Columbia International Affairs Online: Policy Briefs

CIAO DATE: 10/2012

Increasing the Uptake of HIV Testing in Maternal Health in Malawi

Fabian Cataldo, Felix Limbani, Monique van Lettow

July 2012

Centre for International Governance Innovation

Abstract

Despite the offer of HIV testing and counselling in the antenatal care clinic setting, many HIV-infected women give birth in health facilities without knowledge of their HIV status, thereby missing an opportunity to prevent vertical transmission to their infants and care for their own health. Dignitas International, a medical humanitarian organization focused on HIV/AIDS-related treatment, conducted a qualitative study in collaboration with the Malawi College of Medicine to identify the system-related, social and behavioural reasons that pregnant women present themselves at labour wards without knowing their HIV status and without receiving HIV testing and counselling at an antenatal care clinic, during labour or following delivery. This study was conducted in two health centres and two central hospitals located in the districts of Zomba and Blantyre in Malawi.