title: Barriers to prevention of HIV transmission from mother to child (PMTCT) in a resource poor setting in the Eastern Cape, South Africa.
abstract: The aim of this study was to investigate knowledge of PMTCT and to describe potential barriers that might affect acceptability of interventions for PMTCT in a resource poor setting in South Africa. The sample included 1534 pregnant women recruited at first antenatal care visit from 5 clinics implementing PMTCT (61%) and from 5 communities around the 5 clinic areas (39%). In addition, the mothers or mothers-in-law (70.9%) and husbands or partners (58.2%) of the pregnant women were interviewed at their homes. Results indicate that major potential barriers in implementing PMTCT programmes in a resource poor setting included physical access to the health facility, PMTCT knowledge, stigma and support, HIV testing, and delivery preference.
authors.affiliation: Human Sciences Research Council, Pretoria, South Africa. KPeltzer@hsrc.ac.za
authors.forename: Karl
authors.initials: K
authors.lastname: Peltzer
authors.forename: Thabang
authors.initials: T
authors.lastname: Mosala
authors.forename: Olive
authors.initials: O
authors.lastname: Shisana
authors.forename: Ayanda
authors.initials: A
authors.lastname: Nqueko
authors.forename: Nolwandle
authors.initials: N
authors.lastname: Mngqundaniso
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003376:Counseling; D003430:Cross-Sectional Studies; D036861:Delivery, Obstetric / Q000379:methods; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000635:transmission*; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D041943:Infant Formula / Q000379:methods; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D008297:Male; D008427:Maternal Health Services / Q000458:organization & administration; D008875:Middle Aged; D011203:Poverty; D011247:Pregnancy; D011295:Prenatal Care / Q000458:organization & administration; D012944:Social Support; D012959:Socioeconomic Factors; D013019:South Africa