Tantangan Pelaksanaan Program Prevention Of Mother To Child Transmission (PMTCT): Systematic Review


Nimas Ayu Lestari Nurjanah(1*), Tri Yunis Miko Wahyono(2)

(1) Fakultas Kesehatan Masyarakat, Universitas Indonesia
(2) Fakultas Kesehatan Masyarakat, Universitas Indonesia
(*) Corresponding Author


Background: HIV / AIDS is still a global health problem which needs to be addressed including prevention of HIV / AIDS transmission from mother to child. Prevention of transmission is carried out by implementing the Prevention of Mother to Child Transmission or PMTCT program. The PMTCT program is considered successful in reducing the risk of mother-to-child transmission, but this has not been done well and thoroughly, various kinds of challenges have occurred in the implementation of the PMTCT program.

Objective: To know the challenges that occur in implementing the PMTCT program

Method: This study uses a systematic review based on Preferred Reporting Items For Systematic Reviews & Meta-Analyzes (PRISMA)  to identify all the literature published using relevant keywords.

Results: challenges in implementing the PMTCT program are the lack of information on HIV treatment, lack of family support, the heavy workload experienced by health workers and the limited availability of HIV testing equipment and drug stocks.

Conclusion:  The success of efforts to prevent HIV / AIDS transmission from mother to child does not depend on one party only, but involves several parties, the active role of health workers in providing education and information about HIV / AIDS to mothers and their families is not enough but must be added with active roles and support from family members to HIV mothers as the primary motivator for good behavior in accordance with the guidelines for PMTCT.


challenges; PMTCT; HIV/AIDS

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American Academy of Pediatrics. (2000). Human immunodeficiency virus infection. Dalam: Pickering LK, penyunting. 2000 Red Book: report of the Committee on infectious diseases. Edisi 25. Elk Grove Village, IL. American Academy of pediatric; 325-50

Anders, L.B. (2007). Women’s Voices: The Lived Experience of Pregnancy and Motherhood After Diagnosis With HIV. Journal Of The Association Of Nurses In Aids Care, 19 (1) 47-57.

Asmauryanah, R. (2014). Pencegahan Penularan HIV Dari Ibu Ke Bayi Di Puskesmas Jumpandang Baru Makassar.Bagian Epidemiologi Fakultas Kesehatan Masyarakat Universitas Hasanuddin. Tesis. Makassar : Universitas Hasanuddin

Djauzi S, Djoerban Z. (2002).  Penatalaksanaan HIV/AIDS Di Pelayanan Kesehatan Dasar. Jakarta: Balai penerbit Fakultas Kedokteran Universitas Indonesia. 1-71

Ernawati, suryoputro, a.etc. (2016). Niat Ibu Hamil Untuk Test HIV Di UPT ( Unit Pelayanan Terpadu) Puskesmas Alun-Alun Kabupaten Gresik. Jurnal promosi kesehatan indonesia vol 11 no 1.

Etoori, D, Kerschberger, B, etc. (2018). Challenges and successes in the implementation of option B+ to prevent mother-to-child transmission of HIV in southern  Swaziland. BMC Public Health. 18:374 hal 2-9.

Kamila, N., Siwiedrayanti, A. (2010). Persepsi Orang dengan HIV dan AIDS terhadap Peran Kelompok Dukungan Sebaya. Jurnal Kemas 6 (1): 36-43.

Katiyari, L, chouraya, C, etc. (2016). Lessons learned from the PMTCT program in Swaziland: challenges with accepting lifelong ART for pregnant and lactating women – a qualitative study. BMC Public Health. 16;1119

Kementerian Kesehatan RI (2015) Pedoman Manajemen Program Pencegahan Penularan HIV dan Sifilis Dari Ibu Ke Anak. Jakarta

Kementerian Kesehatan RI (2015) Pedoman Pelaksanaan Pencegahan Penularan HIV dan SIfilis dari Ibu ke Anak Bagi Tenaga Kesehatan. Jakarta. Tersedia pada: http://siha.depkes.go.id/portal/files_upload/Manlak_PPIA_2015.pdf.

Komisi penanggulangan  HIV dan AIDS. (2015). Strategi Dan Rencana Aksi Nasional 2015-2019 Penanggulangan HIV Dan AIDS Di Indonesia. Tersedia padahttp://siha.depkes.go.id/portal/files_upload/SRAN_2015_2019_FINAL.pdf. Diakses pada 19 desember 2018.

Krist AM, Faucher AC. (2002)  Management of newborns exposed to maternal HIV infection. Am Fam Physician;65: 2049-56,2061

Lindegren ML, Steinberg SMS, Byers RH Jr.(2000). Epidemiology of HIV/AIDS in children. Pediatr Clin North Am  47:1-20

Schuster, R, Sousa, O, etc. (2016). Performance-based incentives may be appropriate to address challenges to delivery of prevention of vertical transmission of HIV services in rural  Mozambique: a qualitative investigation. Jounal human resources for health. 14:60

Sudrani, sitti. (2018).  Provider initiative test and counseling (PITC) sebagai upaya perluasan tes HIV pada populasi khusus. Public health symposium. 7-9 mei. Yogyakarta, indonesia

Suryavanshi, N, Mave, V, etc.2018. Challenges and opportunities for outreach workers in the Prevention of Mother to Child Transmission of HIV (PMTCT) program in India. Jounal plos one 13(9).

UNAIDS (2017). AIDS info; Country factsheets Indonesia 2016. hal. 1–6. Tersedia pada: https://aidsinfo.unaids.org/%0D. diakses tanggal 2 desember 2018

UNAIDS (2018). Global HIV & AIDS statistics - 2018 fact sheet. Tersedia pada: http://www.unaids.org/en/resources/fact-sheet. Diakses pada 4 Desember 2018

Wahyuni, Wenny. 2014. Partisipasi Orang dengan HIV/AIDS (ODHA) Ibu Rumah Tangga pada program Prevention Mother to Child Transmission (PMTCT) di Kota Semarang. Jurnal Promosi Kesehatan Indonesia 9(2) : 206-217

WHO (2009) A Guide for Adaptation and Implementation. Tersedia pada https://www.who.int/hiv/topics/treatment/guide_for_adaptation.pdf diakses pada 5 desember 2018

WHO (2018) HIV / AIDS : Key facts, Risk factors. Tersedia pada https://www.who.int/news-room/fact-sheets/detail/hiv-aids diakses pada 2 Desember 2018

DOI: https://doi.org/10.22146/jkesvo.41998

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