Show simple item record Rodriguez, Violeta J. LaCabeb, Richard P. Privette, C. Kyle Douglass, K. Marie Peltzer, Karl Matseke, Gladys Mathebula, Audrey Ramlagan, Shandir Sifunda, Sibusiso Prado, Guillermo “Willy” Horigian, Viviana Weiss, Stephen M. Jones, Deborah L. 2019-09-12T08:20:45Z 2019-09-12T08:20:45Z 2017
dc.identifier.issn 1729-0376
dc.description Journal article published in the Journal of Social Aspects of HIV/AIDS VOL. 14 NO. 1 2017 en_US
dc.description.abstract TheJointUnitedNationsProgrammeonHIVandAIDSproposedtoreducetheverticaltransmissionofHIVfrom 72,200to 8300 newly infected children by 2015 in South Africa (SA). However, cultural, infrastructural, and socio-economic barriers hinder the implementation of the prevention of mother-to-child transmission (PMTCT) protocol, and research on potential solutions to address these barriers in rural areas is particularly limited. This study sought to identify challenges and solutions to the implementation, uptake, and sustainability of the PMTCT protocol in rural SA. Forty-eight qualitative interviews, 12 focus groups discussions (n ¼75), and one two-day workshop (n¼32 participants) were conducted with district directors, clinic leaders, staff, and patients from 12 rural clinics. The delivery and uptake of the PMTCT protocol was evaluated using the Consolidated Framework for Implementation Research (CFIR); 15 themes associated with challenges and solutions emerged. Intervention characteristics themes included PMTCT training and HIV serostatus disclosure. Outer-setting themes included facility space, health record management, and staff shortage; inner-setting themes included supply use and availability, staff–patient relationship,andtransportationandscheduling.Themesrelatedtocharacteristicsofindividualsincludedstaffrelationships,initialantenatalcare visit, adherence, and culture and stigma. Implementation process themes included patient education, test results delivery, and male involvement. Significant gaps in care were identified in rural areas. Information obtained from participants using the CFIR framework provided valuable insights into solutions to barriers to PMTCT implementation. Continuously assessing and correcting PMTCT protocol implementation, uptake and sustainability appear merited to maximize HIV prevention. en_US
dc.format.extent 15 pages en_US
dc.language.iso en en_US
dc.publisher SAHARA J: Journal of Social Aspects of HIV/AIDS en_US
dc.relation.requires Adobe Acrobat Reader en_US
dc.subject Implementation science en_US
dc.subject PMTCT(Prevention of Mother-to-Child Transmission) en_US
dc.subject HIV en_US
dc.subject South Africa en_US
dc.subject.lcsh HIV infections -- South Africa en_US
dc.subject.lcsh HIV infections -- Treatment en_US
dc.subject.lcsh HIV infections -- Prevention en_US
dc.title The Achilles’ heel of prevention to mother-to-child transmission of HIV : protocol implementation, uptake, and sustainability en_US
dc.type Article en_US

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