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- Title
Socio-Structural Factors Influencing the Prevention of Mother-to-Child Transmission of HIV in the Democratic Republic of the Congo: A Systematic Review.
- Authors
Whembolua, Guy-Lucien S.; Muvuka, Baraka; Tshiswaka, Daudet Ilunga; Conserve, Donaldson F.
- Abstract
Introduction The Democratic Republic of the Congo (DRC) had the second-highest mother-to-child HIV transmission rate in Sub-Saharan Africa at 29% in 2013, however the uptake of preventive services for mother-to-child transmission of HIV (PMTCT) remains suboptimal. This systematic review explores socio-cultural and structural factors influencing PMTCT service uptake in the DRC. Methods We conducted a search of electronic databases. The PEN-3 model was used as a framework to synthesize factors influencing PMTCT service uptake into perceptions, enablers, and nurturers. Results Sixteen studies, 14 quantitative and two qualitative, were retained. Maternal, socio-economic, structural, and cultural factors were found to influence PMTCT service uptake in the DRC. Cost, accessibility, and quality of PMTCT services were key barriers to service uptake. Integration, male partner involvement, and evolving PMTCT policies improved PMTCT service delivery and uptake. This review also revealed several socio-cultural challenges in involving male partners in PMTCT programs. Discussion Findings highlight the need to address barriers and reinforce enablers of PMTCT uptake. Creating culturally appropriate, male-friendly, and family-oriented PMTCT programs will improve service uptake in the DRC.
- Subjects
CONGO (Democratic Republic); HIV prevention; HIV infection transmission; VERTICAL transmission (Communicable diseases); CINAHL database; CULTURE; HEALTH services accessibility; MEDICAL databases; INFORMATION storage &; retrieval systems; MEDICAL information storage &; retrieval systems; MEDICAL quality control; MEDICAL care costs; MEDLINE; PSYCHOLOGY of mothers; ONLINE information services; PREVENTIVE health services; SPOUSES; PATIENT participation; SYSTEMATIC reviews; SOCIOECONOMIC factors; PREVENTION
- Publication
Maternal & Child Health Journal, 2019, Vol 23, Issue 7, p880
- ISSN
1092-7875
- Publication type
Article
- DOI
10.1007/s10995-018-2688-6