Sapporo Medical Journal

Abstract : In Indonesia, the rate of HIV transmission from mother to child is the highest in the world due to the low coverage of HIV testing and therapy among pregnant women. This study examined published research on the prevention of mother to child HIV transmission (PMTCT) and its associated factors. A systematic review using ProQuest, Ebsco, PubMed, and SpringerLink databases for the period 2009-2019 found 12 relevant publications. Of pregnant women surveyed, 22-98% had an antenatal care (ANC) visit at least once; 7.3-99.4% received pre-HIV test counseling; 37.9-95.2% were advised to get tested for HIV; 6-97% were tested for HIV; 3.3-98% received their results; 22.1% received post-HIV test counseling; and 41-84.6% received antiretroviral (ARV). The factors influencing PMTCT were socio-demographics, distance to health care facilities, number of ANC visits, knowledge and awareness, partner engagement, stigma, and counseling. PMTCT publications were limited in terms of geographical coverage and none of the publications contained quality and sustainability aspects. There is a need to conduct research to improve the coverage of PMTCT in Indonesia as well as service quality and sustainability.