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Factors influencing prevention of mother to child transmission (PMTCT) outcomes in the Rundu District of Namibia

Thesis (MPhil)--Stellenbosch University, 2014.

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Main Author: Said, Mohamed
Other Authors: Davis, Burt
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2014
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access_status_str Open Access
author Said, Mohamed
author2 Davis, Burt
author_browse Davis, Burt
Said, Mohamed
author_facet Davis, Burt
Said, Mohamed
author_sort Said, Mohamed
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MPhil)--Stellenbosch University, 2014.
format Thesis
id oai:scholar.sun.ac.za:10019.1/86659
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:47:15.075Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2014
publishDateRange 2014
publishDateSort 2014
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
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source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/86659 Factors influencing prevention of mother to child transmission (PMTCT) outcomes in the Rundu District of Namibia Said, Mohamed Davis, Burt Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Industrial Psychology. Africa Centre for HIV/AIDS Management. Dissertations -- HIV/AIDS management Theses -- HIV/AIDS management Dissertations -- Industrial psychology Theses -- Industrial psychology HIV-positive women -- Namibia -- Runda HIV infections -- Transmission -- Namibia -- Runda AIDS (Disease) in pregnancy -- Transmission -- Namibia -- Rundu AIDS (Disease) in infants -- Namibia -- Rundu -- Prevention UCTD Thesis (MPhil)--Stellenbosch University, 2014. ENGLISH ABSTRACT: Introduction: In Namibia, according to the National Sentinel Serosurvey 2012, the HIV prevalence among pregnant women attending antenatal clinic has increased from 4.2% in 1992 to 18.2% in 2012. A high HIV prevalence in women of reproductive age thus exists in Namibia and as a result the risk of vertical transmission of HIV from infected mothers to their new born is also high. Without any interventions, about 20-45% of exposed children will be infected with HIV. With an effective Prevention of Mother to Child Prevention (PMTCT) programme, the risk can be reduced to as little as 2%. Despite the international and national efforts to try to implement such interventions, some gaps and barriers still exist in many sub-Saharan Africa countries, including Namibia, posing a challenge to PMTCT programme roll out. This study attempts to identify these gaps and barriers in the Rundu district of Namibia, which has an HIV prevalence of 24.5%. Methodology: A qualitative study was done using the face to face interviews. The target population consisted of health care workers providing PMTCT and ART services at selected health facilities in the Rundu district. Findings and Recommendation: The study participants were very experienced in delivering PMTCT services and the majority has been working on the programme for more than five years. Some of the challenges identified include home deliveries, lack of male involvement and stigma surrounding HIV/AIDS and formula feeding. The main reasons associated with these challenges include lack of knowledge, cultural beliefs as well as poverty. Respondents also felt there is a lack of staff to attend to the high patient load experienced at their health facilities and that current staff should be re-trained more often. It was recommended that PMTCT programme strategies should be improved by putting measures in place to increase awareness around HIV/AIDS and PMTCT issues identified in this study. AFRIKAANSE OPSOMMING: Inleiding: In Namibië het die MIV-voorkoms onder verwagtende vroue wat nageboorte-klinieke besoek het, volgens 2012 se National Sentinel Serosurvey, in 1992-2012 van 4.2% tot 18.2% gestyg. Daar is dus 'n hoë MIV-voorkoms onder vroue in die reproduktiewe ouderdomsgroep in Namibië en die risiko van vertikale oordrag van MIV vanaf geïnfekteerde ma's na hul pasgeborenes is gevolglik ook hoog. Sonder ingryping sal sowat 20-45% van die blootgestelde kinders ook MIV-geïnfekteer word. Doeltreffende PMTCT-programme kan dié risiko tot slegs 2% verminder. Ondanks die internasionale en nasionale pogings tot sulke tussentredes bestaan daar steeds tekortkominge en struikelblokke in vele Afrikalande suid van die Sahara, insluitend Namibië, wat 'n uitdaging bied om PMTCT-programme hier ingestel te kry. Dié studie poog om sulke tekortkominge en struikelblokke te identifiseer in die Rundu-distrik, Namibië, met sy MIV-voorkoms van 24.5%. Metodologie: 'n Kwalitatiewe studie is gedoen, wat die gesig-tot-gesig-onderhoude gebruik het. Die teikenbevolking was gesondheidsorg-werkers wat PMTCT- en ART-dienste by uitgesoekte gesondheidsorg-geriewe in die Rundu-distrik aanbied. Bevindings en aanbevelings: Die deelnemers aan die studie was goed vertroud met PMTCT-dienslewering en het meestal meer as vyf jaar met dié program gewerk. Onder die uitgekende uitdagings is tuisaflewering, die gebrek aan mans se betrokkenheid en die stigma rondom MIV/Vigs en formule-voeding. Die redes hiervoor hou meestal verband met onkunde, kultuurgelowe en armoede. Respondente het ook gemeen die personeel is onvoldoende vir die hoë pasiënt-ladings by hul gesondheidsorg-fasiliteite en dat die huidige personeel meer gereeld heropgelei moet word. Die instel van maatreëls vir beter programstrategieë rakende PMTCT is voorgestel, om groter bewuswording te bevorder rondom die MIV/Vigs- en PMTCT-kwessies wat in dié studie geïdentifiseer is. Masters 2014-04-16T17:31:16Z 2014-04-16T17:31:16Z 2014-04 Thesis http://hdl.handle.net/10019.1/86659 en_ZA Stellenbosch University 72 p. application/pdf Stellenbosch : Stellenbosch University
spellingShingle Dissertations -- HIV/AIDS management
Theses -- HIV/AIDS management
Dissertations -- Industrial psychology
Theses -- Industrial psychology
HIV-positive women -- Namibia -- Runda
HIV infections -- Transmission -- Namibia -- Runda
AIDS (Disease) in pregnancy -- Transmission -- Namibia -- Rundu
AIDS (Disease) in infants -- Namibia -- Rundu -- Prevention
UCTD
Said, Mohamed
Factors influencing prevention of mother to child transmission (PMTCT) outcomes in the Rundu District of Namibia
title Factors influencing prevention of mother to child transmission (PMTCT) outcomes in the Rundu District of Namibia
title_full Factors influencing prevention of mother to child transmission (PMTCT) outcomes in the Rundu District of Namibia
title_fullStr Factors influencing prevention of mother to child transmission (PMTCT) outcomes in the Rundu District of Namibia
title_full_unstemmed Factors influencing prevention of mother to child transmission (PMTCT) outcomes in the Rundu District of Namibia
title_short Factors influencing prevention of mother to child transmission (PMTCT) outcomes in the Rundu District of Namibia
title_sort factors influencing prevention of mother to child transmission pmtct outcomes in the rundu district of namibia
topic Dissertations -- HIV/AIDS management
Theses -- HIV/AIDS management
Dissertations -- Industrial psychology
Theses -- Industrial psychology
HIV-positive women -- Namibia -- Runda
HIV infections -- Transmission -- Namibia -- Runda
AIDS (Disease) in pregnancy -- Transmission -- Namibia -- Rundu
AIDS (Disease) in infants -- Namibia -- Rundu -- Prevention
UCTD
url http://hdl.handle.net/10019.1/86659
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