Research Article

Health Systems Barriers to the Implementation of Preventing Mother-to-Child Transmission of Human Immunodeficiency Virus Infection in Primary Health Care Facilities in Ghana

Table 2

Health workers’ knowledge of the PMTCT program.

VariableFrequency (n = 122)Percentage (%)

Awareness of PMTCT
 Yes122100
 No00
WHO and UNICEF pillars of the PMTCT
 Primary prevention of HIV among women of reproductive age4217.7
 Prevention of unintended pregnancies among women living with HIV5623.5
 Prevention of HIV transmission from a woman living with HIV to her infant9037.8
 Provision of appropriate treatment, care and support to women living with HIV and their children and families5021.0
 Test for pregnant women for PMTCT services
 ELISA (enzyme-linked immunosorbent assay)139.42
 HIV rapid test11482.7
 WB (western blot) test32.2
 Others85.8
HIV transmissible from mother to her child
 Yes10686.9
 No1613.1
Mode of transmission
 Utero4816.9
 Labor3913.6
 Delivery10436.3
 Breastfeeding8429.4
 Others113.9
Mode of highest rate of transmission
 Utero75.7
 Labor54.1
 Delivery7259.0
 Breastfeeding3226.2
 Don’t know64.9
All HIV positive mothers will deliver HIV positive babies
 Yes97.4
 No11392.6
Gloves necessary for handling body fluids
 Yes86.6
 No11493.4
Infected person may test negative for HIV/AIDS
 Yes3932.0
 No8368.0
Factors increasing mother-to-child transmission via breastfeeding
 Recent infection with HIV73.5
 Severity of HIV infection3115.6
 Obstetric procedures6633.2
 Duration of breastfeeding3618.1
 Exclusive breastfeeding42.0
 Mixed feeding5025.1
 Others52.5
Methods to reduce mother-to-child transmission
 Abstain from sex94.2
 Healthy eating4420.7
 Seek antenatal care4822.5
 The use of condoms115.2
 Take medicines9946.5
 Others20.9