Assessment of HIV Positive Mother's Knowledge on Prevention of Mother to Child Transmission, Available Resources and Options in a Province in South Africa

Sunday, November 1, 2009: 2:45 PM

L. M. Modiba, PhD
Nursing Education, University Of the Witwatersrand, Parktown, South Africa
Sizakele T. L Khoza, RN
Nursing Education, University of the Witwatersrand, Johannesburg, Gauteng, South Africa

Learning Objective 1: The learner should be able to explore the knowledge of HIV positive pregnant women regarding the prevention of mother and child transmission.

Learning Objective 2: The learner should be able to describe the knowledge of HIV positive pregnant women regarding the mentioned issues

Background: The South African department of health introduced a new PMTCT programme that now provides ARVs to all HIV-positive pregnant mothers at 28 weeks gestation. This new programme is aimed at increasing the effectiveness of PMTCT. However, this programme does not end at the drug regime; it needs the full commitment, insight and participation of the mother throughout the perinatal period in order for it to be successful. Aim: To assess the knowledge of HIV positive pregnant women about PMTCT, the resources and options available to them. Method: Qualitative, descriptive and contextual design was used. Data collection was done through purposive sampling and in-depth unstructured interviews. Findings: All the women who were interviewed knew about the Nevirapine tablets they would have to take when they go into labour and about the breastfeeding options. Few knew about their options for method of delivery and termination of pregnancy. The options of adoption, termination of pregnancy and social support grants were not mentioned at all during counselling. Conclusion: HIV positive pregnant women have only the basic knowledge about the PMTCT programme. Midwives need to take a more active role in educating HIV positive pregnant women about this programme so that they can make use of it to its fullest.