A comprehensive review of the barriers and promoters health workers experience in delivering prevention of vertical transmission of HIV services in sub-Saharan Africa

AIDS Care
Roseanne C SchusterSera L Young

Abstract

Despite significant biomedical and policy advances, 199,000 infants and young children in sub-Saharan Africa (SSA) became infected with HIV in 2013, indicating challenges to implementation of these advances. To understand the nature of these challenges, we sought to (1) characterize the barriers and facilitators that health workers encountered delivering prevention of vertical transmission of HIV (PVT) services in SSA and (2) evaluate the use of theory to guide PVT service delivery. The PubMed and CINAHL databases were searched using keywords barriers, facilitators, HIV, prevention of vertical transmission of HIV, health workers, and their synonyms to identify relevant studies. Barriers and facilitators were coded at ecological levels according to the Determinants of Performance framework. Factors in this framework were then classified as affecting motivation, opportunity, or ability, per the Motivation-Opportunity-Ability (MOA) framework in order to evaluate domains of health worker performance within each ecological level. We found that the most frequently reported challenges occurred within the health facility level and spanned all three MOA domains. Barriers reported in 30% or more of studies from most proximal to distal in...Continue Reading

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Citations

Feb 14, 2019·PLoS Neglected Tropical Diseases·Angela J ToeppChristine A Petersen
Dec 18, 2019·Maternal & Child Nutrition·Christiane HorwoodThorkild Tylleskar
Sep 1, 2017·BMC Complementary and Alternative Medicine·Carolyn M AudetRyan G Wagner
Aug 25, 2019·BMJ : British Medical Journal·Martina Merten
Aug 20, 2020·JBI Evidence Synthesis·Rosebenter Awuor OwuorClifford C Mwita
Jul 6, 2021·Tropical Medicine & International Health : TM & IH·Bryony DawkinsDavid Meads
Sep 26, 2021·Family Medicine and Community Health·Gugulethu Eve KhumaloTivani Phosa Mashamba-Thompson

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