The Development of Practice Guideline for Preventing HIV Infection from Mother to Child Transmission at Plubplachai Hospital, Buriram Province

Abstract

     This Participatory Action Research (PAR) aimed to 1) investigate the problems and needs regarding the prevention of mother-to-child HIV transmission, 2) develop a practice guideline for preventing HIV infection at Plubplachai Hospital, and 3) evaluate the effectiveness of the developed model. The purposive sample consisted of 10 participants for the development phase and 20 participants for the implementation phase, including a multidisciplinary team and pregnant women. The study applied the ADDIE Model (Analysis, Design, Development, Implementation, Evaluation). Research tools included questionnaires on knowledge, opinions, satisfaction, and in-depth interviews. Data were analyzed using descriptive statistics and Paired t-test.

     The results revealed that: 1) In the analysis phase, the 5-year retrospective data showed an infant infection rate exceeding the target (8.33%), with main problems being delayed access to services, poor medication adherence, and social stigma. 2) In the development phase, the Plubplachai Model was established, focusing on a FastTrack system, Same Day ART initiation, and psychosocial counseling for status disclosure. 3) In the evaluation phase, after implementation, no new infant infections were found (0 cases). Personnel knowledge scores significantly increased (p < .05). Opinions on the guideline were at the highest agreement level (= 4.65), and provider satisfaction was at the highest level (= 4.72). Key success factors were role clarity and seamless data integration.