Midwives’ views regarding implementation on prevention of vertical transmission HIV programme at Tshwane antenatal clinics

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100846

Reamogetswe Lisbeth Aphane, Kwanele Mazibuko, Yandiswa Dlamini, Thobeka Mndebele, Angela Beza, Maurine Rofhiwa Musie

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引用次数: 0

Abstract

Background

The prevention of vertical transmission of Human Immunodeficiency Virus (HIV) is critical in reducing mother-to-child transmission rates and improving health outcomes for both mothers and infants. Midwives and accoucheurs, as frontline healthcare providers at antenatal clinics, play a vital role in implementing HIV prevention programmes through testing, initiating antiretroviral therapy, and counselling, yet their views on this process remain underexplored.

Objectives

To explore and describe the midwives’ views on implementation of the prevention of vertical transmission (PVT) of HIV program at selected antenatal clinics in Tshwane, South Africa.

Methods

This study followed a Qualitative, exploratory, and descriptive research design. 13 Midwives/Accoucheurs were purposive sampled. Data were collected by conducting individual semi-structured interviews with the midwives. Data analysis was done through thematic analysis. Guba’s model of trustworthiness was implemented.

Results

Five themes emerged from the data analysis. 1 − Procedure to implement prevention of vertical transmission of HIV, 2 − Role of midwives in implementation of prevention of vertical transmission program, 3 −Benefits of the vertical transmission programme, 4 −Barriers to programme implementation and 5 −Strategies for implementation of the prevention of vertical transmission.

Conclusion

Overall the study highlighted the role of midwives in delivering effective HIV prevention care. The findings reveal that midwives are committed to the program’s implementation but face challenges such as negative attitudes of midwives who provide HIV services, lack of partner involvement and the Tier system not nationally interlinked. Moreover, they expressed a need for linkage to support groups, and integration of HIV mentors at each clinic to enhance program implementation.

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助产士对在茨瓦内产前诊所实施预防艾滋病毒垂直传播计划的意见

背景：预防人类免疫缺陷病毒（HIV）的垂直传播对于降低母婴传播率和改善母亲和婴儿的健康状况至关重要。助产士和会计师作为产前诊所的一线保健提供者，通过检测、启动抗逆转录病毒治疗和咨询，在实施艾滋病毒预防方案方面发挥着至关重要的作用，但他们对这一进程的看法仍未得到充分探讨。目的探讨和描述在南非茨瓦内选定的产前诊所助产士对实施预防艾滋病毒垂直传播（PVT）计划的看法。方法本研究采用定性、探索性和描述性研究设计。有目的抽样调查了13名助产士/助产士。数据是通过对助产士进行个别半结构化访谈收集的。数据分析通过专题分析进行。古巴的诚信模式得以实施。结果从数据分析中得出五个主题。1 -实施预防艾滋病毒垂直传播的程序，2 -助产士在实施预防垂直传播计划中的作用，3 -垂直传播计划的好处，4 -计划实施的障碍，5 -实施预防垂直传播的战略。结论总体而言，本研究突出了助产士在提供有效的艾滋病预防护理中的作用。调查结果表明，助产士致力于该计划的实施，但面临着诸如提供艾滋病毒服务的助产士的消极态度、缺乏合作伙伴参与以及Tier系统未在全国范围内相互关联等挑战。此外，他们表示需要与支持团体建立联系，并在每个诊所整合艾滋病毒导师，以加强项目的实施。

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.