Socio-cultural factors influencing the prevention of mother-to-child transmission of HIV in Nigeria

A synthesis of the literature

Juliet Iwelunmor, Echezona E. Ezeanolue, Collins O. Airhihenbuwa, Michael C. Obiefune, Chinenye O. Ezeanolue, Gbenga G. Ogedegbe

Research output: Contribution to journalArticle

Abstract

Background: Currently, Nigeria alone accounts for 30% of the burden of mother-to-child transmission of HIV. This review explores the socio-cultural factors influencing prevention of mother-to-child transmission of HIV (PMTCT) service uptake in Nigeria. Methods. Using the PEN-3 cultural model as a guide, we searched electronic databases and conducted a synthesis of empirical studies conducted from 2001 to 2013 that reported the perceptions people have towards PMTCT, the enablers/resources that influence PMTCT service uptake, and the role of nurturers/family or community in shaping actions and decisions towards PMTCT service uptake. Results: A total of 42 articles meeting the search criteria were retained in this review. Thirty-six (36) were quantitative cross-sectional surveys; three were mixed methods, while three were qualitative studies. The findings highlight that there are perceptions, ranging from positive to negative that influence PMTCT service uptake in Nigeria. Furthermore, lack of available, accessible, acceptable, and affordable resources negatively influence decisions and actions towards PMTCT. Finally, family contexts matter with decisions and actions towards PMTCT service uptake in Nigeria particularly with disclosure and non-disclosure of sero-positive status, fertility intentions and infant feeding choices. Conclusion: As ambitious goals are established and unprecedented resources deployed towards the elimination of mother-to-child transmission of HIV globally by 2015, there is clearly a need to develop effective family-oriented, culture-centered community-based PMTCT programs in Nigeria so as to improve the low uptake of PMTCT services.

Original languageEnglish (US)
Article number771
JournalBMC Public Health
Volume14
Issue number1
DOIs
StatePublished - Jul 30 2014

Fingerprint

Nigeria
Mothers
HIV
Disclosure
Fertility
Cross-Sectional Studies
Databases

Keywords

  • PEN-3 cultural model
  • PMTCT
  • Socio-cultural factors

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Socio-cultural factors influencing the prevention of mother-to-child transmission of HIV in Nigeria : A synthesis of the literature. / Iwelunmor, Juliet; Ezeanolue, Echezona E.; Airhihenbuwa, Collins O.; Obiefune, Michael C.; Ezeanolue, Chinenye O.; Ogedegbe, Gbenga G.

In: BMC Public Health, Vol. 14, No. 1, 771, 30.07.2014.

Research output: Contribution to journalArticle

Iwelunmor, Juliet ; Ezeanolue, Echezona E. ; Airhihenbuwa, Collins O. ; Obiefune, Michael C. ; Ezeanolue, Chinenye O. ; Ogedegbe, Gbenga G. / Socio-cultural factors influencing the prevention of mother-to-child transmission of HIV in Nigeria : A synthesis of the literature. In: BMC Public Health. 2014 ; Vol. 14, No. 1.
@article{2277ea950f024f6b9bad2653b41cece9,
title = "Socio-cultural factors influencing the prevention of mother-to-child transmission of HIV in Nigeria: A synthesis of the literature",
abstract = "Background: Currently, Nigeria alone accounts for 30{\%} of the burden of mother-to-child transmission of HIV. This review explores the socio-cultural factors influencing prevention of mother-to-child transmission of HIV (PMTCT) service uptake in Nigeria. Methods. Using the PEN-3 cultural model as a guide, we searched electronic databases and conducted a synthesis of empirical studies conducted from 2001 to 2013 that reported the perceptions people have towards PMTCT, the enablers/resources that influence PMTCT service uptake, and the role of nurturers/family or community in shaping actions and decisions towards PMTCT service uptake. Results: A total of 42 articles meeting the search criteria were retained in this review. Thirty-six (36) were quantitative cross-sectional surveys; three were mixed methods, while three were qualitative studies. The findings highlight that there are perceptions, ranging from positive to negative that influence PMTCT service uptake in Nigeria. Furthermore, lack of available, accessible, acceptable, and affordable resources negatively influence decisions and actions towards PMTCT. Finally, family contexts matter with decisions and actions towards PMTCT service uptake in Nigeria particularly with disclosure and non-disclosure of sero-positive status, fertility intentions and infant feeding choices. Conclusion: As ambitious goals are established and unprecedented resources deployed towards the elimination of mother-to-child transmission of HIV globally by 2015, there is clearly a need to develop effective family-oriented, culture-centered community-based PMTCT programs in Nigeria so as to improve the low uptake of PMTCT services.",
keywords = "PEN-3 cultural model, PMTCT, Socio-cultural factors",
author = "Juliet Iwelunmor and Ezeanolue, {Echezona E.} and Airhihenbuwa, {Collins O.} and Obiefune, {Michael C.} and Ezeanolue, {Chinenye O.} and Ogedegbe, {Gbenga G.}",
year = "2014",
month = "7",
day = "30",
doi = "10.1186/1471-2458-14-771",
language = "English (US)",
volume = "14",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Socio-cultural factors influencing the prevention of mother-to-child transmission of HIV in Nigeria

T2 - A synthesis of the literature

AU - Iwelunmor, Juliet

AU - Ezeanolue, Echezona E.

AU - Airhihenbuwa, Collins O.

AU - Obiefune, Michael C.

AU - Ezeanolue, Chinenye O.

AU - Ogedegbe, Gbenga G.

PY - 2014/7/30

Y1 - 2014/7/30

N2 - Background: Currently, Nigeria alone accounts for 30% of the burden of mother-to-child transmission of HIV. This review explores the socio-cultural factors influencing prevention of mother-to-child transmission of HIV (PMTCT) service uptake in Nigeria. Methods. Using the PEN-3 cultural model as a guide, we searched electronic databases and conducted a synthesis of empirical studies conducted from 2001 to 2013 that reported the perceptions people have towards PMTCT, the enablers/resources that influence PMTCT service uptake, and the role of nurturers/family or community in shaping actions and decisions towards PMTCT service uptake. Results: A total of 42 articles meeting the search criteria were retained in this review. Thirty-six (36) were quantitative cross-sectional surveys; three were mixed methods, while three were qualitative studies. The findings highlight that there are perceptions, ranging from positive to negative that influence PMTCT service uptake in Nigeria. Furthermore, lack of available, accessible, acceptable, and affordable resources negatively influence decisions and actions towards PMTCT. Finally, family contexts matter with decisions and actions towards PMTCT service uptake in Nigeria particularly with disclosure and non-disclosure of sero-positive status, fertility intentions and infant feeding choices. Conclusion: As ambitious goals are established and unprecedented resources deployed towards the elimination of mother-to-child transmission of HIV globally by 2015, there is clearly a need to develop effective family-oriented, culture-centered community-based PMTCT programs in Nigeria so as to improve the low uptake of PMTCT services.

AB - Background: Currently, Nigeria alone accounts for 30% of the burden of mother-to-child transmission of HIV. This review explores the socio-cultural factors influencing prevention of mother-to-child transmission of HIV (PMTCT) service uptake in Nigeria. Methods. Using the PEN-3 cultural model as a guide, we searched electronic databases and conducted a synthesis of empirical studies conducted from 2001 to 2013 that reported the perceptions people have towards PMTCT, the enablers/resources that influence PMTCT service uptake, and the role of nurturers/family or community in shaping actions and decisions towards PMTCT service uptake. Results: A total of 42 articles meeting the search criteria were retained in this review. Thirty-six (36) were quantitative cross-sectional surveys; three were mixed methods, while three were qualitative studies. The findings highlight that there are perceptions, ranging from positive to negative that influence PMTCT service uptake in Nigeria. Furthermore, lack of available, accessible, acceptable, and affordable resources negatively influence decisions and actions towards PMTCT. Finally, family contexts matter with decisions and actions towards PMTCT service uptake in Nigeria particularly with disclosure and non-disclosure of sero-positive status, fertility intentions and infant feeding choices. Conclusion: As ambitious goals are established and unprecedented resources deployed towards the elimination of mother-to-child transmission of HIV globally by 2015, there is clearly a need to develop effective family-oriented, culture-centered community-based PMTCT programs in Nigeria so as to improve the low uptake of PMTCT services.

KW - PEN-3 cultural model

KW - PMTCT

KW - Socio-cultural factors

UR - http://www.scopus.com/inward/record.url?scp=84904845679&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84904845679&partnerID=8YFLogxK

U2 - 10.1186/1471-2458-14-771

DO - 10.1186/1471-2458-14-771

M3 - Article

VL - 14

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

M1 - 771

ER -