Loss to Followup: A Major Challenge to Successful Implementation of Prevention of Mother-to-Child Transmission of HIV-1 Programs in Sub-Saharan Africa
Open Access
- 31 July 2012
- journal article
- review article
- Published by Hindawi Limited in ISRN Aids
- Vol. 2012, 1-10
- https://doi.org/10.5402/2012/589817
Abstract
Purpose. The purpose of this paper was to explore how loss to followup (LFTU) has affected the successful implementation of prevention of mother to child transmission of HIV-1 (PMTCT) programs in sub-Saharan Africa. Methods. We conducted an electronic search from the following databases PubMed, ScienceDirect, Directory of Open Access Journals (DOAJs), and PyscINFO. Additional searches were made in WHO, UNAIDS, UNICEF, Google, and Google scholar websites for (1) peer-reviewed published research, (2) scientific and technical reports, and (3) papers presented on scientific conferences. Results. A total of 678 articles, published from 1990 to 2011, were retrieved. Only 44 articles met our inclusion criteria and were included in the study. The rates of LTFU of mother-child pairs ranged from 19% to 89.4 in the reviewed articles. Health facility factors, fear of HIV-1 test, stigma and discrimination, home deliveries and socioeconomic factors were identified as reasons for LTFU. Conclusion. There is a great loss of mother-child pairs to follow up in PMTCT programs in sub-Saharan Africa. There is need for more research studies to develop public health models of care that can help to improve followup of mother-child pairs in PMTCT programs in Sub-Saharan Africa.Keywords
This publication has 55 references indexed in Scilit:
- Uptake and outcomes of a prevention-of mother-to-child transmission (PMTCT) program in Zomba district, MalawiBMC Public Health, 2011
- Number and timing of antenatal HIV testing: Evidence from a community-based study in Northern VietnamBMC Public Health, 2011
- Promising outcomes of a national programme for the prevention of mother-to-child HIV transmission in Addis Ababa: a retrospective studyBMC Health Services Research, 2010
- Influence of socio-demographic factors on distances travelled to access HIV services: enhanced surveillance of HIV patients in north west EnglandBMC Public Health, 2009
- Implementing family‐focused HIV care and treatment: the first 2 years’ experience of the mother‐to‐child transmission ‐plus program in Abidjan, Côte d’IvoireTropical Medicine & International Health, 2009
- Long‐Term Effects of Highly Active Antiretroviral Therapy on CD4+Cell Evolution among Children and Adolescents Infected with HIV: 5 Years and CountingClinical Infectious Diseases, 2008
- Monitoring and evaluation of programmes to prevent mother to child transmission of HIV in AfricaBMJ, 2007
- Why are children still being infected with HIV? Experiences in the prevention of mother-to-child transmission of HIV in south LondonSexually Transmitted Infections, 2006
- Rapid Scale-up of Antiretroviral Therapy at Primary Care Sites in ZambiaJama-Journal Of The American Medical Association, 2006
- HIV prevalence and trends from data in Zimbabwe, 1997-2004Sexually Transmitted Infections, 2006