Health facility challenges to the provision of Option B+ in western Kenya: A qualitative study

Health Policy and Planning

Volumn 32, Issue 2, 2017, Pages 283-291

  Helova, Anna ^a   Akama, Eliud ^b   Bukusi, Elizabeth A ^b   Musoke, Pamela ^a   Nalwa, Wafula Z ^c   Odeny, Thomas A ^b,d   Onono, Maricianah ^b   Spangler, Sydney A ^e   Turan, Janet M ^a   Wanga, Iris ^b   Abuogi, Lisa L ^f  

^a UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

^b KENYA MEDICAL RESEARCH INSTITUTE   (Kenya)

^c Migori County Referral Hospital   (Kenya)

^d UNIVERSITY OF WASHINGTON   (United States)

^e EMORY UNIVERSITY   (United States)

^f Children's Hospital Colorado   (United States)

Author keywords

Adherence and retention; Health facilities; Kenya; Option B+; Prevention of mother to child transmission of HIV; Treatment

Indexed keywords

ANTIRETROVIRUS AGENT;

BREAST FEEDING; FEMALE; HEALTH CARE FACILITY; HEALTH PERSONNEL ATTITUDE; HEALTH SERVICES RESEARCH; HOSPITAL MANAGEMENT; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; KENYA; MALE; MANPOWER; PREGNANCY; QUALITATIVE RESEARCH; STANDARDS; SUPPLY AND DISTRIBUTION;

ANTI-RETROVIRAL AGENTS; ATTITUDE OF HEALTH PERSONNEL; BREAST FEEDING; FEMALE; HEALTH FACILITIES; HEALTH FACILITY ADMINISTRATION; HEALTH SERVICES RESEARCH; HIV INFECTIONS; HUMANS; KENYA; MALE; PREGNANCY; QUALITATIVE RESEARCH;

EID: 85019719644     PISSN: 02681080     EISSN: 14602237     Source Type: Journal    
DOI: 10.1093/heapol/czw122     Document Type: Article

References (36)

1. Attride-Stirling J. 2001. Thematic networks: an analytic tool for qualitative research. Qualitative Research 1:385-405.
2. Braun V, Clarke V. 2006. Using thematic analysis in psychology. Qualitative Research in Psychology 3:77-101.
3. Centers for Disease Control and Prevention 2013. Impact of an innovative approach to prevent mother-to-child transmission of HIV-Malawi, July 2011- September 2012. The Morbidity and MortalityWeekly Report 62:148-51.
4. Chan AK, Bedell RA, Mayuni E, et al.MSame day integration of HIV diagnosis and treatment with antenatal care affects retention in Option B+ PMTCT services in Zomba District, Malawi. 8th International AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention; Vancouver, Canada. July 19-22, 2015.
5. Ciaranello AL, Perez F, Engelsmann B, et al. 2013. Cost-effectiveness of World Health Organization 2010 guidelines for prevention of mother-tochild HIV transmission in Zimbabwe. Clinical Infectious Disseases 56:430-46.
6. Duff P, Kipp W, Wild TC, Rubaale T, Okech-Ojony J. 2010. Barriers to accessing highly active antiretroviral therapy by HIV-positive women attending an antenatal clinic in a regional hospital in western Uganda. Journal of the International AIDS Society 13:37.
7. Fasawe O, Avila C, Shaffer N, et al. 2013. Cost-effectiveness analysis of Option B+ for HIV prevention and treatment of mothers and children in Malawi. PLoS One 8: e57778.
8. Finocchario-Kessler S, Clark KF, Khamadi S, et al. 2015. Progress Toward Eliminating Mother to Child Transmission of HIV in Kenya: Review of Treatment Guideline Uptake and Pediatric Transmission at Four Government Hospitals Between 2010 and 2012. AIDS and Behavior 2015 April 23.
9. Fowler MQ, Fiscus SA, Currier JS, et al. PROMISE: Efficacy and Safety of 2 Strategies to Prevent Perinatal HIV Transmission. Conference on Retroviruses and Opportunistic Infections. Seattle, Washington, United States. February 23-26, 2015.
10. Gopalappa C, Stover J, Shaffer N, Mahy M. 2014. The costs and benefits of Option B+ for the prevention of mother-to-child transmission of HIV. AIDS 28 Suppl 1: S5-14.
11. Gourlay A, Birdthistle I, Mburu G, Iorpenda K, Wringe A. 2013. Barriers and facilitating factors to the uptake of antiretroviral drugs for prevention of mother-to-child transmission of HIV in sub-Saharan Africa: a systematic review. Journal of the International AIDS Society 16:18588.
12. Gourlay A, Wringe A, Birdthistle I, et al. 2014. "It is like that, we didn't understand each other": exploring the influence of patient-provider interactions on prevention of mother-to-child transmission of HIV service use in rural Tanzania. PLoS One 9: e106325.
13. Govindasamy D, Meghij J, Kebede Negussi E, et al. 2014. Interventions to improve or facilitate linkage to or retention in pre-ART (HIV) care and initiation of ART in low- and middle-income settings-a systematic review. Journal of the International AIDS Society 17:19032.
14. Hatcher AM, Smout EM, Turan JM, Christofides N, Stockl H. 2015. Intimate partner violence and engagement in HIV care and treatment among women: a systematic review and meta-analysis. AIDS 29:2183-94.
15. Iroezi ND, Mindry D, Kawale P, et al. 2013. A qualitative analysis of the barriers and facilitators to receiving care in a prevention of mother-to-child program in Nkhoma, Malawi. African Journal of Reproductive Health 17:118-29.
16. Johansson KA, Robberstad B, Norheim OF. 2010. Further benefits by early start of HIV treatment in low income countries: survival estimates of early versus deferred antiretroviral therapy. AIDS Research and Therapy 7:3.
17. Joint United Nations Programme on HIV/Acquired Immune Deficiency Syndrome. Global Plan Towards Elimination of New HIV Infections among Children by 2015 and Keeping their Mothers Alive. 2011-2015. 2011. http://www.unaids.org/sites/default/files/media-asset/20110609- JC2137-Global-Plan-Elimination-HIV-Children-en-1.pdf, accessed 11 May 2015.
18. Joint United Nations Programme on HIV/AIDS (UNAIDS). Global Report. UNAIDS Report on the Global AIDS Epidemic 2013. 2013. http://www.unaids.org/sites/default/files/media-asset/ UNAIDS-Global-Report-2013- en-1.pdf, accessed 15 June 2015.
19. Kassebaum NJ, Bertozzi-Villa A, Coggeshall MS, et al. 2014. Global, regional, and national levels and causes of maternal mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 384:980-1004.
20. Kenya Demographic and Health Survey 2014. Kenya National Bureau of Statistics. Republic of Kenya. Key Indicators. http://dhsprogram.com/pubs/ pdf/PR55/PR55.pdf, accessed 3 July 2015.
21. Kieffer MP, Mattingly M, Giphart A, et al. 2014. Lessons learned from early implementation of option B+: the Elizabeth Glaser Pediatric. AIDS Foundation Experience in 11 African Countries. Journal of Acquired Immune Deficiency Syndromes 67 Suppl 4: S188-94.
22. Lundgren JD, Babiker AG, Gordin F, et al. 2015. Initiation of Antiretroviral Therapy in Early Asymptomatic HIV Infection. The New England Journal of Medicine 373:795-807.
23. Ministry of Health. National AIDS and STI Control Programme and National AIDS Control Council. Kenya HIV Estimates 2014. http://healthservices.uonbi.ac.ke/sites/default/files/centraladmin/healthservices/ HIV%20estimates%20report%20Kenya%202014.pdf, accessed 20 August 2015.
24. Ministry of Medical Services, Republic of Kenya. National AIDS/STI Control Program (NASCOP), Kenya. 2011. Guidelines for antiretroviral therapy in Kenya. 4th Edition. Nairobi, Kenya. http://healthservices.uonbi.ac.ke/sites/default/files/centraladmin/healthservices/Kenya%20 Treatment%20Guidelines%202011.pdf, accessed 12May 2015.
25. Minniear TD, Girde S, Angira F, et al. 2014. Outcomes in a cohort of women who discontinued maternal triple-antiretroviral regimens initially used to prevent mother-to-child transmission during pregnancy and breastfeeding- Kenya, 2003-2009. PLoS One 9: e93556.
26. Nachega JB, Uthman OA, Mills EJ, Quinn TC. 2013. Adherence to Antiretroviral Therapy for the Success of Emerging Interventions to Prevent HIV Transmission: A Wake up Call. Journal of AIDS and Clinical Research 2012 (Suppl 4): 007. pii: National AIDS Control Council of Kenya. Kenya AIDS Response Progress Report 2014. Progress towards Zero. http://www.unaids.org/sites/default/ files/country/documents/KEN- narrative-report-2014.pdf, accessed 10 June 2015.
27. Nuwagaba-Biribonwoha H, Mayon-White RT, Okong P, Carpenter LM. 2007. Challenges faced by health workers in implementing the prevention of mother-to-child HIV transmission (PMTCT) programme in Uganda. Journal of Public Health 29:269-74.
28. Parker LA, Jobanputra K, Okello V, et al. 2015. Implementation and Operational Research: Barriers and Facilitators to Combined ART Initiation in Pregnant Women With HIV: Lessons Learnt From a PMTCT B+ Pilot Program in Swaziland. Journal of Acquired Immune Deficiency Syndromes 69: e24-30.
29. Thyssen A, Lange JH, Thyssen E, Reddi A. 2013. Toward an AIDS-free generation with option B+: reconceptualizing and integrating prevention of mother to child transmission (PMTCT) with pediatric antiretroviral therapy initiatives. Journal of Acquired Immune Deficiency Syndromes 62:127-8.
30. Turan JM, Hatcher AH, Medema-Wijnveen J, et al. 2012. The role of HIVrelated stigma in utilization of skilled childbirth services in rural Kenya: a prospective mixed-methods study. PLoS Medicine 9: e1001295.
31. Walcott MM, Hatcher AM, Kwena Z, Turan JM. 2013. Facilitating HIV status disclosure for pregnant women and partners in rural Kenya: a qualitative study. BMC Public Health 13:1115.
32. Ware NC, Wyatt MA, Geng EH, et al. 2013. Toward an understanding of disengagement from HIV treatment and care in sub-Saharan Africa: a qualitative study. PLoS Medicine 10: e1001369; discussion e1001369.
33. Williams BG. Optimizing control of HIV in Kenya. http://arxiv.org/ftp/arxiv/ papers/1407/ 1407.7801.pdf. 2014, accessed 10 August 2015.
34. World Health Organization. HIV/AIDS Programme. Programmatic Update. Use of Antiretroviral Drugs for Treating Pregnant Women and Preventing HIV Infections in Infants. April 2012. http://www.who.int/hiv/PMTCT- update.pdf, accessed 28 August 2015.
35. World Health Organization. WHO Guidelines Approved by the Guidelines Review Committee. Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection: Recommendations for a Public Health Approach. Geneva: World Health Organization. 2013.
36. World Health Organization. Regional Office for Africa. Implementation of Option B+ for Prevention of Mother-to-Child Transmission of HIV: The Malawi Experience. 2014. http://www.zero-hiv.org/wp-content/uploads/ 2014/04/Implementation-of-Option-B+-for-prevention-of-mother-to-childtransmissi.pdf, accessed 5 July 2015.