Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Debate

To what extent could performance-based schemes help increase the effectiveness of prevention of mother-to-child transmission of HIV (PMTCT) programs in resource-limited settings? a summary of the published evidence

Authors: Hapsatou Touré, Martine Audibert, François Dabis

Published in: BMC Public Health | Issue 1/2010

Login to get access

Abstract

Background

In resource-limited settings, HIV/AIDS remains a serious threat to the social and physical well-being of women of childbearing age, pregnant women, mothers and infants.

Discussion

In sub-Saharan African countries with high prevalence rates, pediatric HIV/AIDS acquired through mother-to-child transmission (MTCT) can in largely be prevented by using well-established biomedical interventions. Logistical and socio-cultural barriers continue, however, to undermine the successful prevention of MTCT (PMTCT). In this paper, we review reports on maternal, neonatal and child health, as well as HIV care and treatment services that look at program incentives.

Summary

These studies suggest that comprehensive PMTCT strategies aiming to maximize health-worker motivation in developing countries must involve a mix of both financial and non-financial incentives. The establishment of robust ethical and regulatory standards in public-sector HIV care centers could reduce barriers to PMTCT service provision in sub-Saharan Africa and help them in achieving universal PMTCT targets.
Appendix
Available only for authorised users
Literature
1.
De Cock KM, Fowler MG, Mercier E, de Vincenzi I, Saba J, Hoff E, Alnwick DJ, Rogers M, Shaffer N: Prevention of mother-to-child HIV transmission in resource-poor countries: translating research into policy and practice. JAMA. 2000, 283: 1175-1182. 10.1001/jama.283.9.1175.CrossRefPubMed
2.
3.
Townsend CL, Cortina-Borja M, Peckham CS, de Ruiter A, Lyall H, Tookey PA: Low rates of mother-to-child transmission of HIV following effective pregnancy interventions in the United Kingdom and Ireland, 2000-2006. AIDS. 2008, 22: 973-981. 10.1097/QAD.0b013e3282f9b67a.CrossRefPubMed
4.
Luo C, Akwara P, Ngongo N, Doughty P, Gass R, Ekpini R, Crowley S, Hayashi C: Global progress in PMTCT and paediatric HIV care and treatment in low- and middle-income countries in 2004-2005. Reprod Health Matters. 2007, 15: 179-189. 10.1016/S0968-8080(07)30327-3.CrossRefPubMed
5.
6.
Peltier CA, Ndayisaba GF, Lepage P, van Griensven J, Leroy V, Pharm CO, Ndimubanzi PC, Courteille O, Arendt V: Breastfeeding with maternal antiretroviral therapy or formula feeding to prevent HIV postnatal mother-to-child transmission in Rwanda. AIDS. 2009, 23: 2415-2423. 10.1097/QAD.0b013e32832ec20d.CrossRefPubMedPubMedCentral
7.
Shapiro RL, Hughes MD, Ogwu A, Kitch D, Lockman S, Moffat C, Makhema J, Moyo S, Thior I, McIntosh K, et al: Antiretroviral Regimens in Pregnancy and Breast-Feeding in Botswana. N Engl J Med. 2010, 362: 2282-2294. 10.1056/NEJMoa0907736.CrossRefPubMedPubMedCentral
8.
9.
10.
Newell ML, Coovadia H, Cortina-Borja M, Rollins N, Gaillard P, Dabis F: Mortality of infected and uninfected infants born to HIV-infected mothers in Africa: a pooled analysis. Lancet. 2004, 364: 1236-1243. 10.1016/S0140-6736(04)17140-7.CrossRefPubMed
11.
12.
Germain A, Dixon-Mueller R, Sen G: Back to basics: HIV/AIDS belongs with sexual and reproductive health. Bull World Health Organ. 2009, 87: 840-845. 10.2471/BLT.09.065425.CrossRefPubMedPubMedCentral
13.
Lusti-Narasimhan M, Collin C, Mbizvo M: Sexual and reproductive health in HIV-related proposals supported by the Global Fund to Fight AIDS, Tuberculosis and Malaria. Bull World Health Organ. 2009, 87: 816-823. 10.2471/BLT.08.059147.CrossRefPubMedPubMedCentral
14.
15.
16.
Scheffler RM, Liu JX, Kinfu Y, Poz MRD: Forecasting the global shortage of physicians: an economic and needs-based approach. Bull World Health Organ. 2008, 86: 516-523. 10.2471/BLT.07.046474.CrossRefPubMedPubMedCentral
17.
McCoy D, McPake B, Mwapasa V: The double burden of human resource and HIV crises: a case study of Malawi. Hum Resour Health. 2008, 6: 16-28. 10.1186/1478-4491-6-16.CrossRefPubMedPubMedCentral
18.
Tobi P, George G, Schmidt E, Renton A: Antiretroviral treatment and the health workforce in South Africa: how have ART workers been affected by scaling up?. Trop Med Int Health. 2008, 13: 1-7. 10.1111/j.1365-3156.2008.02169.x.CrossRef
19.
Simba D, Kamwela J, Mpembeni R, Msamanga G: The impact of scaling-up prevention of mother-to-child transmission (PMTCT) of HIV infection on the human resource requirement: the need to go beyond numbers. Int J Health Plan Manag. 2010, 25: 17-29.
20.
Hongoro C, Normand C: Health Workers: Building and Motivating the Workforce (Chap 71). Disease Control Priorities in Developing Countries. Edited by: Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, Evans DB, Jha P, Mills A, Musgrove P. 2006, New York and The World Bank: Washington, DC: Oxford University Press, 1309-1322. 2
21.
22.
Franco LM, Bennett S, Kanfer R: Health sector reform and public sector health worker motivation: a conceptual framework. Soc Sci Med. 2002, 54: 1255-1266. 10.1016/S0277-9536(01)00094-6.CrossRefPubMed
23.
24.
Al-Enezi N, Chowdhury RI, Shah MA, Al-Otabi M: Job satisfaction of nurses with multicultural backgrounds: a questionnaire survey in Kuwait. Applied Nursing Research. 2009, 22: 94-100. 10.1016/j.apnr.2007.05.005.CrossRefPubMed
25.
Dieleman M, Cuong PV, Anh LV, Martineau T: Identifying factors for job motivation of rural health workers in North Viet Nam. Hum Resour Health. 2003, 1: 10-19. 10.1186/1478-4491-1-10.CrossRefPubMedPubMedCentral
26.
Bradley S, McAuliffe E: Mid-level providers in emergency obstetric and newborn health care: factors affecting their performance and retention within the Malawian health system. Hum Resour Health. 2009, 7: 14-21. 10.1186/1478-4491-7-14.CrossRefPubMedPubMedCentral
27.
Rajaraman D, Palmer N: Changing roles and responses of health care workers in HIV treatment and care. Trop Med Int Health. 2008, 13: 1357-1363. 10.1111/j.1365-3156.2008.02176.x.CrossRefPubMed
28.
Fort AL, Voltero L: Factors affecting the performance of maternal health care providers in Armenia. Hum Resour Health. 2004, 2: 8-11. 10.1186/1478-4491-2-8.CrossRefPubMedPubMedCentral
29.
Van Lerberghe W, Conceicao C, Van Damme W, Ferrinho P: When staff is underpaid: dealing with the individual coping strategies of health personnel. Bull World Health Organ. 2002, 80: 581-584.PubMedPubMedCentral
30.
Vujicic M, Zurn P, Diallo K, Adams O, Dal Poz MR: The role of wages in the migration of health care professionals from developing countries. Hum Resour Health. 2004, 2: 3-16. 10.1186/1478-4491-2-3.CrossRefPubMedPubMedCentral
31.
Lehmann U, Dieleman M, Martineau T: Staffing remote rural areas in middle- and low-income countries: a literature review of attraction and retention. BMC Health Serv Res. 2008, 8: 19-28. 10.1186/1472-6963-8-19.CrossRefPubMedPubMedCentral
32.
Van Dormael M, Dugas S, Kone Y, Coulibaly S, Sy M, Marchal B, Desplats D: Appropriate training and retention of community doctors in rural areas: a case study from Mali. Hum Resour Health. 2008, 6: 25-32. 10.1186/1478-4491-6-25.CrossRefPubMedPubMedCentral
33.
Chopra M, Munro S, Lavis JN, Vist G, Bennett S: Effects of policy options for human resources for health: an analysis of systematic reviews. Lancet. 2008, 371: 668-674. 10.1016/S0140-6736(08)60305-0.CrossRefPubMed
34.
35.
Pai NP, Klein MB: Rapid testing at labor and delivery to prevent mother-to-child HIV transmission in developing settings: issues and challenges. Womens Health (Lond Engl). 2009, 5: 55-62.CrossRef
36.
Orne-Gliemann J, Desgrees-Du-Lou A: The involvement of men within prenatal HIV counselling and testing. Facts, constraints and hopes. AIDS. 2008, 22: 2555-2557. 10.1097/QAD.0b013e32831c54d5.CrossRefPubMed
37.
38.
39.
Shumbusho F, van Griensven J, Lowrance D, Turate I, Weaver MA, Price J, Binagwaho A: Task shifting for scale-up of HIV care: evaluation of nurse-centered antiretroviral treatment at rural health centers in Rwanda. PLoS Med. 2009, 6: e1000163-10.1371/journal.pmed.1000163.CrossRefPubMedPubMedCentral
40.
Cohen R, Lynch S, Bygrave H, Eggers E, Vlahakis N, Hilderbrand K, Knight L, Pillay P, Saranchuk P, Goemaere E, et al: Antiretroviral treatment outcomes from a nurse-driven, community-supported HIV/AIDS treatment programme in rural Lesotho: observational cohort assessment at two years. J Int AIDS Soc. 2009, 12: 23-10.1186/1758-2652-12-23.CrossRefPubMedPubMedCentral
41.
Celletti F, Wright A, Palen J, Frehywot S, Markus A, Greenberg A, Teixeira de Aguiar RA, Campos F, Eric B, Samba B: Can the deployment of community health workers for the delivery of HIV services represent an effective and sustainable response to health workforce shortages? Results of a multicountry study. AIDS. 2010, 24: S45-S57. 10.1097/01.aids.0000366082.68321.d6.CrossRefPubMed
42.
Sherr KH, Micek M, Gimbel SO, Gloyd SS, Hughes JP, John-Stewart GC, Manjate RM, Pfeiffer J, Weiss NS: Quality of HIV care provided by non-physician clinicians and physicians in Mozambique: a retrospective cohort study. AIDS. 2010, 24: S59-S66. 10.1097/01.aids.0000366083.75945.07.CrossRefPubMedPubMedCentral
43.
Callaghan M, Ford N, Schneider H: A systematic review of task- shifting for HIV treatment and care in Africa. Hum Resour Health. 2010, 8: 8-10.1186/1478-4491-8-8.CrossRefPubMedPubMedCentral
44.
Babigumira JB, Castelnuovo B, Lamorde M, Kambugu A, Stergachis A, Easterbrook P, Garrison LP: Potential impact of task-shifting on costs of antiretroviral therapy and physician supply in Uganda-art. no. 192. BMC Health Serv Res. 2009, 9: 192-192. 10.1186/1472-6963-9-192.CrossRefPubMedPubMedCentral
45.
Chi BH, Sinkala M, Stringer EM, McFarlane Y, Ng'uni C, Myzece E, Goldenberg RL, Stringer JS: Employment of off-duty staff: a strategy to meet the human resource needs for a large PMTCT program in Zambia. J Acquir Immune Defic Syndr. 2005, 40: 381-382. 10.1097/01.qai.0000159515.39982.c0.CrossRefPubMed
46.
Perez F, Muffih TP: The Role of Midwives and Traditional Birth Attendants in Expanding Access to Maternal and Child Health Services. From the Ground Up: Building Comprehensive HIV/AIDS Care Programs in Resource-Limited Settings. Edited by: Marlink RG, Teitelman SJ. 2008, Washington, DC: The Elizabeth Glaser Pediatric AIDS Foundation, 277-300.
47.
Hermann K, Van Damme W, Pariyo GW, Schouten E, Assefa Y, Cirera A, Massavon W: Community health workers for ART in sub-Saharan Africa: Learning from experience-Capitalizing on new opportunities. Hum Resour Health. 2009, 7: 31-49. 10.1186/1478-4491-7-31.CrossRefPubMedPubMedCentral
48.
Jerome G, Ivers LC: Community health workers in health systems strengthening: a qualitative evaluation from rural Haiti. AIDS. 2010, 24: S67-S72. 10.1097/01.aids.0000366084.75945.c9.CrossRefPubMedPubMedCentral
49.
Anand A, Shiraishi RW, Sheikh AA, Marum LH, Bolu O, Mutsotso W, Sabin K, Ayisi R, Diaz T: Site factors may be more important than participant factors in explaining HIV test acceptance in the prevention of mother-to-child HIV transmission programme in Kenya, 2005. Trop Med Int Health. 2009, 14: 1215-1219. 10.1111/j.1365-3156.2009.02367.x.CrossRefPubMed
50.
Henderson LN, Tulloch J: Incentives for retaining and motivating health workers in Pacific and Asian countries. Hum Resour Health. 2008, 6: 18-37. 10.1186/1478-4491-6-18.CrossRefPubMedPubMedCentral
51.
Barker CE, Bird CE, Pradhan A, Shakya G: Support to the Safe Motherhood Programme in Nepal: an integrated approach. Reprod Health Matters. 2007, 15: 81-90. 10.1016/S0968-8080(07)30331-5.CrossRefPubMed
52.
Mathauer I, Imhoff I: Health worker motivation in Africa: the role of non-financial incentives and human resource management tools. Hum Resour Health. 2006, 4: 24-40. 10.1186/1478-4491-4-24.CrossRefPubMedPubMedCentral
53.
Dieleman M, Toonen J, Toure H, Martineau T: The match between motivation and performance management of health sector workers in Mali. Hum Resour Health. 2006, 4: 2-8. 10.1186/1478-4491-4-2.CrossRefPubMedPubMedCentral
54.
Pakenham-Walsh NM, Bukachi F: Information needs of health care workers in developing countries: a literature review with a focus on Africa. Hum Resour Health. 2009, 7: 30-10.1186/1478-4491-7-30.CrossRefPubMedPubMedCentral
55.
McAuliffe E, Bowie C, Manafa O, Maseko F, Maclachlan M, Hevey D, Normand C, Chirwa M: Measuring and managing the work environment of the mid-level provider-the neglected human resource. Hum Resour Health. 2009, 7: 13-10.1186/1478-4491-7-13.CrossRefPubMedPubMedCentral
56.
Sibley LM, Sipe TA, Koblinsky M: Does traditional birth attendant training increase use of antenatal care? A review of the evidence. J Midwifery Womens Health. 2004, 49: 298-305. 10.1016/j.jmwh.2004.03.009.CrossRefPubMed
57.
Evjen-Olsen B, Olsen OE, Kvale G: Achieving progress in maternal and neonatal health through integrated and comprehensive healthcare services-experiences from a programme in northern Tanzania. Int J Equity Health. 2009, 8: 27-10.1186/1475-9276-8-27.CrossRefPubMedPubMedCentral
58.
59.
60.
Soeters R, Habineza C, Peerenboom PB: Performance-based financing and changing the district health system: experience from Rwanda. Bull World Health Organ. 2006, 84: 884-889.PubMedPubMedCentral
61.
Rusa L, Ngirabega Jde D, Janssen W, Van Bastelaere S, Porignon D, Vandenbulcke W: Performance-based financing for better quality of services in Rwandan health centres: 3-year experience. Trop Med Int Health. 2009, 14: 830-837. 10.1111/j.1365-3156.2009.02292.x.CrossRefPubMed
62.
Kalk A, Paul FA, Grabosch E: 'Paying for performance' in Rwanda: does it pay off?. Trop Med Int Health. 2010, 15: 182-190. 10.1111/j.1365-3156.2009.02430.x.CrossRefPubMed
63.
Tanoh A: Performance Based Financing: An Impact Evaluation on Prevention and Care and Treatment Activities. Abstract #1084. 2009 HIV/AIDS Implementers' Meeting June 10-14, 2009; Windhoek, Namibia. 2009
64.
Metadata
Title
To what extent could performance-based schemes help increase the effectiveness of prevention of mother-to-child transmission of HIV (PMTCT) programs in resource-limited settings? a summary of the published evidence
Authors
Hapsatou Touré
Martine Audibert
François Dabis
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-702

Other articles of this Issue 1/2010

BMC Public Health 1/2010 Go to the issue

Research article

Intentions to use contraceptives in Pakistan: implications for behavior change campaigns

Research article

Socioeconomic determinants of psychotropic drug utilisation among elderly: a national population-based cross-sectional study

Research article

Screen-based activities and physical complaints among adolescents from the Nordic countries

Study protocol

Effect of medication review and cognitive behaviour treatment by community pharmacists of patients discharged from the hospital on drug related problems and compliance: design of a randomized controlled trial

Research article

Interacting with the public as a risk factor for employee psychological distress

Research article

Insights into social disparities in smoking prevalence using Mosaic, a novel measure of socioeconomic status: an analysis using a large primary care dataset