Volume 6, Issue 2, June 2020, Page: 39-45
Community Health Workers Engagement in Prevention of Mother-to-Child Transmission of HIV (PMTCT): A Cross-Sectional Study from Selected Fishing Communities in Tanzania
Maseke Richard Mgabo, Institute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania; Department of Population Studies, Institute of Rural Development Planning, Dodoma, Tanzania
Sia Msuya, Institute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania; Kilimanjaro Christian Medical Centre, Moshi, Tanzania
Declare Mushi, Institute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania
Received: Mar. 31, 2019;       Accepted: May 23, 2019;       Published: May 28, 2020
DOI: 10.11648/j.jfmhc.20200602.12      View  56      Downloads  27
Abstract
The prevalence of HIV infection is reported to be higher in fishing communities of Lake Victoria compared to non fishing neighboring communities. Besides, access to HIV/AIDS related services has been reported to be either inadequate or unavailable to some of these fishing communities particularly for those residing in islands. This study explored the engagement of Community Health Workers (CHWs) in provision of PMTCT services among the fishing communities of Sengerema and Musoma District Councils (DCs) in the Lake Zone of Tanzania. This was a cross sectional study using qualitative approach. Intrinsic and extrinsic motives were found to influence community members to be engaged as CHWs. The majority of CHWs were involved in Antenatal Care (ANC) and Reproductive and Child Health (RCH) as well as in health promotion activities as a strategy to cope with the shortage of trained health staff. CHWs were found to assist in HIV/AIDS Counseling and Treatment Center (CTC), generally, CHWs were not directly engaged in provision of PMTCT services. On the other hand, the National Health Policy does not clearly set roles of the CHWs and their incentives. Nevertheless, there are potentials of people willingness to volunteer in community health works that need to be better leveraged. Deploying CHWs is critical to enabling accessible primary health care services including HIV/AIDS particularly PMTCT services in remote areas such as fishing communities where human resource for health is reported to be inadequate.
Keywords
Community Health Workers, Fishing Communities, Lake Victoria, HIV/AIDS, Prevention of Mother-to-Child Transmission of HIV, Sengerema, Musoma, Tanzania
To cite this article
Maseke Richard Mgabo, Sia Msuya, Declare Mushi, Community Health Workers Engagement in Prevention of Mother-to-Child Transmission of HIV (PMTCT): A Cross-Sectional Study from Selected Fishing Communities in Tanzania, Journal of Family Medicine and Health Care. Vol. 6, No. 2, 2020, pp. 39-45. doi: 10.11648/j.jfmhc.20200602.12
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Bangdiwala S, Fonn S, Okoye O, Tollman S. Workforce Resources for Health in Developing Countries. Public Health Reviews. 2010; 32 (1): 296–318.
[2]
Byrne A, Hodge A, Jimenez-soto E, Morgan A. What Works ? Strategies to Increase Reproductive, Maternal and Child Health in Difficult to Access Mountainous Locations : A Systematic Literature Review. PLoS ONE. 2014; 9 (2): e87683–90.
[3]
WHO. Community health workers: what do we know about them? 2014.
[4]
Bhattacharyya K, Peter W, LeBan K, Tien M. Community health worker incentives and disincentives: They, How Motivation, Affect. Basic Support for Institutionalizing Child Survival Project (BASICS II). Arlington, Virginia; 2001.
[5]
MoH-Rwanda. National Community Health stratetegic Plan July 2013-June 2018. Kigali; 2013.
[6]
UNDP. FROM MDGs TO SDGs: GENERAL INTRODUCTION 1. 2015.
[7]
Ijumba P. Intervention for improved newborn feeding and survival where HIV is common Perceptions and effects of a community-based package for maternal and newborn care in a South African township. Uppsala University; 2014.
[8]
Binagwaho A, Pegurri E, Drobac PC, Mugwaneza P, Stulac SN, Wagner CM, et al. Prevention of mother-to-child transmission of HIV: cost-effectiveness of antiretroviral regimens and feeding options in Rwanda. PloS one. 2013 Jan; 8 (2): e54180–e54180.
[9]
MoH Kenya. Minimum Package for RH-HIV Intergration in Kenya. 2012.
[10]
Karfakis E, Keehn J. Current Practices to Increase Uptake, Retention and Adherence for Option B+ in Malawi. mothers2mothers Malawi. Lilongwe; 2014.
[11]
NAC. Malawi AIDS Response Progress Report 2015. Lilongwe; 2015.
[12]
Lema IA, Sando D, Magesa L, Machumi L, Mungure E, Sando MM, et al. Community Health Workers to Improve Antenatal Care and PMTCT Uptake in Dar es Salaam, Tanzania : A Quantitative Performance Evaluation. Journal of Acquired Immune Deficiency Syndromes. 2014; 67: S195–201.
[13]
Feldhaus I, Silverman M, LeFevre AE, Mpembeni R, Mosha I, Chitama D, et al. Equally able, but unequally accepted: Gender differentials and experiences of community health volunteers promoting maternal, newborn, and child health in Morogoro Region, Tanzania. International journal for equity in health. 2015; 14: 70.
[14]
Ahmad K, Zwi AB, Tarantola DJM, Chaudhry TA. Self-Perceived Barriers to Eye Care in a Hard-to-Reach Population: The Karachi Marine Fishing Communities Eye and General Health SurveyBarriers to Eye Care Among Fishing Communities in Karachi. Investigative Ophthalmology & Visual Science. 2015 Feb 11; 56 (2): 1023–32.
[15]
Opio A, Muyonga M, Mulumba N. HIV infection in fishing communities of Lake Victoria Basin of Uganda--a cross-sectional sero-behavioral survey. PloS one. 2013 Jan; 8 (8): e70770–80.
[16]
Mafigiri R, Matovu JKB, Makumbi FE, Ndyanabo A, Nabukalu D, Sakor M, et al. HIV prevalence and uptake of HIV / AIDS services among youths (15–24 Years) in fishing and neighboring communities of Kasensero, Rakai District, South Western Uganda. BMC public health. 2017; 17: 1–10.
[17]
Zafar M, Nisar N, Kadir M, Fatmi Z, Ahmed Z, Shafique K. Knowledge, attitude and practices regarding HIV/AIDS among adult fishermen in coastal areas of Karachi. BMC public health. 2014 Jan; 14 (1): 437.
[18]
Kiwanuka N, Mpendo J, Nalutaaya A, Wambuzi M, Nanvubya A, Kitandwe PK, et al. An assessment of fishing communities around Lake Victoria, Uganda, as potential populations for future HIV vaccine efficacy studies: an observational cohort study. BMC public health. 2014; 14.
[19]
UAC. Uganda HIV and AIDS Country Progress report 2014. Kampala; 2015.
[20]
Kiwanuka N, Ssetaala A, Nalutaaya A, Mpendo J, Wambuzi M, Nanvubya A, et al. High incidence of HIV-1 infection in a general population of fishing communities around Lake Victoria, Uganda. PLoS ONE. 2014; 9.
[21]
O’Mara-Eves A, Brunton G, McDaid D, Oliver S, Kavanagh J, Jamal F, et al. Community engagement to reduce inequalities in health: a systematic review, meta-analysis and economic analysis. Public Health Research. 2013; 1 (4): 1–526.
[22]
Snow J. The Last Quarter of the Last Mile : Reaching Forgotten Communities in Countries that are Family Planning Success Stories. 2016. p. 2015–7.
[23]
NBS. 2012 Population and Housing Census Population Distribution by Adiministrative Area. Dar ES salaam; 2013.
[24]
T-MARK. Tanzania Social Marketing Program. Vol. 2013. 2013.
[25]
URT. Global Aids Response Country Progress Report. Global AIDS Response Country Progress Report. 2014.
[26]
URT-PMoRALG. Mwanza Investment Profile -2013. 2013.
[27]
URT. Mara Region Strategic Plan For Accelerated Reduction of Maternal and Newborn Deaths 2013–2016. 2013.
[28]
Mwaluko G, Mosha F, Kishamawe C, Mashauri F. The EALP HIV and AIDS Baseline Study in Fishing Communities : Lake Victoria Basin, Tanzania Technical Report African Medical Research Foundation (AMREF). 2011.
[29]
NBS and ICF. Tanzania Demographic and Health Survey 2010. NBS and ICF Macro, editor. National Bureau of Statistics Dar es Salaam, Tanzania ICF Macro Calverton, Maryland, USA. Dar ES salaam; 2011.
[30]
URT. The United Republic of Tanzania ministry of health and social welfare human resource for health strategic plan 2008 – 2013. 2008. 6-91 p.
[31]
Afnan-Holmes H, Magoma M, John T, Levira F, Msemo G, Armstrong CE, et al. Tanzania’s Countdown to 2015: an analysis of two decades of progress and gaps for reproductive, maternal, newborn, and child health, to inform priorities for post-2015. The Lancet Global Health. 2015 Jul; 3 (7): e396–409.
[32]
Nuwagaba-Biribonwoha H, Mayon-White RT, Okong P, Carpenter LM. Challenges faced by health workers in implementing the prevention of mother-to-child HIV transmission (PMTCT) programme in Uganda. Journal of public health (Oxford, England). 2007 Sep; 29 (3): 269–74.
[33]
Rooyen H Van, Tulloch O, Mukoma W, Makusha T, Chepuka L, Knight LC, et al. What are the constraints and opportunities for HIVST scale-up in Africa ? Evidence from Kenya, Malawi and South Africa. Journal of the International AIDS Society 2015, 2015; 18: 1–9.
[34]
Thomas J,, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Medical Research Methodology. 2007; 10: 19.
[35]
MoHSW. Health Sector Performance Profile Report 2010 Update, Mainland Tanzania July2009-June 2010. Dar ES salaam; 2010.
[36]
Kwesigabo G, Mwangu AM, Kakoko CD, Mkony AC, Killewo J, Sarah MB, et al. Tanzania ’ s health system and workforce crisis. Journal of Public Health Policy. 2012; 33 (S1): S35–44.
[37]
Mwai G, Mburu G, Torpey K, Frost P, Ford N, Seeley J. Role and outcomes of community health workers in HIV care in sub-Saharan Africa: a systematic review. Journal of the International AIDS Society. 2013; 16: 1–14.
[38]
Bhutta ZA, Zohra SL, Pariyo G, Huicho L. Global Experience of Community Health Workers for Delivery of Health Related Millennium Development Goals :A Systematic Review, Country Case Studies, and Recommendations for Integration into National Health Systems. Geneva; 2009.
[39]
Greyling C, Kean S, Perry F, Sengstmann S. Community Prevention of Mother-to-Child Transmission of HIV (c-PMTCT) World Vision ’ s Integrated Approach. 2012.
[40]
Zarowsky C, Hausler H, Jackson D, Uwimana J. Engagement of non-government organisations and community care workers in collaborative TB/HIV activities including prevention of mother to child transmission in South Africa: Opportunities and challenges. Vol. 12, BMC Health Services Research. 2012. p. 233.
[41]
Ambia J, Mandala J. Review article A systematic review of interventions to improve prevention of mother-to-child HIV transmission service delivery and promote retention. Journal of International AIDS Society. 2016; 19 (20309): 1–11.
[42]
Perry H, Zulliger R. How Effective are community health workers? An Overview of Current Evidence with Recommendations for Strengthening Community Health Worker Programs to Accelerate Progress in Achieving the Health-related Millennium Development Goals. 2012.
[43]
Singh D, Cumming R, Negin J. Acceptability and trust of community health workers offering maternal and newborn health education in rural Uganda. Health Education Research. 2015; 30 (6): 947–58.
[44]
Merridy G, Aurene W, Sifiso P, Mntambo N, Christine HM. Trust of community health workers influences the acceptance of community-based maternal and child health services Research methods. African Journal of Primary Health Care and Family Medicene. 2017; 9 (1): 1–8.
[45]
Nxumalo N, Goudge J, Manderson L. Community health workers, recipients ’ experiences and constraints to care in South Africa – a pathway to trust. AIDS Care. 2016; 28 sup (4): 61–71.
[46]
USAID. Factors impacting the effectiveness of community health worker behavior change a literature review. 2015.
[47]
Kwena ZA, Camlin CS, Shisanya CA, Mwanzo I, Bukusi EA. Short-Term Mobility and the Risk of HIV Infection among Married Couples in the Fishing Communities along Lake Victoria, Kenya. PLoS ONE. 2013; 8 (1).
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