Knowledge, Attitude and Practice of General Medical Practitioners In Port Harcourt Towards The Prevention Of Mother-To-Child Transmission of HIV


  • Ola Okike Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt
  • Jeremiah Isreal Department of Obstetrics and Gynecology, Niger Delta University Teaching Hospital, Okolobiri
  • Christian Akani Department of Obstetrics and Gynecology, *University of Port Harcourt Teaching Hospital, Port Harcourt



KAP, Private Practitioners, HIV/AIDs, PMTCT


Background: Pregnant women living with HIV infection are at risk of transmitting HIV to their babies. Most of this transmission occurs during labour and delivery and during breast feeding. About 45% of all deliveries are conducted in private clinics. This study aims to access the knowledge, attitude and practice of general medical practitioner in Port Harcourt toward the prevention of mother-to-child transmission of HIV.

Methods: A questionnaire survey was carried out on two hundred and twenty four private medical practitioners in Port Harcourt. Data management was carried out using SPSS 15 for windows® statistical software.

Results: Only 50% of respondents had read the national guideline on PMTCT while 48.2% had three or more sources of information on PMTCT. Majority of the respondents (95.5%) identified prevention of HIV in the pediatric age group as the primary aim of PMTCT. Labour was identified by 80%of respondents as the time of transmission of MTCT of HIV while 48.2% preferred a specialist unit for HIV positive pregnant women. Forty two percent would screen pregnant women without consent. About half (46.6%) do not offer antenatal or delivery services to HIV positive women. Of the doctors that offer those services 58.7% could name 2 or more drugs to prevent MTCT of HIV during pregnancy. Of the respondents, 74% would offer HIV positive women elective caesarean section. Most of the respondents (89.3%) agreed that their knowledge, attitude and practice of PMTCT was deficient and 90.1% were willing to attend an update course.

Conclusion: The Private General Practitioners were not well informed on practical aspects of prevention of MTCT of HIV/AIDS. They showed a discriminatory attitude towards HIV positive pregnant women


Joint United Nations Programme on HIV/AIDS. Report of the Global HIV/AIDS Epidemic. Geneva: UNAIDS, 2006.

UNAIDS/WHO/UNFPA, 2004. UNAIDS/WHO/UNFPA Position Statement on Condoms and HIV Prevention UNAIDS/WHO/UNFPA, Geneva, 2004.

UNAIDS. 2006 Report on the Global AIDS Epidemic.

WHO. The World Health Report 2001, Geneva 2001.

World Health Organization. Antiretroviral Drugs Treating Pregnant Women and Preventing HIV Infection in Infants. WHO Geneva, 2004

Newell ML. Prevention of Mother-To-Child Transmission of HIV: Challenges for the Current Decade. Bulletin of World Health Organization. 2001, 79:1138-1144.

WHO. Fact Sheet on HIV/AIDS for Nurses and Midwives. Afr J Nurs Midwif. 2001; 3:101-109.

De Cock KM, Fowler MG, Mercier E, de Vincenzi I, Saba J, Hoff E, et al. Prevention of mother-to-child HIV transmission in resource-poor countries: translating research into policy and practice. JAMA. 2000; 283(9):1175-82.

World Health Organization. Prevention of Mother-To-Child Transmission of HIV. Technical Brief. WHO: Geneva 2007.

Navér L, Lindgren S, Belfrage E, Gyllensten K, Lidman K, Gisslén M, et al. Children born to HIV-1-infected women in Sweden in 1982-2003: trends in epidemiology and vertical transmission. J Acquir Immune Defic Syndr. 2006; 42(4):484-9.

UNAIDS. 2006 Report on the Global AIDS Epidemic, A thUNAIDS 10 Annivesary Special Edition. UNAIDS: 2006.12.Druce N, Nolan A. Seizing the big missed opportunity: linking HIV and maternity care services in sub-Saharan Africa. Reprod Health Matters. 2007; 15(30):190-201.

Foster C and Lyall EG. Preventing Mother-To-Child transmission of HIV -1. Paediatr & Child Health. 2007; 17(2):126-131.

Udonwa NE, Ekpo M, Ekanem IA, Inem VA, Etoidem A. Oil Doom and AIDS Boom in the Niger Delta Region ofNigeria. Rural Remote Health. 2004; 4(2):273.

UNAIDS. Nursing and Midwifery Champions in HIV/AIDS Care in South Africa. Joint United Nations Programmes on HIV. 2003.

Benneth BL, Weale A. HIV and AIDS awareness: an evaluation of short training programme for Midwives. Journal of Advanced Nursing. 1997; 26: 273-282.

Ndikom M, Onibokun A. Knowledge and Behavior ofNurses/Midwives in Prevention of Vertical Transmission in Owerri, Imo State, Nigeria: a cross Sectional Study. BMC Nurs. 2007; 6:9.

Adebanjo S, Bamgbala AO, Oyediran MC. Attitude ofHealth Care Providers to Persons Living With HIV/AIDS in Lagos State, Nigeria. Afri J Reprod Health 2003; 7(1): 103-12.

Reis C, Heisler M, Amowtz LL, Moreland RS, Mefani JO, Anyamele C, et al. Discriminatory Attitudes and Practices by Health Workers Towards Patients with HIV/AIDS in Nigeria. PLoS Med. 2005; 2(8):e246.

Aisien AO, Shobowale MO Health Care Workers' Knowledge on HIV/AIDS: Universal Precautions and attitude towards PLWHA in Benin-City, Nigeria. Niger J Clin Pract. 2005; 8(2):674-82.

How Do Nigeria's Health-Care Personnel Treat Patients with HIV/AIDS? PLoS Med. 2005;2(8):e257.22.Sodoh AE, Fawole AO, Sodoh WE, Oladimeji AO, Sotiloye OS. Attitude of Health Care Workers to HIV/AIDS. Afr J Reprod Health. 2006; 10(1):39-46.

Obi SN, Ifebunandu NA. Consequences of HIV testing without Consent. Int J STD AIDS. 2006; 7(2):93-6.

United Nations General Assembly. Convention on the elimination of all forms of discrimination against women. thGeneral Assembly Resolution 34/180, 34 session, Supp. No. 46 UN Doc A/34/46. New York: United Nations




How to Cite

Okike, O., Isreal, J., & Akani, C. (2015). Knowledge, Attitude and Practice of General Medical Practitioners In Port Harcourt Towards The Prevention Of Mother-To-Child Transmission of HIV. The Nigerian Health Journal, 11(3), 79.

Similar Articles

1 2 3 4 5 6 7 > >> 

You may also start an advanced similarity search for this article.