Online Program

Towards health in all policies to prevent mother-to-child transmission of HIV in Nigeria: A systematic Review

Tuesday, November 3, 2015

Ucheoma Nwaozuru, M.S community health student, Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL
Juliet Iwelunmor, PhD, Department of Kinesiology and Community Health, University of Illinois at Urbana Chamapaign, Champaign, IL
Background: Nigeria is one of 22 priority countries that collectively account for 90 percent of all new HIV infections among children.  A policy on the prevention-of-mother-to-child-transmission of HIV (PMTCT) exists in Nigeria, but it remains to be seen whether it will achieve its full potential impact.

Objective: A systematic review was undertaken to examine the effectiveness of the PMTCT policy in Nigeria.

Methods: We searched electronic databases for articles that addressed one of the four national targets for PMTCT: 1) primary prevention of HIV infection in women of reproductive age group and their partners; 2) prevention of unintended pregnancies among HIV positive women; 3) prevention of HIV from HIV infected mothers to their infants; 4) care and support for HIV infected mothers, their infants and family members.

Results: 52 studies met the inclusion criteria. Majority focused on target 3 (n=37, 71%), followed by target 4 (n=8, 15%), target 2 (n=5, 10%), and target 1 (n=2, 4%). Results showed that women of reproductive age are moderately aware and receptive of PMTCT services. The most pertinent barrier to the effectiveness of PMTCT policy is the lack of available, accessible and acceptable PMTCT resources. Other barriers to the effectiveness of PMTCT are health workers maintenance of confidentiality and HIV-related stigma associated with counselling.

Conclusion: Our findings revealed that significant reduction of new HIV infections among children in Nigeria are likely to be achieved when efforts are made to take into account the health and health systems implications of the National PMTCT policy.

Learning Areas:

Implementation of health education strategies, interventions and programs

Learning Objectives:
Assess the acceptability and effectiveness of the Prevention of Mother-to-Child Transmission policy in Nigeria.

Keyword(s): HIV Interventions, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am community health masters student as the University of Illinois with research emphasis on global health and child health. Among my research interest has been the development of effective and sustainable strategies in the prevention of mother-to-child transmission of HIV in sub-Saharan Africa.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.