Washington D.C., USA, 22-27 July 2012www.aids2012.org Factors associated with non-utilisation of antenatal care services by women delivering with an unbooked.

Slides:

Advertisements

Similar presentations

1 ADOLESCENTSEXUALITY. 2 Definitions In 1989, the joint WHO/UNFPA/UNICEF Statement gave the following definitions: Adolescents:10-19 year olds; Youth:15-24.

Advertisements

Preliminary Key Findings Zambia Demographic and Health Survey.

What happens to the babies? Factors associated with PMTCT outcomes among a community sample of HIV-exposed infants from Zimbabwe Frances M Cowan, Raluca.

Ministry of Education and Research Sweden Government Offices of Sweden Swedish Gender Equality Policy Maria Arnholm Minister for Gender Equality, Deputy.

Goal 5: Improve maternal health Target 5b: Achieve, by 2015, universal access to reproductive health 5.3 Contraceptive prevalence rate 5.4 Adolescent birth.

Measuring unmet need for dual protection in Kenya: an analysis of community survey and family planning client cohort datasets Church K, Friend du-Preez.

Partnerships for PMTCT in Uganda A presentation to the IAS conference AVSI Side Event - Washington 25 July 2012 May Anyabolu Deputy Representative UNICEF.

PMTCT FAILURE: THE ROLE OF MATERNAL AND FACILITY –RELATED FACTORS ICASA Presentation 8 th to 12 th Dec 2013 Onono Maricianah 1, Elizabeth A. Bukusi 1,

THE RELATIONSHIP BETWEEN KNOWLEDGE OF GOAL ORIENTED ANTENATAL CARE AND ADHERENCE TO GOAL ORIENTED VISITS BY ANTENATAL CLIENTS 10 th SOMSA CONGRESS ST GEORGE.

Washington D.C., USA, July 2012www.aids2012.org A National Program Manager’s Perspective on HIV/TB Integration Dr Owen Mugurungi Director – AIDS.

Washington D.C., USA, July 2012www.aids2012.org The value of universal TB screening with GeneXpert MTB/RIF in pre-ART patients in Harare L. Mupfumi.

Factors Associated with Interruption of Treatment Among Pulmonary Tuberculosis Patients in Plateau State, Nigeria, 2011 Luka M. Ibrahim 1, P. Nguku 1,

Washington D.C., USA, July 2012www.aids2012.org Economic Evaluation of the National Program to Prevent Mother-to-Child Transmission of HIV in Ghana.

THE CORE STUDY COMPARING TWO STRATEGIES FOR ENROLLING HIV-INFECTED PREGNANT WOMEN FROM ANTENATAL CARE TO CARE AND TREATMENT SERVICES IN CAMEROON: CONTINUUM.

Zimbabwe: Engaging Community in HIV and AIDS programming Dr Angela Mushavi National PMTCT and Paediatric HIV Care and Treatment Coordinator 9/11/2012 IATT.

Roger Shapiro Poloko Kebaabetswe Shahin Lockman Serara Mogwe

CD4 assessment among newly diagnosed HIV-infected pregnant women in India’s National Prevention of Parent to Child Transmission Programme (PPTCT) Implications.

Where do women who deliver at home fall through the cracks in the PMTCT Continuum of Care? Descriptive evidence from Zimbabwe Karen A Webb 1, D Patel 1,

Antenatal Care Coverage: Comparison between National and International Data and Metadata Cambodia Experience Workshop on MDG Monitoring to 2015 and beyond.

Feedback from Pregnancy research group UK CHIC / UK HIV Drug Resistance Database Meeting, 2 July 2010 Pregnancy Group: Jane Anderson, Loveleen Bansi, Susie.

Operational challenge: Linkages from prevention of mother-to-child transmission services to care and treatment services in Zambia S. Okawa,

Factors associated with perinatal deaths in women delivering in a health facility in Malawi Lily C. Kumbani, Johanne Sundby and Jon Øyvind Odland.

Determinants of Skilled Birth Attendants at Delivery in Rural Southern Ghana Alfred Kwesi Manyeh.

1 CHILDREN AFFECTED BY HIV/AIDS : Botswana Experience BY MINISTER OF HEALTH BOTSWANA HON. PROF. SHEILA DINOTSHE TLOU DATE 29 NOVEMBER 2007 IRELAND.

Impact of a male centered rapid results initiative approach on PMTCT services in FACES supported MOH facilities in Nyanza Province Akama.

Improving Early ANC Attendance: Project ACCLAIM Mary Pat Kieffer, Godfrey Woelk, Daphne Mpofu, Rebecca Cathcart and the ACCLAIM Study Group.

Low Birth Weight, Maternal Nutrition and Antenatal Care in Rural Jharkhand: Findings from Ranchi Low Birth Weight Project Dr. Subrato K. Mondal Ronita.

Population-based estimates of prevalence of HIV, HBV and HCV and HIV-related risk behaviors among male injecting drug users in Lagos, Nigeria Waimar Tun.

Saving the lives of mothers and babies and of many others.

Zimbabwe National HIV&AIDS Conference, Harare, 5-8 Sept 2011

____________________________________ Commonwealth Foundation Partner’s Forum 9 th Commonwealth Women’s Affairs Ministers’ Meeting Gender issues in the.

HOPE FOUNDATION FOR WOMEN AND CHILDREN OF BANGLADESH From Home to Hospital: a Project to Drive Down Maternal Mortality.

Retention of HIV Positive Mothers and HIV Exposed Babies in the PMTCT Programme at Sites of Booking in Zimbabwe, April - Dec 2014 – A Dataset Analysis.

Well come to presentation. World Breastfeeding Trends Initiative (WBTi) Assessment of the Status of Global Strategy for Infant and Young Child Feeding.

Low Birth Weight, Maternal Nutrition and Antenatal Care in Rural Jharkhand: Findings from Ranchi Low Birth Weight Project Dr. Subrato K. Mondal Ronita.

AWARENESS OF REPEAT ANTENATAL HIV TESTING IN MOTHERS AT SIX WEEKS POSTNATAL AT CHILENJE CLINIC, LUSAKA. Agnes Mtaja Supervisors :Dr B. Amadi Dr S Wasomwe.

Washington D.C., USA, July 2012www.aids2012.org Geeta Rao Gupta, Deputy Executive Director, UNICEF.

Integration of Antiretroviral Therapy (ART) in Maternal and Child Health (MCH) settings: the way forward for increasing access to ART for.

Using National Mass Immunisation Campaigns as an Opportunity to Identify HIV exposed Infants and Channel them into Follow up Care Elizabeth Chirapa Zimbabwe.

‘ There is an increasing recognition that public health often provides and added and compelling justification for safeguarding human rights, despite the.

Washington D.C., USA, July 2012www.aids2012.org Preventing Mother to Child HIV Transmission through Community Based Approach in Nepal Nafisa Binte.

1 Improving Perinatal Outcomes in Zimbabwe: A New Focus on Prematurity Feresu S.A, Gillispie B, Sowers M. F, Johnson T.R.B & Harlow S. D,

T Mukotekwa 1, D Patel, B Engelsmann 1 1 Organization for Public Health Interventions and Development Trust (OPHID), Harare, Zimbabwe Zimbabwe National.

Epidemiology of HIV Related Malignancies among cases seen at the Nyangabgwe Referral Hospital Dr. KN NTUMBA, MD,MPH October 2007.

Retention in care among HIV-infected women initiating ART during pregnancy: a cohort study Tamsin Phillips 1, Elizabeth Thebus 2, Linda-Gail.

The Silent Cry Dr. Pushpa Nusair Assist. Professor

ANGLOPHONE COUNTRIES NIGERIA, GHANA, TANZANIA,ZANZIBAR, THE GAMBIA, ZIMBABWE, LESOTHO, ERITREA, ZAMBIA,RWANDA,MALAWI, KENYA, UGANDA, GREAT LAKES REGION,

United Nations Development Programme (UNDP)

HIV/AIDS in Istanbul Dr.Mucahit Yemisen Cerrahpasa Medical School, Department of Infectious Diseases.

Unplanned pregnancy in the 2011 Botswana Antenatal Clinic Sentinel Surveillance A.C. Voetsch, M.G. Anderson, E. Machakaire, S. Bodika, W. Jimbo, B.P. Yadav,

1 Francis Yeji (Navrongo Health Research Centre) Ghana EMBRACE Implementation Research Team on behalf of Ghana EMBRACE Implementation Research Team Continuum.

Prevalence and risk factors for self-reported sexually transmitted infections among adults in the Diepsloot informal settlement, Johannesburg, South Africa.

Integrating legal services into antenatal and postnatal care for HIV positive and HIV negative women in South Africa S. Maman 1, D. Holness 2, D. Moodley.

Washington D.C., USA, July 2012www.aids2012.org Dutch Postcode Lottery.

Factors associated with maternal smoking during early pregnancy: relationship to low-birth-weight infants and maternal attitude toward their pregnancy.

Conclusions Background Objective Results Methods This study was supported by funding from the Scaife Family Foundation, the National Institutes of Health.

Society for Prevention Research 21st Annual Meeting (May 28-31, 2013) in San Francisco, CA A. Fogarasi-Grenczer 1, I. Rákóczi 2, K. L. Foley PhD. 3, P.

PMTCT 365 Days of Action to end the hidden violence against women and children Protecting Women early.

Prevention of Mother-to-Child Transmission of HIV: Scale-up of Critical Services in Uganda (District- based Approach) Edward Bitarakwate, MD, MPH Technical.

A MISSED OPPORTUNITY FOR PMTCT SERVICES: SUCCESSFUL ANTENATAL HIV SCREENING AND POOR LINKAGES TO HIV CARE AND TREATMENT Changala Mable, Sikazwe Izukanji,

Do Adolescents Equally Utilize PMTCT Services as Adult Women? Data from Patient Tracking Database in Zimbabwe 18 th ICASA, Harare 3 December 2015 Reuben.

Washington D.C., USA, July 2012www.aids2012.org Sexual & Reproductive Health & Rights of Women living with HIV

Primary health care Maternal and child health care MCH.

1 Innovative rapid scale-up of effective PMTCT services to achieve virtual elimination of new pediatric HIV infections: A Zimbabwe experience Dr. Agnes.

How did we miss them? High HIV prevalence among Women testing for the First Time in Labour and Delivery in Zimbabwe Page-Mtongwiza S, Webb, K., Chiguvare,

1 Male involvement in PMTCT through invitation letters: The experience of Olievenhoutbosch Clinic in Tshwane District, South Africa VIKA N 1 ;Ntsimane.

Trends in maternal deaths in HIV-infected women, on a background of changing HIV management guidelines in South Africa: 1997 to ,2,3CN Mnyani, 1EJ.

South Western Uganda, November 2015

The impact of ethnicity on presentation to antenatal care among pregnant women living with HIV in the UK and Ireland.

The Impact of Routine Counseling and Testing with an Opt-Out Strategy Compared to Voluntary Counseling and Testing in the Implementation of PMTCT Services.

Presentation transcript:

Washington D.C., USA, July 2012www.aids2012.org Factors associated with non-utilisation of antenatal care services by women delivering with an unbooked status at the four polyclinics in Chitungwiza. V.Makani 1, S.Rusakaniko¹,W. Chandisarewa 1, A.Mushavi², B.Makunike-Chikwinya³, A.Shetty 4 ¹Zimbabwe AIDS Prevention Project-University of Zimbabwe, Department of Community Medicine, Harare, Zimbabwe ²Ministry of Health and Child Welfare, Harare, Zimbabwe ³Elizabeth Glaser Paediatric AIDS Foundation Zimbabwe Country Office ⁴ Wake Forest University Health Sciences, North Carolina, USA

Washington D.C., USA, July 2012www.aids2012.org Statement of the problem The number of women presenting in labour without prior ANC and unknown HIV status continued to increase in Chitungwiza despite: Community awareness through the ZAPP-UZ drama group National programmes on maternal and child health. Little was known regarding the factors associated with non- utilisation of antenatal care services by pregnant women Distribution of women delivering with an unbooked status at Chitungwiza municipal clinics by year

Washington D.C., USA, July 2012www.aids2012.org Demographics VariableCases (N=232) % Controls (N=232) % P-value Marital status <0.01 Married Single, Divorced Parity or or more Employment <0.01 Employed Unemployed Median age in yrs. 25Q1:22; Q3:

Washington D.C., USA, July 2012www.aids2012.org Risk Factors VariableUnbookedBookedOR 95%CI N=232% % Unaffordability of user fees Y ( ) N Seek TBA ANC with current pregnancy Y ( ) N Religion Apostolic/Pentecostal ( ) Catholic / Protestants/Other

Washington D.C., USA, July 2012www.aids2012.org Protective factors VariableUnbooked N=232 % Booked N=232 % OR 95%CI HIV test before booking Y ( ) N Death of a child Y ( ) N

Washington D.C., USA, July 2012www.aids2012.org Multivariate Analysis on Antenatal care utilisation VariableAOR95% CI Unaffordability of ANC fees Religion Testing for HIV before pregnancy Received information on ANC with previous pregnancy Death of a child

Washington D.C., USA, July 2012www.aids2012.org Conclusion and recommendation Cost of antenatal care services was the main reason for non utilisation of antenatal care services Municipality of Chitungwiza and Ministry of Health and child should ensure that pregnant women access antenatal care services through affordable ANC fees.

Washington D.C., USA, July 2012www.aids2012.org ACKNOWLWDGEMENTS Zimbabwe Ministry of Health and Child Welfare Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) United States Agency for International Development (USAID) Chitungwiza Municipality Health Department Chitungwiza Central Hospital. Community Mobilisers and the nurses at the health institutions