1471-0528/asset/BJO_left.gif?v=1&s=0fb87361cdb6be25fdf05019eed6d47f5143f610)
1471-0528/asset/olbannerright.gif?v=1&s=3892ef16ff18d6834c302faf85268a49f5fc588f)
Systematic review
The impact of Prevention of Mother to Child Transmission (PMTCT) programmes on maternal health care in resource-poor settings: looking beyond the PMTCT programme—a systematic review
Article first published online: 11 OCT 2010
DOI: 10.1111/j.1471-0528.2010.02692.x
© 2010 The Authors Journal compilation © RCOG 2010 BJOG An International Journal of Obstetrics and Gynaecology
Issue
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 117, Issue 12, pages 1444–1450, November 2010
Additional Information
How to Cite
Both, J. and van Roosmalen, J. (2010), The impact of Prevention of Mother to Child Transmission (PMTCT) programmes on maternal health care in resource-poor settings: looking beyond the PMTCT programme—a systematic review. BJOG: An International Journal of Obstetrics & Gynaecology, 117: 1444–1450. doi: 10.1111/j.1471-0528.2010.02692.x
Publication History
- Issue published online: 11 OCT 2010
- Article first published online: 11 OCT 2010
- Accepted 4 July 2010.
Keywords:
- Maternal health care;
- maternal healthcare services;
- mother to child HIV transmission;
- prevention
Please cite this paper as: Both J, van Roosmalen J. The impact of Prevention of Mother to Child Transmission (PMTCT) programmes on maternal health care in resource-poor settings: looking beyond the PMTCT programme—a systematic review. BJOG 2010;117:1444–1450.
Background There is increasing debate about the impact of scaled-up HIV/AIDS programmes on fragile healthcare systems in low-income countries.
Objectives To contribute to the understanding of the relation between HIV/AIDS programmes and healthcare systems, this systematic review focuses on the impact of Prevention of Mother to Child Transmission (PMTCT) programmes on maternal health care.
Search strategy Publications describing the effect of PMTCT programmes on maternal healthcare services were sought through computerised searches in five electronic databases.
Selection criteria Abstracts of publications were evaluated for appropriateness for inclusion based on whether they met the inclusion criteria.
Data collection and analysis Copies of all selected publications were obtained. A classification system was developed to group the relevant publications.
Main results The findings show that empirical evidence of the effect of PMTCT programmes on maternal health care is scarce and further research is badly needed. Twenty-one studies that were included in the systematic review showed that PMTCT programmes are often semi-integrated in maternal health care with positive as well as negative effects on various aspects of maternal health care.
Authors’ conclusions It appears that PMTCT programmes miss the opportunity to have an overall positive effect on maternal health care because of their verticality.