Email this article Challenges of PMTCT and MCHS Integration in Indonesia, Analysis by Integration Analysis Framework and CFIR
(1) Faculty of Medicine and Health Sciences, Atma Jaya Indonesia Catholic University Doctoral Program, Faculty of Medicine, Gadjah Mada University
(2) Faculty of Medicine, Gadjah Mada, University
(3) Faculty of Medicine, Gadjah Mada, University
(4) HIV/AIDS Research Center, Atma Jaya Indonesia Catholic University
Abstract
Integration was strategy of PMTCT (Prevention of Mother to Child HIV Transmission) and MCHS (Mother and Child Health Services) since 2006. This systematic review explored integration level between PMTCT and MCHS. Literature searched from June 2015 to January 2016 through Google, Google Scholar, University Library Website, Portal Garuda, ProQuest, PubMed and 90 institutions in Jakarta. Keywords were PMTCT, HIV Mother, PPIA HIV Evaluation and HIV PMTCT Evaluation. We yielded 157 literatures from 1995-2015. Research should be done at Public Primary Health Care (PHC), discussed PMTCT implementation, and captured perspectives of staffs or decision makers. Thematic analysis was done using Atun’s Integration Analysis Framework and CFIR. We included 7 studies. No study explored overall dimensions of integration, especially planning function. Challenges were resources, execution, needs of patients, networks and communications, policies, leadership, and access to information. Only 4 studies showed PMTCT results. Coverage of first visit counseling was 9-100% and percentage of pregnant women tested was 3.9 -60%. PMTCT integration was partial. Integration was not a sole solution to results. Planning should be done together with regional and local level, involving stakeholders to disseminate PMTCT information, increasing ownership and leadership. We proposed Atun’s Framework and CFIR for further research.
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Argyo Demartoto, S. Z., RB Soemanto (2017) The Representation of Prevention of Mother to Child Transmission Service in Surakarta Indonesia. KEMAS, 13(2): 191-200.
Asefa, A., Mitike, G. (2014) Prevention of Mother-to-Child Transmission (PMTCT) of HIV services in Adama town, Ethiopia: clients’ satisfaction and challenges experienced by service providers. BMC Pregnancy and Childbirth, 14:57.
Atun, R., Jongh, Td, Secci, F., Ohiri, K., Adey, O. (2010a) A Systematic Review of Evidence on Integration of Targeted Health Interventions into Health Systems. Health Policy and Planning, 25:1-14.
Atun, R., Jongh, Td, Secci, F., Ohiri, K., Adeyi, O. (2010b) Integration of Targeted Health Interventions into Health Systems: a Conceptual Framework for Analysis. Health Policy and Planning 2010, 25:104–111.
Atun, R. A., Lennox-Chhugani, N., Drobniewski, F., Samyshkin, Y.A., Coker, R.J. (2004) A Framework and Toolkit for Capturing the Communicable Disease Programmes Within Health Systems, Tuberculosis Control as an Illustrative Example. European Journal of Public Health 14267-273.
Badan Penelitian dan Pengembangan Kesehatan, Kementrian Kesehatan RI (2013) Riset Kesehatan Dasar 2013, Jakarta:Kementrian Kesehatan RI, Badan Penelitian Dan Pengembangan Kesehatan.
Blazer, Cassandra, Ojikutu B., Schneider K., Biddle M.H. (2012) Assessment of the Integration of PMTCT within MNCH Services at Health Facilities inTanzania. Arlington, VA: USAID’s AIDS Support and Technical Assitance Resources, AIDSTAR-One, Task Order 1.
Bollinger, L., Adesina, A. (2013) Cost-Effectiveness of Integrating PMTCT and MNCH Services: An Application of the LiST Model for Malawi, Mozambique, and Uganda. DHS Occasional Paper No. 7. Calverton, Maryland, USA: ICF International.
Budisuari, M. A., Mirojab, A. (2011) Kebijakan Pencegahan Penularan HIV/AIDS dari Ibu ke Anak (Studi Kasus di Kota Surabaya). Buletin Penelitian Sistem Kesehatan, 14(4): 411–421.
Carmone, A., Bomai, K., Bongi, W., Frank, T.D., Dalepa, H., Loifa, B., et al. (2014) Partner testing, linkage to care, and HIV-free survival in a program to prevent parent-to-child transmission of HIV in the Highlands of Papua New Guinea. . Glob Health Action 2014, 7: 24995 [Online]. Available: http://dx.doi.org/10.3402/gha.v7.24995.
CFIR Research Team (2017) CFIR Constructs [Online]. Ann Arbor: Center for Clinical Management Research [Accessed 16 November 2017].
Damschroder, L. J., Aron, D.C., Keith, R.E., Kirsh, S.R., Alexander, J.A., Lowery, J.C. (2009) Fostering Implementation of Health Services Research Findings Into Practice: a Consilidated Framework for Advancing Implementation Science. Implementation Science, 4(50): 15.
Damschroder, L. J., Lowery, J.C. (2013) Evaluation of a Larga Scale Weight Management Program Using the Consilidated Framework for Implementation Research (CFIR). Implement Sci. 8:51.
Direktorat Bina Kesehatan Ibu, Direktorat Jenderal Bina Gizi dan Kesehatan Ibu dan Anak,., Kementrian Kesehatan RI (2012) Pedoman Pelayanan Antenatal Terpadu, Jakarta:Kementrian Kesehatan RI.
Direktorat Jenderal Bina Kesehatan Masyarakat, Departemen Kesehatan RI (2006) Pedoman Nasional Pencegahan Penularan HIV dari Ibu ke Bayi. Jakarta: Departemen Kesehatan RI.
Frieden, T. R. (2014) Six Components Necessary for Effective Public Health Program Implementation. Am J Public Health., 104(1): 17-22.
Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P. & Kyriakidou, O. (2004) Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q, 82(4): 581-629.
Hardon, A. P., Oosterhoff, P., Imelda, J.D., Anh, N.T., Hidayana, I. (2009) Preventing mother-to-child transmission of HIV in Vietnam and Indonesia: diverging care dynamics. Social Science & Medicine, 69(6): 838-845.
Isni, K. (2016) Dukungan Keluarga, Dukungan Petugas Kesehatan, dan Perilaku Ibu HIV dalam Pencegahan Penularan HIV/AIDS ke Bayi. KEMAS, 11(2).
Kementerian Kesehatan RI (2013) Peraturan Menteri Kesehatan No 51 Tahun 2013 Tentang Pencegahan Penularan HIV dari Ibu ke Anak. Jakarta.
Kiersten, J., Varallyay, I., Ametepi, P. (2012) Integration of HIV and Family Planning Health Services in Sub-Saharan Africa: A Review of the Literature, Current Recommendations, and Evidence from the Service Provision Assessment Health Facility Surveys. DHS Analytical Studies No. 30. Calverton, Maryland, USA: ICF International.
Kitson, A., Harvey, G. & McCormack, B. (1998) Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care, 7(3): 149-58.
Li, B., Zhao, Q., Zhang, X., Wu, L., Chen, T., et al. (2013) Effectiveness of a prevention of mother-tochild HIV transmission program in Guangdong province from 2007 to 2010. BMC Public Health, 13:591.
Lisbet. (2009) Evaluasi Pelaksanaan Program Prevention Of Mother To Chlid (pmtct) Di Puskesmasjayapura Utara Papua. Fakultas Kedokteran, Master Tesis, Universitas Gadjah Mada.
Nayar, U. S., Stangl, A.L., ,De Zalduondo,B., Brady,L.M. (2014) Reducing Stigma and Discrimination to Improve Child Health and Survival in Low- and Middle-Income Countries: Promising Approaches and Implications for Future Research. J Health Commun, 19(sup1): 142-163.
Nguyen, T. A., Oosterhoff, P., Ngoc, Y.P., Wright, P., Hardon, A. (2008) Barriers to access prevention of mother-to-child transmission for HIV positive women in a well-resourced setting in Vietnam. AIDS Research and Therapy, 5(1): 7.
Nugroho, Efa. Shaluhiyah, Zahroh. Purnami, Cahya Tri. Kristawansari. (2017). Counseling Model Development Based On Analysis Of Unwanted Pregnancy Case In Teenagers. Jurnal Kesehatan Masyarakat, 13(1):137–144.
Nigatu, T., Woldegebriel, Y. (2011) Analysis of the Prevention of Mother-to-Child Transmission (PMTCT) Service utilization in Ethiopia: 2006-2010. Reproductive Health, 8:6.
Octavianty, L., Rahayu, A., Rahman, F., Rosadi, D (2015) Pengetahuan, Sikap dan Pencegahan HIV/AIDS Pada Ibu Rumah Tangga. KEMAS, 11(1): 53-58.
Okundi, B., C. Aloo-Obunga, R. Sanders, C. Shepherd, and C. Green (2009) Rapid Assessment on Policy and Operational Barriers to the Integration of FP/RH/HIV Services in Kenya. . Washington, DC: Health Policy Initiative, Task Order 1, Futures Group International.
Pujiastuti, E. R. (2011) Gambaran Pelaksanaan Integrasi Pencegahan Penularan HIV dari Ibu ke Bayi Tingkat Puskesmas di Kabupaten Sidoarjo Propinsi Jawa Timur Tahun 2011. Faculty of Public Health, Bachelor, University of Indonesia.
Rabin, B. A., Brownson, R. C., Haire-Joshu, D., Kreuter, M. W. & Weaver, N. L. (2008) A glossary for dissemination and implementation research in health. J Public Health Manag Pract, 14(2): 117-23.
Rycroft-Malone, J., Kitson, A., Harvey, G., McCormack, B., Seers, K., Titchen, A. & Estabrooks, C. (2002) Ingredients for change: revisiting a conceptual framework. Qual Saf Health Care, 11(2): 174-80.
Samaran, E. (2013a) Analisis Implementasi Program Penjaringan “Prevention of Mother to Child Transmission of HIV/AIDS†(PMTCT) di Puskesmas Wilayah Kerja Dinas Kesehatan Kota Sorong Provinsi Papua Barat Program Magister Ilmu Kesehatan Masyarakat, Master Thesis, Universitas Diponegoro.
Samaran, E., Shaluhiyah, Z., Sriatmi, A. (2013b) Implementation Screening Program of the “Prevention of Mother to Child Transmission of HIV†(PMTCT) by Midwives in Health Center at Sorong West Papua. Jurnal Manajemen Kesehatan Indonesia, Vol 01, No. 03.206-215.
Sovannarith, S., Sokleng, S., Romaing, T., Sovanna, T., Welle, E. et al. (2012) Uptake of Interventions for Preventing Mother-to-Child HIV transmission in 11 Operational Districts in Cambodia. Western Pac Surveill Response J, 3(3): 22-28.
Stone-Jimenez, M., Bisola Ojikutu, Mulamba Diese, and Cassandra Blazer (2011) Technical Brief: Integrating Prevention of Mother-to-Child Transmission of HIV Interventions with Maternal, Newborn, and Child Health Services. Arlington, VA: USAID’s AIDS Support and Technical Assistance Resources, AIDSTAR-One, Task Order 1.
Sturke, R., Harmston, C., Simonds, R. J., Mofenson, L.M., Siberry, G.K., et al. (2014) A Multi-Disciplinary Approach to Implementation Science: The NIH-PEPFAR PMTCT Implementation Science Alliance. J Acquir Immune Defic Syndr, 67, Supplement 2(Supplemen 2).
Tarigan, I. U., Kosen, S., Suryati, T., Indriasih, E., Yulianti, A., Rosita,T., Widyastuti, R. (2011) Kajian Implementasi Program Pencegahan Penularan HIV/AIDS dari Ibu ke Anak. Jakarta: Pusat Humaniora, Kebijakan Kesehatan dan Pemberdayaan Masyarakat, Badan Penelitian dan Pengembangan Kesehatan, Kementrian Kesehatan RI.
Torpey, K., Kabaso, M., Kasonde, P., Dirks, R., Bweupe, M., et al (2010) Increasing the Uptake of Prevention of Mother to Child Transmission of HIV Services in a Resource-Limited Setting. BMC Health Services Research, 10(29).
Turan, J. M., Onono, M., Steinfeld, R.L., Shade, S.B., Owuor, K., et al. (2015) Effects of antenatal care and HIV treatment integration on elements of the PMTCT cascade: Results from the SHAIP cluster-randomized controlled trial in KenyaJ. J Acquir Immune Defic Syndr., 69 e172–e181(5): e172-e181.
UNAIDS (2015) UNAIDS AIDS Info [Online]. Available: http://aidsinfo.unaids.org/ [Accessed Januari 2017].
Vermaak, K., Horwood, C., Haskins. L., Phakathi, S., Subbaye, R. (2009) An Evaluation of The Integration of Pmtct into Maternal and Child Health Services in Two Districts of Kwazulu Natal. Durban, South Africa: Centre for Rural Health, Nelson R Mandela School of Medicine, University of KwaZulu-Natal
Waddington, C., Egger, D. ( 2008) Integrated Health Services, What And Why ? Making Health System Work. [Online]. World Health Organization. Available: www.who.int/healthsystems [Accessed 7 Februari 2015].
Warouw, N. H. (2010) Pemanfaatan Program Pencegahan Penularan HIV dari Ibu ke Bayi Oleh Ibu Hamil di Puskesmas Hamadi Jayapura. Program Pasca Sarjana Fakultas Kedokteran, Master Thesis, Universitas Gadjah Mada.
WHO (2008) Asia Pacific Operational Framework for Linking HIV/STI Services with Reproductive, Adolscent, Maternal, Newborn and Child Health Services. Geneva, Switzerland.
WHO Regional Office for South East Asia (2016) Progress Report on HIV in the WHO South-East Asia Region 2016. India: World Health Organization.
WHO&TDR (2014) Implementation Research Toolkit Workbook, Geneva, Switzerland:World Health Organization
Widiyasari, E. (2014) Pelaksanaan Kegiatan Integrasi Program PMTCT Ibu Hamil Risiko Tinggi HIV oleh Bidan di Puskesmas Wilayah Kota. Jurnal Kesehatan Sain Med, 6(1): 20-25.
Wiegert, K., Dinh, T.H., Mushavi, A., Mugurungi, O., Kilmarx, P. H. (2014) Integration of Prevention of Mother-to-Child Transmission of HIV (PMTCT) Postpartum Services with Other HIV Care and Treatment Services within the Maternal and Child Health Setting in Zimbabwe, 2012. PLoS ONE. , 9 (6): e98236.
Xia, J., Shannon, Rutherford., Ma, Yuanzhu., Wu, Li., Gao, Shuang., Chen, Tingting., Lu, Xiao., Zhang, Xiaozhuang., Chu, Cordia. (2015) Obstacles to the Coordination of Delivering Integrated Prenatal HIV, Syphilis and Hepatitis B Testing Services in Guangdong: Using a Needs Assessment Approach. BMC Health Services Research 15(117).
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