Assessment of knowledge and practice of maternal care to HIV negative children less than 2 years of HIV positive mothers in Kiryandongo General Hospital

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Date
2019-03
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Publisher
Kampala International University, School of Health Sciences
Abstract
This study assessed knowledge, attitude and the practice of maternal care to HIV negative children less than 2 years of HIV positive mothers in Kiryandongo. Principally the study determined the uptake and utilization of ARVs in the PMTCT programs and the challenges HIV positive mothers face in practices aimed at preventing their HIV negative children from getting infected after birth. A descriptive study, which employing both quantitative and qualitative data to get comprehensive and complete information. Since personal views of the correspondents shall be easily capture and my collectively produce a substantial information about discrepancies about the problems. The study was based on the demography, maternal and child health knowledge and attitude looking at ANC/PNC, ART Clinic services and Family Planning programmes. 63.8% were aged 21-26 years old followed by 22.9% those aged 15-20 years which represents a peak reproductive age and was cited by a study as a high rick group. This age population is a quite challenging as far as maintaining them on a lifelong ART and PMTCT programmes which on the other hand is stigmatous. Kiryandongo Sub County and Kigumba Sub-Counties were represented with high numbers of the respondents being urban area and along the highway, presumably have high rates of HIV. 74.3% of the respondents reported their husbands had not done HIV test with only (25.7%) whose husbands had tested for HIV. It was found that most respondents (84.8%) have their status unknown to their spouses could be generally fear of disclosure as majority were relatively young mothers; 79.0% fear being seen taking ART due to fear of how the community will say about them. The study have found a great need to; provide mentorship programmes for the young mothers to ensure adherence to the ART/PMTCT programmes otherwise, most mothers will not sustain the programmes due stigma associated with HIV couple with their low education levels; and need for Family planning programs should be avail if not accessible within most areas in Kiryandongo District. This is because the study found 48.6% had between 3-4 children to reduce the incidence of unwanted pregnancies and children who will at high risk of getting infected. In conclusion, there is need to ensure adherence of mothers to ART otherwise the greater number of young mother most likely to get loss if urgent interventions made as recommendations are not put in place timely. This was similar to the case mothers who were found to drop out of ART/PMTCT programmes in other countries
Description
A research report submitted to the Faculty of Clinical Medicine and Dentistry in partial fulfillment of the requirements for the award of a degree of Bachelor of Medicine and Bachelor of Surgery of Kampala International University
Keywords
Maternal care, HIV negative children, HIV positive mothers, Kiryandongo General Hospital
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