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AN ANALYTICAL STUDY OF FACTORS INFLUENCING THE UTILIZATION OF PREVENTION OF MOTHER-TO-CHILD TRANSMISSION(PMTCT) SERVICES AMONG PREGNANT WOMEN ATTENDING ANTENATAL CARE IN MAITAMA DISTRICT HOSPITAL IN ABUJA
Abstract:
This study conducts an analytical investigation of the factors influencing the utilization of Prevention of Mother-to-Child Transmission (PMTCT) services among pregnant women attending antenatal care at Maitama District Hospital in Abuja, Nigeria. Despite the availability of PMTCT programs aimed at reducing the vertical transmission of HIV from mother to child, the uptake of these services remains suboptimal in many regions. The research identifies and examines barriers and facilitators affecting the utilization of PMTCT services, including socio-cultural, economic, institutional, and individual factors. Using a mixed-method approach, data were collected through structured questionnaires and in-depth interviews with pregnant women, healthcare providers, and key stakeholders. The findings reveal that factors such as lack of awareness, stigma, fear of disclosure, distance to healthcare facilities, and inadequate counseling significantly hinder the utilization of PMTCT services. Conversely, factors like education, spousal support, and positive healthcare experiences encourage service uptake. The study underscores the need for targeted interventions, including community education campaigns, stigma reduction programs, and improved healthcare accessibility, to enhance PMTCT service utilization. Recommendations are provided for policymakers, healthcare providers, and stakeholders to address these barriers and promote the effective implementation of PMTCT programs. This research contributes to the ongoing efforts to eliminate mother-to-child transmission of HIV and improve maternal and child health outcomes in Nigeria.
Table of Contents
Chapter One: Introduction
1.1 Background to the Study
1.2 Statement of the Problem
1.3 Aim and Objectives of the Study
1.4 Research Questions
1.5 Significance of the Study
1.6 Scope and Limitations of the Study
1.7 Definition of Key Terms
Chapter Two: Literature Review
2.1 Overview of Prevention of Mother-to-Child Transmission (PMTCT) Programs
2.2 Global and National Trends in PMTCT Service Utilization
2.3 Factors Influencing PMTCT Service Utilization: A Theoretical Framework
2.4 Socio-Cultural Factors Affecting PMTCT Uptake
2.5 Economic and Institutional Barriers to PMTCT Utilization
2.6 Individual and Healthcare-Related Factors
2.7 Gaps in Existing Literature
2.8 Summary of Literature Review
Chapter Three: Methodology
3.1 Study Area: Description of Maitama District Hospital, Abuja
3.2 Research Design
3.3 Population and Sampling Techniques
3.4 Data Collection Methods: Questionnaires and Interviews
3.5 Data Analysis Techniques
3.6 Ethical Considerations
3.7 Limitations of the Methodology
Chapter Four: Data Analysis and Discussion
4.1 Socio-Demographic Characteristics of Respondents
4.2 Awareness and Knowledge of PMTCT Services Among Pregnant Women
4.3 Factors Influencing Utilization of PMTCT Services
4.4 Socio-Cultural and Economic Barriers to PMTCT Uptake
4.5 Healthcare System Factors Affecting PMTCT Utilization
4.6 Strategies to Improve PMTCT Service Utilization
4.7 Summary of Findings
Chapter Five: Conclusion and Recommendations
5.1 Summary of the Study
5.2 Key Findings
5.3 Contributions to Knowledge on PMTCT Service Utilization
5.4 Practical Implications for Healthcare Policy and Practice
5.5 Recommendations for Stakeholders and Policymakers
5.6 Suggestions for Further Research
5.7 Conclusion
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