Experience of HIV positive mothers on delayed HIV testing of exposed infants at Mchinji District Hospital
Many HIV-infected infants and children die from HIV/AIDS without HIV diagnosis or treatment. All HIV-exposed infants at the age of 4-6 weeks should receive a diagnostic test for DNA-PCR and early initiation of ART among those identified HIV infected. However, reports have indicated serious delays in...
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2021
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| Online Access: | http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/220 |
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| author | Mphatso, Chiyanjano |
| author_facet | Mphatso, Chiyanjano |
| author_sort | Mphatso, Chiyanjano |
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| description | Many HIV-infected infants and children die from HIV/AIDS without HIV diagnosis or treatment. All HIV-exposed infants at the age of 4-6 weeks should receive a diagnostic test for DNA-PCR and early initiation of ART among those identified HIV infected. However, reports have indicated serious delays in HIV testing for HIV exposed infants. The aim of this study was to examine experiences of HIV positive mothers on delayed HIV diagnosis of exposed infants at Mchinji District Hospital. A descriptive qualitative design was used to conduct this study. Mchinji is among the districts in the central region of Malawi where HIV prevalence was estimated as high as 7.6 %. The site was selected because data from the facility had shown significant delay in HIV testing and diagnosis for exposed infants. The statistics for 2015/2016 extracted from the health information systems for Mchinji district hospital showed that only 47% of exposed infants were tested for DNA-PCR within six weeks of age. The study participants were women in the child bearing age (15-45 years) who were confirmed HIV positive and had an infant of more than six weeks of age who had not been tested for DNA-PCR or had been tested for DNA-PCR after six weeks of age. The participants were recruited from the study population using purposive sampling method. The sample size for the study was 15 and data saturation was the guiding principle in the sample size. Data were collected using a Chichewa translated interview guide for individual interviews. Data were recorded through audio-taping and field notes were taken. Data were analysed manually using thematic analysis. The findings of the study will facilitate early infant diagnosis of HIV as stipulated in the guidelines for policy implementation. The findings may also add knowledge to child health nursing practice and influence change and policy development in care of exposed infants. Ethical approval to conduct the study was obtained from the College of Medicine Research and Ethics Committee. Thereafter, permission to conduct the study was obtained from Mchinji District Hospital. The findings of the study showed that fear of stigma and discrimination, denial of one’s HIV status, home deliveries, laziness, and migration to and from neighboring countries affected early infant diagnosis of HIV. These findings are to be disseminated through meetings at Mchinji District Hospital which was the study setting. A written report is to be submitted to the study site, Kamuzu College of Nursing and College of Medicine Research and Ethics Committee. |
| format | Thesis |
| id | oai:nkhokwe.kuhes.ac.mw:20.500.12845-220 |
| institution | My University |
| language | English |
| publishDate | 2021 |
| record_format | dspace |
| spelling | oai:nkhokwe.kuhes.ac.mw:20.500.12845-2202023-03-12T00:08:02Z Experience of HIV positive mothers on delayed HIV testing of exposed infants at Mchinji District Hospital Mphatso, Chiyanjano Many HIV-infected infants and children die from HIV/AIDS without HIV diagnosis or treatment. All HIV-exposed infants at the age of 4-6 weeks should receive a diagnostic test for DNA-PCR and early initiation of ART among those identified HIV infected. However, reports have indicated serious delays in HIV testing for HIV exposed infants. The aim of this study was to examine experiences of HIV positive mothers on delayed HIV diagnosis of exposed infants at Mchinji District Hospital. A descriptive qualitative design was used to conduct this study. Mchinji is among the districts in the central region of Malawi where HIV prevalence was estimated as high as 7.6 %. The site was selected because data from the facility had shown significant delay in HIV testing and diagnosis for exposed infants. The statistics for 2015/2016 extracted from the health information systems for Mchinji district hospital showed that only 47% of exposed infants were tested for DNA-PCR within six weeks of age. The study participants were women in the child bearing age (15-45 years) who were confirmed HIV positive and had an infant of more than six weeks of age who had not been tested for DNA-PCR or had been tested for DNA-PCR after six weeks of age. The participants were recruited from the study population using purposive sampling method. The sample size for the study was 15 and data saturation was the guiding principle in the sample size. Data were collected using a Chichewa translated interview guide for individual interviews. Data were recorded through audio-taping and field notes were taken. Data were analysed manually using thematic analysis. The findings of the study will facilitate early infant diagnosis of HIV as stipulated in the guidelines for policy implementation. The findings may also add knowledge to child health nursing practice and influence change and policy development in care of exposed infants. Ethical approval to conduct the study was obtained from the College of Medicine Research and Ethics Committee. Thereafter, permission to conduct the study was obtained from Mchinji District Hospital. The findings of the study showed that fear of stigma and discrimination, denial of one’s HIV status, home deliveries, laziness, and migration to and from neighboring countries affected early infant diagnosis of HIV. These findings are to be disseminated through meetings at Mchinji District Hospital which was the study setting. A written report is to be submitted to the study site, Kamuzu College of Nursing and College of Medicine Research and Ethics Committee. 2021-06-24T05:32:35Z 2021-11-03T06:47:04Z 2021-06-24T05:32:35Z 2021-11-03T06:47:04Z 2019-06-01 Thesis http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/220 en application/pdf |
| spellingShingle | Mphatso, Chiyanjano Experience of HIV positive mothers on delayed HIV testing of exposed infants at Mchinji District Hospital |
| title | Experience of HIV positive mothers on delayed HIV testing of exposed infants at Mchinji District Hospital |
| title_full | Experience of HIV positive mothers on delayed HIV testing of exposed infants at Mchinji District Hospital |
| title_fullStr | Experience of HIV positive mothers on delayed HIV testing of exposed infants at Mchinji District Hospital |
| title_full_unstemmed | Experience of HIV positive mothers on delayed HIV testing of exposed infants at Mchinji District Hospital |
| title_short | Experience of HIV positive mothers on delayed HIV testing of exposed infants at Mchinji District Hospital |
| title_sort | experience of hiv positive mothers on delayed hiv testing of exposed infants at mchinji district hospital |
| url | http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/220 |
| work_keys_str_mv | AT mphatsochiyanjano experienceofhivpositivemothersondelayedhivtestingofexposedinfantsatmchinjidistricthospital |
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