Programmes for the prevention of parent-to-child transmission of HIV in Papua New Guinea: Health system challenges and opportunities.

Tynan, Anna, Vallely, Lisa, Kupul, Martha, Neo, Ruthy, Fiya, Voletta, Worth, Heather, Kariwiga, Grace, Mola, Glen D L, Kaldor, John and Kelly-Hanku, Angela (2017) Programmes for the prevention of parent-to-child transmission of HIV in Papua New Guinea: Health system challenges and opportunities.. The International journal of health planning and management, . doi:10.1002/hpm.2450


Author Tynan, Anna
Vallely, Lisa
Kupul, Martha
Neo, Ruthy
Fiya, Voletta
Worth, Heather
Kariwiga, Grace
Mola, Glen D L
Kaldor, John
Kelly-Hanku, Angela
Title Programmes for the prevention of parent-to-child transmission of HIV in Papua New Guinea: Health system challenges and opportunities.
Journal name The International journal of health planning and management   Check publisher's open access policy
ISSN 1099-1751
Publication date 2017-09-27
Sub-type Article (original research)
DOI 10.1002/hpm.2450
Open Access Status Not yet assessed
Abstract Prevention of parent-to-child transmission (PPTCT) of HIV is a highly complex package of interventions, which spans services in both maternal and child health programmes. In Papua New Guinea (PNG), a commitment to ensure that all pregnant women and their partners have access to the full range of PPTCT interventions exists; however, efforts to increase access and utilisation of PPTCT remain far from optimal. The aim of this paper is to examine health care worker (HCW) perception of health system factors impacting on the performance of PPTCT programmes.

Sixteen interviews were undertaken with HCWs involved in the PPTCT programme. Application of the WHO 6 building blocks of a health system was applied, and further thematic analysis was conducted on the data with assistance from the analysis software NVivo.

Broken equipment, problems with access to medication and supplies, and poorly supported workforce were reported as barriers for implementing a successful PPTCT programme. The absence of central coordination of this complex, multistaged programme was also recognised as a key issue.

The study findings highlight an important need for investment in appropriately trained and supported HCWs and integration of services at each stage of the PPTCT programme. Lessons from the PPTCT experience in PNG may inform policy discussions and considerations in other similar contexts.
Keyword HIV
Pacific
Papua New Guinea
health systems
prevention of parent-to-child transmission
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: Pubmed Import
 
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Created: Wed, 15 Nov 2017, 13:44:49 EST