Factors Affecting The Implementation Of Prevention Of Mother To Child Transmission (PMTCT) Of Hiv In Tema General Hospital (TGH)

ABSTRACT

Introduction: Mother-to-Child Transmission (MTCT) is the main source of HIV in children. In an attempt to curb this, the UNAIDS in the year 2009 called for the elimination of MTCT of HIV by the year 2015. Ghana began the implementation of PMTCT in the year 2001, using an intervention package made up of four prongs.

Study Objectives: This study investigated the factors that affected the implementation of PMTCT of HIV in Tema General Hospital from 2012 – 2016. It also assessed the knowledge of PMTCT Service Providers regarding PMTCT intervention, and further identified the sociocultural and economic factors that influenced the implementation of PMTCT in TGH.

Methods: The study used both quantitative and qualitative methods. A review of folders of HIV positive pregnant women who attended the ART Clinic from January, 2012 – December 2016, an in-depth interview for PMTCT Service Providers in TGH and a focus group discussion for some current HIV positive nursing mothers in TGH were also used to obtain data. A quantitative data analysis was done using SPSS, STATA and EPI-DATA computer packages for windows. A qualitative data analysis was also done through a thematic analysis using NVivo.

Results: The results from the data reviewed indicated that 5 (2.24%) of the exposed children born to the 223 HIV positive women whose data were reviewed were infected with the virus. As high as 81.2% of the participants adhered to the PMTCT program by attending clinic regularly, taking their ARVs as prescribed, and giving ARV prophylaxis to their babies as prescribed. The mothers involved in the focus group discussions demonstrated adequate knowledge in PMTCT practices.