Investigate and Understand Barriers for Successful Uptake and Implementation of Prevention of Mother to Child (PMTCT) Services in Mulanje Mission Hospital, Malawi
The aim of this study was to investigate and understand the barriers that
contribute to successful uptake and implementation of Prevention of Mother to
Child Transmission (PMTCT) services for pregnant and breastfeeding mothers at
Mulanje Mission Hospital in Malawi.
A Qualitative study was conducted with data collected through in-depth
interviews and focus group discussions. A total of 64 participants were
main barriers to uptake and implementation of PMTCT services were stigma and
discrimination against those infected with HIV, traditional and religious
beliefs, long waiting time at PMTCT clinic, lack of male involvement,
opposition from male partner leading to divorce and gender-based violence and
lack of privacy due to non-conducive infrastructure.
In order to promote successful uptake and implementation of PMTCT service, male
involvement in reproductive issues has to be enhanced by raising community
awareness. In addition, HIV testing and counseling should also be an agenda of
community awareness so that women should not wait to be pregnant and then go
for testing. Issues of stigma and discrimination should be dealt with during
campaign and community meeting with chiefs. Staffing in health facilities
should be improved to minimize the waiting time and also improve the quality of
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