Keywords
transmission
HIV
mother
child
PMTCT
Kwango
How to Cite
Abstract
Introduction
Mother-to-child transmission (MTCT) of HIV remains a major public health concern in the Democratic Republic of the Congo, particularly in Kwango Province, where the organisation of prevention services is inadequate.
Purpose
This study aims to assess the organisation of HIV prevention of mother-to-child transmission (PMTCT) services within the Provincial Health Division of Kwango, with the goal of proposing revitalisation strategies tailored to the local context.
Methods
A cross-sectional descriptive study was conducted among 380 participants, including pregnant women, healthcare providers, and community actors. Sampling involved proportional stratification for pregnant women and purposive sampling for other stakeholders. Data were collected using structured questionnaires, semi-structured interviews, and direct observations. Statistical analyses (Chi²) were used to examine relationships between sociodemographic variables and the use of PMTCT services.
Results
Only 26.1% of respondents were aware of PMTCT, and over 70% perceived poor accessibility to the services. The availability of supplies, staff training, and community involvement were deemed insufficient. The main challenges identified included stock-outs, lack of intersectoral coordination, and stigma. Significant associations were observed between access to PMTCT services and factors such as age, education level, perception of accessibility, service availability, and community involvement.
Conclusion
The effectiveness of PMTCT services in Kwango Province is hindered by numerous organisational weaknesses. Service restructuring, capacity building for providers, greater community mobilisation, and improved coordination are essential to enhance the coverage and impact of HIV prevention interventions for mothers and children.
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