Socioeconomic And Perceptive Factors Of Hiv Transmission From Mother To Child In Bamako-mali

The ultimate goal of health sociology is to study of the determinants and social effects of health and disease,and the social structure of medical institutions or professions.In this context,this study examines HIV transmission from mother to child.HIV transmission from mother to child is considered to be one of the essential ways of propagation of the HIV/AIDS epidemic in Sub-Saharan Africa.It is currently responsible for nearly 10%of the mortality of children under five in sub-Saharan Africa.In Mali,while the prevalence rate is low at 1.3 percent according to the demographic survey of health V(2012),it is important to note that HIV is one of the main causes of mortality in Mali.In 2016,Mali had 5900 new infections of HIV and 6100 AIDS deaths.Pregnant women infected by the virus of human immunodeficiency(HIV)having accessed to treatment or prophylaxis to prevent transmission of HIV to their children was 35%.Approximately 1600 children were newly infected with HIV due to mother to child transmission(WHO,2016).However,addressing supply-side issues related to the availability and quality of care at the health center level cannot guarantee better outcomes without a more explicit focus on issues of adherence to service care prevention of mother-to-child transmission(PMTCT).Access to care and treatment services for mother-to-child transmission is influenced by a number of factors that influence women’s decisions to seek care.This doctoral dissertation is part of the field of the sociology of health.It explores the socio-economic and perceptive factors of HIV/AIDS transmission from mother to child in Bamako-Mali.In doing so,it basically aims to identify the socio-economic and perceptive factors that increase the mother to child transmission of HIV in the health district of Bamako-Mali.It contributes to reduce HIV transmission from mother to child in Bamako.The answer to all these questions allowed us to explore the real causes of the failure of prevention of HIV transmission mother to child in Bamako-Mali.In term of methodology,this thesis is adopted a mixed method design,using both quantitative and qualitative research methods to generate rich interpretation of the socioeconomic and perceptive factors impact of HIV transmission from mother to child in Bamako.The impact of each factor of HIV transmission from mother to child was investigated.The study takes place in three hospitals of Bamako.Questionnaire and guide interview were measure instruments used on the investigation.We used IBM SPSS statistics version 25 to analyze quantitative data and content analysis to analyze qualitative data.The mixing of the quantitative and qualitative data was done using convergent parallel design.This helped us initially to quantify and qualify the different factors that can increase HIV transmission from mother to child in Bamako-MaliFindings from study show that the factors of HIV transmission from mother to child in Bamako are sociocultural,economic and perceptive.Thus,social norms and knowledge,socio-economic status,and psychological conditions are factors that increase of the HIV transmission from mother to child in Malian society.The kind of the person with whom the woman shared her HIV status,the person living with her since her infection(polygamy)have implication on HIV children infection;poverty,lack of income generating activity increases the precariousness of women incompatible with the requirements of the prevention of mother-to-child transmission of HIV;knowledge,attitudes and behaviors of women living with HIV on HIV transmission from mother to child and care services are sketchy.And,there are around the vertical transmission of shadows,which partly explains the perception of women in Mali.In conclusion,these finding largely provide a rich empirical evidence for the health sociology throughout continuum of HIV transmission mother to child.Increased coverage and the use of PMTCT services can be achieved if policy makers and program managers better understand and appreciate factors that may prevent their potential target population from taking and to join their services.The categorization of factors presented in this doctoral thesis provided a better understanding the failure causes of the prevention of HIV transmission mother to child.This will enable governance to develop prevention strategies,based on reducing the socioeconomic and perceptive factors of HIV-positive women,in order to significantly reduce the spread of mother-to-child transmission of HIV/AIDS.