Exploring Intervention Frameworks to Improve Utilization of Elimination of Mother-to-Child Transmission Services in Africa: A Scoping Review.

IF 2.4 Q1 NURSING Nursing Reports Pub Date : 2024-09-23 DOI:10.3390/nursrep14030190
Ndivhuwo Mukomafhedzi, Takalani Tshitangano, Shonisani Tshivhase
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Abstract

Background: Over the past two decades, intervention strategies to improve the use of the elimination of mother-to-child transmission (EMTCT) services have been implemented for several reasons. The reasons include elimination of HIV infections during pregnancy, delivery, breastfeeding, prevention of HIV, prevention of unintended pregnancies, and safer conception. Poor utilization of EMTCT services has been proven to put the child at risk of acquiring HIV, which could have been avoided.

Objective: This study aims to explore and describe interventions to promote the elimination of mother-to-child transmission services among pregnant and nursing mothers in Africa.

Method: A scoping literature review technique was undertaken on research papers published in English that focused on EMTCT, barriers, interventions, and methods to address challenges to EMTCT utilization. These were screened independently and coded.

Results: The analysis comprised 14 out of approximately 9029 literature sources. Intervention strategies to improve EMTCT service utilization, according to the findings, include accessibility and affordability, healthcare worker training, integrating the elimination of mother-to-child transmission into maternal and child health services, community-based interventions, family-centred approaches, and the use of technology.

Conclusions: Interventions that increase women's use of EMTCT services will contribute to the aim of HIV-free generation by reducing new HIV infections in children and saving lives.

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探索干预框架,提高非洲消除母婴传播服务的利用率:范围审查》。
背景:在过去的二十年里,出于多种原因,人们实施了各种干预策略,以改善消除母婴传播(EMTCT)服务的使用情况。这些原因包括消除怀孕、分娩、母乳喂养期间的艾滋病毒感染、预防艾滋病毒、预防意外怀孕和更安全的受孕。事实证明,EMTCT 服务利用率低会使儿童面临感染 HIV 的风险,而这本是可以避免的:本研究旨在探讨和描述在非洲孕妇和哺乳期妇女中推广消除母婴传播服务的干预措施:方法:对以英文发表的研究论文进行了范围性文献综述,这些论文主要关注母婴传播、母婴传播的障碍、干预措施以及应对母婴传播利用挑战的方法。对这些论文进行了独立筛选和编码:结果:在约 9029 篇文献资料中,分析了 14 篇。根据研究结果,提高母婴传播服务利用率的干预策略包括:可及性和可负担性、医护人员培训、将消除母婴传播纳入母婴健康服务、社区干预、以家庭为中心的方法以及技术的使用:增加妇女使用母婴传播服务的干预措施将通过减少新的儿童艾滋病毒感染和挽救生命,为实现无艾滋病毒一代的目标做出贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nursing Reports
Nursing Reports NURSING-
CiteScore
2.50
自引率
4.20%
发文量
78
期刊介绍: Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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