Evidence map›Paper›PMID 30600507›Full record

SynthesisMaternal and child health journal2019

Socio-Structural Factors Influencing the Prevention of Mother-to-Child Transmission of HIV in the Democratic Republic of the Congo: A Systematic Review.

Guy-Lucien S Whembolua, Baraka Muvuka, Daudet Ilunga Tshiswaka, Donaldson F Conserve

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Maternal and child health journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Guy-Lucien S WhemboluaDepartment of Africana Studies, University of Cincinnati, 3605 French Hall West, Cincinnati, OH, 45221, USA. whembogn@uc.edu.
Baraka MuvukaDepartment of Health Promotion and Behavioral Sciences, School of Public Health and Information Sciences, University of Louisville, 485 East Gray Street, Louisville, KY, 40202, USA.
Daudet Ilunga TshiswakaDepartment of Public Health, University of West Florida, Building 38, Room 104, Pensacola, FL, USA.
Donaldson F ConserveDepartment of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Discovery I, Office #534 B, 915 Greene st, Columbia, SC, 29208, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction The Democratic Republic of the Congo (DRC) had the second-highest mother-to-child HIV transmission rate in Sub-Saharan Africa at 29% in 2013, however the uptake of preventive services for mother-to-child transmission of HIV (PMTCT) remains suboptimal. This systematic review explores socio-cultural and structural factors influencing PMTCT service uptake in the DRC. Methods We conducted a search of electronic databases. The PEN-3 model was used as a framework to synthesize factors influencing PMTCT service uptake into perceptions, enablers, and nurturers. Results Sixteen studies, 14 quantitative and two qualitative, were retained. Maternal, socio-economic, structural, and cultural factors were found to influence PMTCT service uptake in the DRC. Cost, accessibility, and quality of PMTCT services were key barriers to service uptake. Integration, male partner involvement, and evolving PMTCT policies improved PMTCT service delivery and uptake. This review also revealed several socio-cultural challenges in involving male partners in PMTCT programs. Discussion Findings highlight the need to address barriers and reinforce enablers of PMTCT uptake. Creating culturally appropriate, male-friendly, and family-oriented PMTCT programs will improve service uptake in the DRC.

Indexed as

Socioeconomic FactorsAdultAftercareDemocratic Republic of the CongoFemaleHIV InfectionsHumansInfant, NewbornInfectious Disease Transmission, VerticalMalePregnancyPreventive Health ServicesQuality ImprovementDemocratic Republic of CongoHuman Immunodeficiency Virus (HIV)Male partner involvementPEN-3 modelPrevention of mother-to-child transmission (PMTCT)

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.