International Journal of Travel Medicine and Global Health

International Journal of Travel Medicine and Global Health

MODELLING FACTORS ASSOCIATED WITH HIV-FREE SURVIVAL AMONG EXPOSED INFANTS IN HOMA BAY COUNTY

Articles in Press

Document Type : Original Article

Authors
Augustine Gatimu Njuguna 1
Simon Muturi Karanja 2
Peter Wanzala Wanzala 3
1 Jomo Kenyatta University of Science and Technology
2 Jomo Kenya University of Science and Technology
3 Kenya Medical Research Institute (KEMRI)
10.30491/ijtmgh.2025.513005.1470
Abstract
Abstract

Background: PMTCT programs reduce HIV transmission from mothers to children, but uptake is limited in high-prevalence areas like Homa Bay County, Kenya. PMTCT integration into mother and child health services has socio-economic, cultural, and logistical obstacles.

Objective: To explore the barriers and enablers influencing the uptake and adherence to PMTCT services among HIV-positive mothers in Homa Bay County.

Methods: This qualitative study included 13 healthcare provider KIIs and eight HIV-positive mother FGDs in seven sub-counties of Homa-Bay County. Data was analyzed thematically through the Gioia approach, which identified first-order concepts, second-order themes, and aggregate dimensions from data.

Results: The participants reported several key obstacles, such as cultural norms, information gaps, economic constraints, transportation issues, stigma, and referral system inefficiencies. Male participation, efficient service delivery techniques, community awareness-raising, and peer support were noted as vital facilitators. Participants emphasized the value of dietary support, emotional support, and structured health education in enhancing PMTCT adherence.

Conclusion: Overcoming PMTCT barriers requires community action, male engagement, better healthcare, and policy support to improve maternal and child health.
Keywords
PMTCT
HIV
maternal health
barriers to care
qualitative study
Homa Bay County
International Journal of Travel Medicine and Global Health

Articles in Press, Accepted Manuscript
Available Online from 04 January 2026

  • Receive Date 17 March 2025
  • Revise Date 14 April 2025
  • Accept Date 15 April 2025