"I think this is the only challenge. . . the stigma” Stakeholder perceptions about barriers to Antenatal care (ANC) and Prevention of mother-to-child transmission (PMTCT) uptake in Kano state, Nigeria
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Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
PLOS ONE
Abstract
Background
Despite the progress made so far in reducing mother-to-child transmission (MTCT), Nigeria
still contributes significantly to the global burden of new pediatric HIV infections. The elimination target for MTCT has not been reached and the decline in new infections among all
Global Plan countries from 2009 to 2015 was lowest in Nigeria. This qualitative study
explores the barriers to uptake of prevention of mother-to-child transmission (PMTCT)
intervention in Kano, the second most populous state in Nigeria.
Methods
Key informant interviews (KIIs) were conducted among twelve stakeholders who were pur posively selected based on their knowledge and involvement in PMTCT program activities
in the state. The KII guide explored the status and challenges of PMTCT uptake in Kano
state. Qualitative data analysis was managed using NVIVO 11 software and themes were
analyzed using thematic analysis.
Results
We found that the key barriers to uptake of PMTCT identified by stakeholders cut across the
domains of the socio-ecological model. These include—fear of stigma associated with being
seen accessing HIV related services, low male partner involvement, socio-cultural beliefs
about the dangers of hospital-based delivery, poor attitude of health workers, distance/cost
to facilities, issues with availability of HIV test kits and poor organization of health services
Conclusion
The implementation of effective PMTCT programs would require innovative strategies that
leverage improvement of Antenatal care (ANC) uptake as an entry point for PMTCT. In addi tion, sustaining engagement in care requires creating a supportive stigma-free environment
in the community as well as spousal support to ensure women can navigate the socio-cul tural barriers that limit access to health services.
Description
Research Article
Keywords
Citation
Citation: Dirisu O, Eluwa G, Adams E, Torpey K, Shittu O, Adebajo S (2020) "I think this is the only challenge. . . the stigma” Stakeholder perceptions about barriers to Antenatal care (ANC) and Prevention of mother-to-child transmission (PMTCT) uptake in Kano state, Nigeria. PLoS ONE 15(4): e0232028. https://doi.org/10.1371/journal. pone.0232028