Socio-cultural factors influencing the prevention of mother-to-child transmission of HIV in Nigeria: a synthesis of the literature

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Abstract

Background

Currently, Nigeria alone accounts for 30% of the burden of mother-to-child transmission of HIV. This review explores the socio-cultural factors influencing prevention of mother-to-child transmission of HIV (PMTCT) service uptake in Nigeria.

Methods

Using the PEN-3 cultural model as a guide, we searched electronic databases and conducted a synthesis of empirical studies conducted from 2001 to 2013 that reported the perceptions people have towards PMTCT, the enablers/resources that influence PMTCT service uptake, and the role of nurturers/family or community in shaping actions and decisions towards PMTCT service uptake.

Results

A total of 42 articles meeting the search criteria were retained in this review. Thirty-six (36) were quantitative cross-sectional surveys; three were mixed methods, while three were qualitative studies. The findings highlight that there are perceptions, ranging from positive to negative that influence PMTCT service uptake in Nigeria. Furthermore, lack of available, accessible, acceptable, and affordable resources negatively influence decisions and actions towards PMTCT. Finally, family contexts matter with decisions and actions towards PMTCT service uptake in Nigeria particularly with disclosure and non-disclosure of sero-positive status, fertility intentions and infant feeding choices.

Conclusion

As ambitious goals are established and unprecedented resources deployed towards the elimination of mother-to-child transmission of HIV globally by 2015, there is clearly a need to develop effective family-oriented, culture-centered community-based PMTCT programs in Nigeria so as to improve the low uptake of PMTCT services.

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Most cited references 86

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Church-based health promotion interventions: evidence and lessons learned.

Marci Campbell, Marlyn Allicock Hudson, Ken Resnicow … (2007)

Church-based health promotion (CBHP) interventions can reach broad populations and have great potential for reducing health disparities. From a socioecological perspective, churches and other religious organizations can influence members' behaviors at multiple levels of change. Formative research is essential to determine appropriate strategies and messages for diverse groups and denominations. A collaborative partnership approach utilizing principles of community-based participatory research, and involving churches in program design and delivery, is essential for recruitment, participation, and sustainability. For African Americans, health interventions that incorporate spiritual and cultural contextualization have been effective. Evidence indicates that CBHP programs have produced significant impacts on a variety of health behaviors. Key elements of CBHP are described with illustrations from the authors' research projects.

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Low male partner participation in antenatal HIV counselling and testing in northern Tanzania: implications for preventive programs.

S Msuya, E Mbizvo, A. Hussain … (2008)

This study aimed to describe the prevalence and predictors for male partner participation in HIV voluntary counselling and testing (VCT) at two primary healthcare clinics in Moshi urban, Tanzania as well as the effect of partner participation on uptake of HIV perinatal interventions. Pregnant women (n = 2654) in their third trimester, participating in a prevention of mother to child tranmission (PMTCT) program between June 2002 and March 2004 were encouraged to inform and invite their partners for HIV-VCT. Trained nurses conducted pre-test counselling, interviews, clinical examinations and blood sampling from the participating women and their partners. Test results were presented and post-test counselling was conducted individually or in couples, depending on the wishes of the participants. Three-hundred-and-thirty-two male partners (12.5%) came for HIV-VCT. A high proportion (131; 40%) came after the woman had delivered. HIV-seropositive women whose partners attended were three times more likely to use Nevirapine prophylaxis, four times more likely to avoid breastfeeding and six times more likely to adhere to the infant feeding method selected than those whose partners didn't attend. Women were more likely to bring their partner for VCT if they collected their own test results, were living with their partner, had a high monthly income and had expressed at enrolment the intention to share HIV results with their partner. Although PMTCT programs are presumably a good entry point for male involvement in prevention of sexual and perinatal HIV transmission, this traditional clinic-based approach reaches few men. Given the positive influence male participation has on the acceptance of perinatal interventions, a different approach for promoting male participation in VCT is urgently required. Within PMTCT programs, counseling should emphasize the advantages of partner participation to encourage women to inform and convince male partners to come for VCT. Also, promotion of couple VCT outside antenatal settings in male friendly and accessible settings should be given priority.

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Health programs in faith-based organizations: are they effective?

Michael Walton, Elizabeth Wilder, Sarah B Hunter … (2004)

We examined the published literature on health programs in faith-based organizations to determine the effectiveness of these programs. We conducted a systematic literature review of articles describing faith-based health activities. Articles (n = 386) were screened for eligibility (n = 105), whether a faith-based health program was described (n = 53), and whether program effects were reported (28). Most programs focused on primary prevention (50.9%), general health maintenance (25.5%), cardiovascular health (20.7%), or cancer (18.9%). Significant effects reported included reductions in cholesterol and blood pressure levels, weight, and disease symptoms and increases in the use of mammography and breast self-examination. Faith-based programs can improve health outcomes. Means are needed for increasing the frequency with which such programs are evaluated and the results of these evaluations are disseminated.

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Author and article information

Contributors

Juliet Iwelunmor: jiwez@illinois.edu

Echezona E Ezeanolue: eezeanolue@medicine.nevada.edu

Collins O Airhihenbuwa: aou@psu.edu

Michael C Obiefune: mobiefune.ihv@gmail.com

Chinenye O Ezeanolue: anolue76@yahoo.com

Gbenga G Ogedegbe: olugbenga.ogedegbe@nyumc.org

Journal

Journal ID (nlm-ta): BMC Public Health

Journal ID (iso-abbrev): BMC Public Health

Title: BMC Public Health

Publisher: BioMed Central (London )

ISSN (Electronic): 1471-2458

Publication date (Electronic): 30 July 2014

Publication date PMC-release: 30 July 2014

Publication date Collection: 2014

Volume: 14

Issue: 1

Electronic Location Identifier: 771

Affiliations

[ ]Department of Kinesiology and Community Health, University of Illinois, Urbana-Champaign, 123 Huff Hall, 1206 S. Fourth St, Champaign, IL 61820 USA

[ ]Department of Pediatrics, University of Nevada School of Medicine, 2040 West Charleston Boulevard, Las Vegas, NV USA

[ ]Department of Biobehavioral Health, The Pennsylvania State University, 219 Biobehavioral Health Building, University Park, PA 16802 USA

[ ]Prevention, Education, Treatment, Training and Research-Global Solutions-PeTR-GS, 7 Link Road, Independence Layout Enugu, Enugu, 400001 Enugu State Nigeria

[ ]Sunrise Foundation, Plot 358 New GRA, Enugu, Nigeria

[ ]Center for Healthful Behavior Change, Division of General Internal Medicine, Department of Medicine, New York University School of Medicine, New York, USA

Article

Publisher ID: 6929

DOI: 10.1186/1471-2458-14-771

PMC ID: 4133635

PubMed ID: 25079673

SO-VID: 0cd2f028-8c67-4832-8d59-db2ccc0a4203

License:

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

History

Date received : 21 October 2013

Date accepted : 17 July 2014

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ScienceOpen disciplines: Public health

Keywords: socio-cultural factors,pmtct,pen-3 cultural model

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ScienceOpen disciplines: Public health

Keywords: socio-cultural factors, pmtct, pen-3 cultural model

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Socio-cultural factors influencing the prevention of mother-to-child transmission of HIV in Nigeria: a synthesis of the literature

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Global Health Next Generation Network

Most cited references 86

Church-based health promotion interventions: evidence and lessons learned.

Low male partner participation in antenatal HIV counselling and testing in northern Tanzania: implications for preventive programs.

Health programs in faith-based organizations: are they effective?

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Cited by 13

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