Mapping evidence of interventions and strategies to bridge the gap in the implementation of the prevention of mother-to-child transmission of HIV programme policy in sub-Saharan countries: A scoping review
Background: Prevention of mother-to-child transmission (PMTCT) of HIV is a life-saving public health intervention. Sub-Saharan African (SSA) countries have made significant progress in the programme, but little is known about the strategies used by them to eliminate mother-to-child transmission of H...
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| Format: | Article |
| Language: | English |
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AOSIS
2017-05-01
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| Series: | African Journal of Primary Health Care & Family Medicine |
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| Online Access: | https://phcfm.org/index.php/phcfm/article/view/1368 |
| _version_ | 1818548978430509056 |
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| author | Wilbroda H. Ngidi Joanne R. Naidoo Busisiwe P. Ncama Zamasomi P.B. Luvuno Tivani P. Mashamba-Thompson |
| author_facet | Wilbroda H. Ngidi Joanne R. Naidoo Busisiwe P. Ncama Zamasomi P.B. Luvuno Tivani P. Mashamba-Thompson |
| author_sort | Wilbroda H. Ngidi |
| collection | DOAJ |
| description | Background: Prevention of mother-to-child transmission (PMTCT) of HIV is a life-saving public health intervention. Sub-Saharan African (SSA) countries have made significant progress in the programme, but little is known about the strategies used by them to eliminate mother-to-child transmission of HIV.
Aim: To map evidence of strategies and interventions employed by SSA in bridging the implementation gap in the rapidly changing PMTCT of HIV programme policy.
Methods: Electronic search of the databases MEDLINE, PubMed and SABINET for articles published in English between 2001 and August 2016. Key words included ‘Sub-Saharan African countries’, ‘implementation strategies’, ‘interventions to bridge implementation gap’, ‘prevention of mother-to-child transmission of HIV’ and ‘closing implementation gap’.
Results: Of a total of 743 articles, 25 articles that met the inclusion criteria were included in the study. Manual content analysis resulted in the identification of three categories of strategies: (1) health system (referral systems, integration of services, supportive leadership, systematic quality-improvement approaches that vigorously monitors programme performance); (2) health service delivery (task shifting, networking, shared platform for learning, local capacity building, supportive supervision); as well as (3) community-level strategies (community health workers, technology use – mHealth, family-centred approaches, male involvement, culturally appropriate interventions).
Conclusion: There are strategies that exist in SSA countries. Future research should examine multifaceted scientific models to prioritise the highest impact and be evaluated for effectiveness and efficiency. |
| first_indexed | 2024-12-12T08:27:27Z |
| format | Article |
| id | doaj.art-1af5c8389ed34ce9972591214e454c5b |
| institution | Directory Open Access Journal |
| issn | 2071-2928 2071-2936 |
| language | English |
| last_indexed | 2024-12-12T08:27:27Z |
| publishDate | 2017-05-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj.art-1af5c8389ed34ce9972591214e454c5b2022-12-22T00:31:12ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362017-05-0191e1e1010.4102/phcfm.v9i1.1368456Mapping evidence of interventions and strategies to bridge the gap in the implementation of the prevention of mother-to-child transmission of HIV programme policy in sub-Saharan countries: A scoping reviewWilbroda H. Ngidi0Joanne R. Naidoo1Busisiwe P. Ncama2Zamasomi P.B. Luvuno3Tivani P. Mashamba-Thompson4School of Nursing and Public Health, University of KwaZulu-NatalSchool of Nursing and Public Health, University of KwaZulu-NatalSchool of Nursing and Public Health, University of KwaZulu-NatalSchool of Nursing and Public Health, University of KwaZulu-NatalDiscipline of Public Health, University of KwaZulu-NatalBackground: Prevention of mother-to-child transmission (PMTCT) of HIV is a life-saving public health intervention. Sub-Saharan African (SSA) countries have made significant progress in the programme, but little is known about the strategies used by them to eliminate mother-to-child transmission of HIV. Aim: To map evidence of strategies and interventions employed by SSA in bridging the implementation gap in the rapidly changing PMTCT of HIV programme policy. Methods: Electronic search of the databases MEDLINE, PubMed and SABINET for articles published in English between 2001 and August 2016. Key words included ‘Sub-Saharan African countries’, ‘implementation strategies’, ‘interventions to bridge implementation gap’, ‘prevention of mother-to-child transmission of HIV’ and ‘closing implementation gap’. Results: Of a total of 743 articles, 25 articles that met the inclusion criteria were included in the study. Manual content analysis resulted in the identification of three categories of strategies: (1) health system (referral systems, integration of services, supportive leadership, systematic quality-improvement approaches that vigorously monitors programme performance); (2) health service delivery (task shifting, networking, shared platform for learning, local capacity building, supportive supervision); as well as (3) community-level strategies (community health workers, technology use – mHealth, family-centred approaches, male involvement, culturally appropriate interventions). Conclusion: There are strategies that exist in SSA countries. Future research should examine multifaceted scientific models to prioritise the highest impact and be evaluated for effectiveness and efficiency.https://phcfm.org/index.php/phcfm/article/view/1368Scoping reviewPrevention of Mother to Child Transmission of HIVstrategiesinterventionsSub Saharan countries |
| spellingShingle | Wilbroda H. Ngidi Joanne R. Naidoo Busisiwe P. Ncama Zamasomi P.B. Luvuno Tivani P. Mashamba-Thompson Mapping evidence of interventions and strategies to bridge the gap in the implementation of the prevention of mother-to-child transmission of HIV programme policy in sub-Saharan countries: A scoping review African Journal of Primary Health Care & Family Medicine Scoping review Prevention of Mother to Child Transmission of HIV strategies interventions Sub Saharan countries |
| title | Mapping evidence of interventions and strategies to bridge the gap in the implementation of the prevention of mother-to-child transmission of HIV programme policy in sub-Saharan countries: A scoping review |
| title_full | Mapping evidence of interventions and strategies to bridge the gap in the implementation of the prevention of mother-to-child transmission of HIV programme policy in sub-Saharan countries: A scoping review |
| title_fullStr | Mapping evidence of interventions and strategies to bridge the gap in the implementation of the prevention of mother-to-child transmission of HIV programme policy in sub-Saharan countries: A scoping review |
| title_full_unstemmed | Mapping evidence of interventions and strategies to bridge the gap in the implementation of the prevention of mother-to-child transmission of HIV programme policy in sub-Saharan countries: A scoping review |
| title_short | Mapping evidence of interventions and strategies to bridge the gap in the implementation of the prevention of mother-to-child transmission of HIV programme policy in sub-Saharan countries: A scoping review |
| title_sort | mapping evidence of interventions and strategies to bridge the gap in the implementation of the prevention of mother to child transmission of hiv programme policy in sub saharan countries a scoping review |
| topic | Scoping review Prevention of Mother to Child Transmission of HIV strategies interventions Sub Saharan countries |
| url | https://phcfm.org/index.php/phcfm/article/view/1368 |
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