Ntsime Naude Refilwe, Makhado Lufuno, Sehularo Leepile Alfred
School of Nursing Science, Faculty of Health Sciences, North-West University, Mmabatho, South Africa.
Department of Public Health, Faculty of Health Sciences, University of Venda, Thohoyandou, South Africa.
Health Serv Insights. 2022 Mar 12;15:11786329221083439. doi: 10.1177/11786329221083439. eCollection 2022.
The Prevention-of-Mother-To-Child Transmission (PMTCT) program was introduced to prevent vertical transmission of HIV from a mother to her infant through pregnancy, labor, and breastfeeding. Therefore, it is critical for the program to be accessible in primary health care facilities across the globe to increase treatment uptake and to eliminate child and maternal mortality rates caused by HIV infections. However, barriers are still being experienced by some nurses while implementing PMTCT around Moretele sub-district in the North West Province (NWP). Hence, this qualitative study explored and described the factors influencing the implementation of PMTCT. A qualitative, exploratory-descriptive design was followed. Ten participants were selected purposively, and each participant was interviewed individually using WhatsApp video calling. All participants were made aware of their voices being recorded; data saturation was reached on the eighth participant as no new information evolved. Data were analyzed using Tesch's method of qualitative data analysis. The findings revealed that factors that influenced PMTCT implementation were due to patient, management, and staff-related factors. Moreover, these factors impacted the provision of effective patient care. The findings of this study show that much still needs to be done to achieve and sustain the PMTCT implementation goal. Therefore, the training of nurses should be of paramount importance. They should be provided and equipped with the necessary resources, support, and encouragement to offer and ensure quality health care. Furthermore, the government should ensure that policies and guidelines are regularly monitored and evaluated.
预防母婴传播（PMTCT）项目旨在预防艾滋病毒通过妊娠、分娩和母乳喂养从母亲垂直传播给婴儿。因此，该项目在全球初级卫生保健机构中易于获得，对于提高治疗利用率以及消除由艾滋病毒感染导致的儿童和孕产妇死亡率至关重要。然而，在西北省（NWP）莫尔泰勒分区实施PMTCT时，一些护士仍然面临障碍。因此，这项定性研究探讨并描述了影响PMTCT实施的因素。采用了定性的探索性描述设计。有目的地选择了10名参与者，每个参与者通过WhatsApp视频通话单独接受访谈。所有参与者都知晓他们的声音被记录；在第8名参与者时达到了数据饱和，因为没有新信息出现。使用泰施定性数据分析方法对数据进行了分析。研究结果表明，影响PMTCT实施的因素归因于患者、管理和与工作人员相关的因素。此外，这些因素影响了有效的患者护理提供。本研究结果表明，要实现并维持PMTCT实施目标仍有许多工作要做。因此，护士培训应至关重要。应向他们提供并配备必要的资源、支持和鼓励，以提供并确保高质量的医疗保健。此外，政府应确保定期监测和评估政策及指南。
