Factors Leading to Poor Retention of Women under Prevention of Mother to Child Transmission Program at Chilenje Level 1 Hospital

Abstract

Introduction: Mother-to-Child Transmission (MTCT) occurs when HIV is transmitted from a mother who is infected to her baby through the placenta during pregnancy or through blood contamination during childbirth, or through breast-feeding after birth. (Ministry) of Health HIV Guidelines (2020). Main objective: To explore factors that lead to poor retention of women under the PMTCT program at Chilenje Level 1 Hospital. Methodology: A qualitative approach was used. This study was conducted from Chilienje level 1 hospital. This study focused on HIV-positive pregnant mothers at least between the ages of 15 and 49 years. This research will target 30 participants. The study used a purposive sampling. A semi-structured interviews guide. The data was analyzed thematically. Results: Participants reported having faced or facing challenges related to fear of stigmatization, lack of transport, poor support from the family, the experience with the health care provider and their attitude were barriers identified to accessing PMTCT program. Findings from the study showed that determination, a four-tier support system, and an inspiring health package enabled retention in the PMTCT program. Conclusion: This study identified that treatment by health care workers, victimization, fear of stigmatization, lack of transport, poor support from family, experience with the health care provider were factors that led to poor retention of women under the PMTCT program.