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Barriers to Prevention of HIV Transmission from Mother to Child (PMTCT) in a Resource Poor Setting in the Eastern Cape, South Africa

Karl Peltzer, Thabang Mosala, Olive Shisana, Ayanda Nqueko and Nolwandle Mngqundaniso
African Journal of Reproductive Health / La Revue Africaine de la Santé Reproductive
Vol. 11, No. 1 (Apr., 2007), pp. 57-66
DOI: 10.2307/30032488
Stable URL: http://www.jstor.org/stable/30032488
Page Count: 10
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Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.
Barriers to Prevention of HIV Transmission from Mother to Child (PMTCT) in a Resource Poor Setting in the Eastern Cape, South Africa
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Abstract

The aim of this study was to investigate knowledge of PMTCT and to describe potential barriers that might affect acceptability of interventions for PMTCT in a resource poor setting in South Africa. The sample included 1534 pregnant women recruited at first antenatal care visit from 5 clinics implementing PMTCT (61%) and from 5 communities around the 5 clinic areas (39%). In addition, the mothers or mothers-in-law (70.9%) and husbands or partners (58.2%) of the pregnant women were interviewed at their homes. Results indicate that major potential barriers in implementing PMTCT programmes in a resource poor setting included physical access to the health facility, PMTCT knowledge, stigma and support, HIV testing, and delivery preierence. /// Cette étude avait pour objectif d'examiner la PTME et de décrire des obstacles potentiels qui pourraient affecter l'acceptabilité des interventions en faveur de la PTME dans un milieu qui ne dispose pas de ressources nécessaires en Afrique du Sud. L'échantillon a compris 1534 femmes enceintes qui ont été récruitées au cours de leur première visite anténatale auprès de 5 cliniques qui mettent en pratique la PTME (61%) et auprès de 5 communautés dans l'environnement des 5 cliniques (39%). En plus, les mères ou les belles-mères (70,9%) et les maris ou les partenaires (58,2%) des femmes enceinte ont été interviews à la maison. Les résultats montrent que les obstacles potentiels majeurs à la réalisation des programmes de la PTME dans un milieu qui ne dispose pas de ressources comprennent l'accès physique à l'établissement de santé, la connaissance de la PTME, la stigmatization et le soutien, l'épreuve du VIH et la préférence de l'accouchement.

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