Midwives’ Views Regarding Tuberculosis Screening amongst HIV/AIDS Positive Pregnant Women, South Africa

Violet Manonyana Chewe, Sisinyana Hannah Khunou
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Tuberculosis (TB) infections is classified as one of the non-pregnancy related infections (NPRI) which cause maternal mortality. Therefore, it was important for the researcher to explore the challenges faced by midwives regarding TB screening as it is the most leading complication in human immunodeficiency virus (HIV) infected pregnant women. To that effect, several strategies for TB screening during pregnancy have been introduced and implemented thus far. Screening of TB during antenatal care helps to enhance early detection, exclusion and treatment of the infection in pregnant women who are HIV positive. The study used qualitative descriptive research design. The population included all midwives aged 30 to 48 years, who were working at primary health (PHC) clinics in Kganya local area, Capricorn District, Limpopo Province in South Africa. Nonprobability purposive sampling technique was employed to select ten midwives. Data were collected through in-depth individual semi -structured interviews with ten midwives. Data analysis was accomplished, using the manual thematic analysis according to Tesch’s method of data analysis. Finally the main themes were extracted. Two themes emerged from the study, namely: Challenges regarding TB screening; Measures that can enhance TB screening. It is important that the department of health should pay attention to challenges faced by midwives to ensure adequate TB screening amongst HIV positive pregnant women. Capacitating both midwives and the community with knowledge regarding TB screening during pregnancy can be beneficial to the health of the pregnant women and their unborn babies.


Midwives, Pregnant women, TB Screening

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Abdollahzadeh, F., Asghari, E., Vahidi, M. (2017). How to prevent workplace incivility? Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research. 2017; 22(2):157-163. https://www.ncbi.nlm.nih.gov

Banakhar, M.A. (2018).Nurses ‘motivation and factors affecting it: A scoping review. International Journal of Nursing and Clinical Practices. 2018, 5 (277): 1-11. https://www.researchgate.net/publication/325496003_Nurses

Bluestone, J., Johnson, P., Judith, F. J., Carr, C., Alderman, J .,& BonTempo, J. (2013). Effective in-service training design and delivery: evidence from an integrative literature review. Biomedical centra1. Human Resources for Health 2013, 11:51. https://www.semanticscholar.org

Burrowes, S., Holcombe, S. J., Jara, D., Carter, D., & Smith, K. (2017). Midwives’ and patients’ perspectives on disrespect and abuse during labor and delivery care in Ethiopia: a qualitative study. BMC pregnancy and childbirth, 17(1), 1-14. http//: doi 10.1186/s12884-017-1442-1

Chaghari, M., Saffari, M., Ebadi, A., & Ameryoun, A. (2017). Empowering Education: New Model for In-Service Training of Nursing Staff. Journal of Advances in Medical Education and Professionalism, 5, 26-32. From: https://www,cbi.nim.nih.gov

Christian, S.C., Smith, A., Hompashe, D. (2018). Measuring quality Gaps in TB screening in South Africa using standardised patient Analysis. International Journal of Environmental Research and public Health. 15,729:1-10. https://www.academia.edu

Deressa, A.T., & Zeru, G. (2019). Work motivation and its effects on organizational performance: the case of nurses in Hawassa public and private hospitals: Mixed method study approach. BioMed Central , 12:213. P1-6. https://www.semanticscholar.org/paper

De Schacht, C., Mutaquiha, C., Faria, F., Castro, G.M., Manaca, N., Manhiça, I., & Cowan, J.F. (2019).Barriers to access and adherence to tuberculosis services as perceived by patients: A qualitative study in Mozambique. PLoS ONE. 14(7):1-11. https://doi.org/10.1371/journal.pone.0219470

Dramowski, A., Wates, M. A., Schaaf, H. S., Zenhäusern, J., & Bekker, A. (2019). Tuberculosis transmission in a hospitalised neonate: need for optimised tuberculosis screening of pregnant and postpartum women. South African Medical Journal, 109 (5):310-313. https://doi:10.7196/SAMJ.2019.v109i5.13789

Fowks, F.J. I., Draper, B.L., Hellard, M., & Stoove, M. (2016). Achieving development goals for HIV, tuberculosis and malaria in sub-Saharan Africa through integrated antenatal care: barriers and challenges. BioMed Central Medicine, 14:202. https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-016-07539

Gebreegziabiher, D., Adane, K., & Abebe, M. (2017). A survey on undiagnosed active pulmonary tuberculosis among pregnant mothers in Mekelle and surrounding District in Tigray, Ethiopia. The International Journal of Mycobacteriology.Vol 6 (1): https://pubmed.ncbi.nlm.nih.gov/28317804.

Getahun, H., Kittikraisak, W., Heilig, C. M., Corbett, E. L., Ayles, H., Cain, K. P., ... & Varma, J. K. (2011). Development of a standardized screening rule for tuberculosis in people living with HIV in resource-constrained settings: individual participant data meta-analysis of observational studies. PLoSmedicine, 8(1):1-14, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3022524/pdf/pmed.10003

Green, J., Thorogood, N. (2018).Qualitative methods for health research. 4th edition. London: SAGE.

Haskins, L., Phakathi, S., Grant, M., & Horwood, C. (2014). Attitudes of nurses towards patient care at a rural district hospital in the Kwazulu Natal Province of South Africa. Africa Journal of Nursing and Midwifery. 16 (1) : 31–43. https://www.researchgate.net

Jiyane, M.P. (2021).Experiences of professional nurses on the shortage of resources in a tertiary hospital in Tshwane District. MA Dissertation. Pretoria: UNISA

Kieft, R.A.M.M., Der Bouwer, B.B.J.M,, Francke, A.L & Delmoij, D.M.J. (2014). How nurses and their work environment affect patient experiences of the quality of care: a qualitative study. BioMed Central Health Services Research . 14(1):249; 1-10. https://www.researchgate.net

Lekhuleni, M. E., Kgole, J. C., & Mbombi, M. O. (2015). Knowledge of student nurses in nurse initiated and management of antiretroviral therapy at the University of Limpopo, South Africa: TB, HIV/AIDS and other diseases. African Journal for Physical Health Education, Recreation and Dance, 21(sup-1), 53-61. https://hdl.handle.net/10520/EJC183575

Limpopo Department of Health. (2017).District Health Plan 2016/2017. Capricorn District. https://provincialgovernment.co.za/department_annual/562/2017-limpopo-health-annual-report.pdf

Malaza, A., Smith, J., Mdaka, N., Haynes, R & Shezi, S. (2016). The 90-90-90 COPENDIUM, An introduction to 90-90-90 in South Africa. Volume 1. https://sahivsoc.org

Mallick, L., Winter, R., Wang, W., & Yourkavitch, J. (2016). Integration of infectious disease services with antenatal care services at health facilities in Kenya, Malawi and Tanzania. DHS analytical studies 62. United States Agency for International Development. P1-88. https://www.semanticscholar.org/paper/GHI

Mannava, P.K., Durrant, K., Fisher, J., Chersich, S.,& Luchters, S.M. (2015). Attitudes and behaviours of maternal health care providers in interactions with clients: a systematic review. Globalization and Health , 11:36 http://doi10.1186/s12992-015-0117-9

Matlala, M.S. & Lumadi, T.G.(2019). Perceptions of midwives on shortage and retention of staff at a public hospital in Tshwane District. Curationis 42(1) https://doi.org/10.4102/ curationis.v42i1.1952

McKenna, L., Frick, M., Lee, C., Namutamba, D., Smit, L., Theunissen, M., Vandevelde, W., Mandoore, S., Snow, K & Seaworth, B. (2017). A community perspective on inclusion of pregnant women in tuberculosis drug trials. Clinical infectious disease,65 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5849125/

Mnqayi, S. O. (2016). Tuberculosis Screening for Pregnant Women Living with HIV in UThungulu District, in 2011/2012 (Doctoral dissertation).

Mulondo, S.A., Khoza, L.B. &Maputle, S.M. (2015).Risk Factors and Complications Associated with Tuberculosis in Pregnancy and Neonates in Limpopo Province, South Africa. Journal of Human Ecology. 2015;51(1-2):128–137. https://doi.org/10.1 080/09709274.2015.11906903

Negussie, B.B., & Oliksa, G.B. (2020).Factors influence nurses’ job motivation at governmental health institutions of Jimma Town, South-west Ethiopia. International Journal of Africa Nursing Sciences. 13; 100253. https://www.researchgate.net/publication/345969223

Olakunde, B.O., Adeyinka, D.A., Olawepo, J.O., Pharr, J.R., Ozigbu, C.E., Wakdok, S., Oladele, T & Ezeanolue, E.E.(2019).Towards the elimination of mother-to-child transmission of HIV in Nigeria: a health system perspective of the achievements and challenges. International Health.

(11): 240-249. https://academic.oup.com/inthealth/article/11/4/240/5480911

Oyira, E.J., Ella, R.E., Usochukwu, E.C., & Akpan, I.P.(2016). Knowledge Practice and Outcome of Quality Nursing Care Among Nurses in University of Calabar Teaching Hospital .Journal of Education and Training Studies. 4 (11):179-193. https://www.researchgate.net

Sithole, P.M., & Khunou, S.H. (2016). Factors contributing to missed opportunities in the prevention of mother to child transmission programme in the sub-district of Ngaka Modiri Molema, Northwest Province, South Africa. African Journal for Physical Activity and Health Sciences Volume 22(3:1):667-678. https://www.semanticscholar.org/paper/Factors

South Africa. National Department of Health. (2016).Guidelines for maternity care in South Africa: a manual for clinics, community health centres and district hospitals. Pretoria: Government Printers . https://www.knowledgehub.org.za/elibrary/guidelines-maternity-care-south-africa-2016

South Africa. National Department of Health. (2018).Saving mothers report 2017 seventh reports on to the confidential inquiry into maternal deaths in South Africa. Pretoria: Government Printers. https://www.gov.za/documents/saving-mothers-report-confidential-enquiries-maternal-deaths-south-africa

Tshililo, A.R., Mangena-Netshikweta, L., Nemathaga, L.H. &Maluleke, M.( 2019). Challenges of primary healthcare nurses regarding the integration of HIV and AIDS services into primary healthcare in Vhembe district of Limpopo province, South Africa. Curationis 42(1), https://doi. org/10.4102/curationis. v42i1.1849

Vinkeles Melchers, N.V., van Elsland, S.L., Lange, J. M., Borgdorff, M. W., & van den Hombergh, J. (2013). State of affairs of tuberculosis in prison facilities: a systematic review of screening practices and recommendations for best TB control. PLoS One, 8(1), | http//:www.plosone.org

World Health Organization. (2012). WHO policy on collaborative TB/HIV activities: guidelines for national programmes and other stakeholders. https://pesquisa.bvsalud.org/portal/resource/pt/who-44789

World Health Organisation.(2018). Global Tuberculosis report. Geneva: WHO. From: http://www.who.int/tb

DOI: 10.26699/jnk.v10i1.ART.p001-009


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