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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
Thesis (MFamMed)--Stellenbosch University, 2017.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2017
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| _version_ | 1867613776238346240 |
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| access_status_str | Open Access |
| author | Shayo, Flavia Strato |
| author2 | Mash, Bob |
| author_browse | Mash, Bob Shayo, Flavia Strato |
| author_facet | Mash, Bob Shayo, Flavia Strato |
| author_sort | Shayo, Flavia Strato |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MFamMed)--Stellenbosch University, 2017. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/102555 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:41:31.332Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/102555 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 Shayo, Flavia Strato Mash, Bob Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care. AIDS (Disease) in infants -- Namibia -- Prevention AIDS (Disease) in pregnancy -- Namibia -- Prevention HIV infections -- Transmission -- Namibia HIV infections -- Prevention -- Namibia UCTD Thesis (MFamMed)--Stellenbosch University, 2017. ENGLISH 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. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2017-11-06T12:59:28Z 2017-12-11T10:24:40Z 2017-11-06T12:59:28Z 2017-12-11T10:24:40Z 2017-12 Thesis http://hdl.handle.net/10019.1/102555 en_ZA Stellenbosch University 19 pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | AIDS (Disease) in infants -- Namibia -- Prevention AIDS (Disease) in pregnancy -- Namibia -- Prevention HIV infections -- Transmission -- Namibia HIV infections -- Prevention -- Namibia UCTD Shayo, Flavia Strato 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 |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | AIDS (Disease) in infants -- Namibia -- Prevention AIDS (Disease) in pregnancy -- Namibia -- Prevention HIV infections -- Transmission -- Namibia HIV infections -- Prevention -- Namibia UCTD |
| url | http://hdl.handle.net/10019.1/102555 |
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