Post-delivery or breast-feeding counselling were seldom prioritized by

Post-delivery care (visiting women  within seven days post delivery) (87%), also from time to time advising women on the importance of visiting a health care facility post-delivery (76%) were some of the activities that that TBAs indicated as some of the services they conducted as part of the package they make available to expectant women. Out of the 12 TBAs who were interviewed only 5 (38%) had availed information to women on issues related to HIV/AIDS. Provision of information and advice to women with regards topics highlighting advantages of getting tested for HIV, correct and consistent use of condoms or breast-feeding counselling were seldom prioritized by the TBAs when providing services. A few of the TBAs had provided assistance in relation delivering a woman whose HIV status was known as positive (8%).


When it comes knowledge regarding HIV/AIDS elementary issues within TBAs in the district, upon being asked if they possessed the knowledge that HIV can be passed from mother-to-child, 69% (n = 8) provided a confirmatory answer. Of this last group, only 57% (n = 5) said they knew of any measures that can be used to decrease transmission of HIV from a mother to her child, with the most known intervention being administration of single-dose nevirapine (sdNVP) (12%). Lastly, caesarean section, including/or exclusive breastfeeding were known to some the TBAs (not more than 7% of the total of 12 TBA) as being among some of the preventive approaches that can be employed to minimize mother-to-child-transmission of HIV.

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Generally, TBAs expressed willingness to widen their range of activities related to mother-and-child roles that may be related to the PMTCT subject. Emphasized in Table 5 are some of the activities which are related to PMTCT that TBAs would be willing to engage in. Within interventions associated with the pregnant women, at least 75% of the TBAs were eager to be involved in any activity that comprises the basic parcel of services that constitute PMTCT, but that would not include blood testing. Not more than 25% subscribed to the idea of accompanying the new born child to the nearest health centre for administration of medication as well as assisting with the recording of ANC services provided at the health facilities. Involvement of TBAs in any activity that may be related to a PMTCT programme, save for administration of blood tests for HIV was agreed upon by at least 85% of women, both who may have been delivered by a TBA or by a skilled health worker, e.g nurse midwife. In pregnant women, factors such as senior age, inferior level of education, including belonging to an apostolic faith religion, also possessing an inferior understanding of issues regarding basic PMTCT concepts were considerably linked to intentions of being assisted to deliver by a TBA (p =

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