, distance/cost to facilities, issues with availability of HIV test kits and poor organization of health services. CONCLUSION: The implementation of effective PMTCT programs would require innovative strategies that leverage improvement of Antenatal care (ANC) uptake as an entry point for PMTCT. In addition, sustaining engagement in care requires creating a supportive stigma-free environment in the community as well as spousal support to ensure women can navigate the socio-cultural barriers that limit access to health services.
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spelling pubmed-71855802020-05-06 "I think this is the only challenge… the stigma” Stakeholder perceptions about barriers to Antenatal care (ANC) and Prevention of mother-to-child transmission (PMTCT) uptake in Kano state, Nigeria Dirisu, Osasuyi Eluwa, George Adams, Eseoghene Torpey, Kwasi Shittu, Oladapo Adebajo, Sylvia PLoS One Research Article BACKGROUND: Despite the progress made so far in reducing mother-to-child transmission (MTCT), Nigeria still contributes significantly to the global burden of new pediatric HIV infections. The elimination target for MTCT has not been reached and the decline in new infections among all Global Plan countries from 2009 to 2015 was lowest in Nigeria. This qualitative study explores the barriers to uptake of prevention of mother-to-child transmission (PMTCT) intervention in Kano, the second most populous state in Nigeria. METHODS: Key informant interviews (KIIs) were conducted among twelve stakeholders who were purposively selected based on their knowledge and involvement in PMTCT program activities in the state. The KII guide explored the status and challenges of PMTCT uptake in Kano state. Qualitative data analysis was managed using NVIVO 11 software and themes were analyzed using thematic analysis. RESULTS: We found that the key barriers to uptake of PMTCT identified by stakeholders cut across the domains of the socio-ecological model. These include—fear of stigma associated with being seen accessing HIV related services, low male partner involvement, socio-cultural beliefs about the dangers of hospital-based delivery, poor attitude of health workers, distance/cost to facilities, issues with availability of HIV test kits and poor organization of health services. CONCLUSION: The implementation of effective PMTCT programs would require innovative strategies that leverage improvement of Antenatal care (ANC) uptake as an entry point for PMTCT. In addition, sustaining engagement in care requires creating a supportive stigma-free environment in the community as well as spousal support to ensure women can navigate the socio-cultural barriers that limit access to health services. Public Library of Science 2020-04-27 /pmc/articles/PMC7185580/ /pubmed/32339180 http://dx.doi.org/10.1371/journal.pone.0232028 Text en © 2020 Dirisu et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Dirisu, Osasuyi
Eluwa, George
Adams, Eseoghene
Torpey, Kwasi
Shittu, Oladapo
Adebajo, Sylvia
"I think this is the only challenge… the stigma” Stakeholder perceptions about barriers to Antenatal care (ANC) and Prevention of mother-to-child transmission (PMTCT) uptake in Kano state, Nigeria
title "I think this is the only challenge… the stigma” Stakeholder perceptions about barriers to Antenatal care (ANC) and Prevention of mother-to-child transmission (PMTCT) uptake in Kano state, Nigeria
title_full "I think this is the only challenge… the stigma” Stakeholder perceptions about barriers to Antenatal care (ANC) and Prevention of mother-to-child transmission (PMTCT) uptake in Kano state, Nigeria
title_fullStr "I think this is the only challenge… the stigma” Stakeholder perceptions about barriers to Antenatal care (ANC) and Prevention of mother-to-child transmission (PMTCT) uptake in Kano state, Nigeria
title_full_unstemmed "I think this is the only challenge… the stigma” Stakeholder perceptions about barriers to Antenatal care (ANC) and Prevention of mother-to-child transmission (PMTCT) uptake in Kano state, Nigeria
title_short "I think this is the only challenge… the stigma” Stakeholder perceptions about barriers to Antenatal care (ANC) and Prevention of mother-to-child transmission (PMTCT) uptake in Kano state, Nigeria
title_sort "i think this is the only challenge… the stigma” stakeholder perceptions about barriers to antenatal care (anc) and prevention of mother-to-child transmission (pmtct) uptake in kano state, nigeria
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7185580/
https://www.ncbi.nlm.nih.gov/pubmed/32339180
http://dx.doi.org/10.1371/journal.pone.0232028
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