Barriers to access prevention of mother-to-child transmission for HIV positive women in a well-resourced setting in VietnamReportar como inadecuado

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AIDS Research and Therapy

, 5:7

First Online: 17 April 2008Received: 29 January 2008Accepted: 17 April 2008


BackgroundAccording to Vietnamese policy, HIV-infected women should have access at least to HIV testing and Nevirapine prophylaxis, or where available, to adequate counselling, HIV infection staging, ARV prophylaxis, and infant formula. Many studies in high HIV prevalence settings have reported low coverage of PMTCT services, but there have been few reports from low HIV prevalence settings, such as Asian countries. We investigated the access of HIV-infected pregnant women to PMTCT services in the well-resourced setting of the capital city, Hanoi.

MethodsFifty-two HIV positive women enrolled in a self-help group in Hanoi were consulted, through in-depth interviews and bi-weekly meetings, about their experiences in accessing PMTCT services.

ResultsOnly 44% and 20% of the women had received minimal and comprehensive PMTCT services, respectively. Nine women did not receive any services. Twenty-two women received no counselling. The women reported being limited by lack of knowledge and information due to poor counselling, gaps in PMTCT services, and fear of stigma and discrimination. HIV testing was done too late for optimal interventions and poor quality of care by health staff was frequently mentioned.

ConclusionIn a setting where PMTCT is available, HIV-infected women and children did not receive adequate care because of barriers to accessing those services. The results suggest key improvements would be improving quality of counselling and making PMTCT guidelines available to health services. Women should receive early HIV testing with adequate counselling, safe care and prophylaxis in a positive atmosphere towards HIV-infected women.

Electronic supplementary materialThe online version of this article doi:10.1186-1742-6405-5-7 contains supplementary material, which is available to authorized users.

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Autor: Thu Anh Nguyen - Pauline Oosterhoff - Yen Pham Ngoc - Pamela Wright - Anita Hardon


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