Challenges in Implementing the Triple Elimination of Mother-to-Child Transmission: A Study from Coastal Region of Ambon, Indonesia
Downloads
Background: HIV, syphilis, and hepatitis B can be transmitted during pregnancy, which can cause morbidity and mortality. Efforts to eliminate the transmission of IV, syphilis, and hepatitis B are contained in the Minister of Health Regulation through Antenatal Care services in community health centers by screening and case management of positive pregnant women. The coverage of triple elimination in Eastern Indonesia has not been implemented, especially in Ambon City, while the goal in 2022 is that 100% of pregnant women will be screened and managed to prevent perinatal transmission. Purpose: This study aimed to evaluate the implementation of triple elimination screening including coverage, completeness, and infection rates in Ambon City. Methods: This study is a descriptive retrospective analysis based on medical records from four Community Health Centers during the year 2022. Result: Among 1,666 pregnant women, only one of the four centers (25%) met the national screening coverage target. None achieved 100% test completeness. Syphilis showed the highest infection rate (up to 12.2%), while hepatitis B rates were below the national threshold (≤7.1%) in all centers. Conclusion: Ambon City's triple elimination screening implementation has not met national criteria. Enhancing program efficacy requires expanding access to screening services and bolstering health education.
Kemenkes RI. Rencana aksi kegiatan direktorat kesehatan keluarga. Vol. 1, Direktorat Kesehatan Keluarga. 2020.
Runtukahu ATZ, Marunduh SR, Polii H. Peran imunitas seluler pada ibu hamil. J e-Biomedik. 2021;9(2):215–21.
WHO. The Triple Elimination of Mother-to-Child Transmission of HIV, Hepatitis B and Syphilis in Asia and the Pacific, 2018–2030. Worls Heal Organ West Pacific Reg. 2018;1–44.
WHO. HIV and AIDS. World Heal Organ. 2021;86(july):1–7.
Kemenkes. Aids/Hiv. Kementeri Kesehat Republik Indones. 2020;32–3.
WHO. Syphilis. WHO. 2020;1–6.
Hook EW. Syphilis. Lancet. 2017;389(10078):1550–7.
InfoDATIN. Situasi penyakit hepatitis B di Indonesia. Vol. 53, Pusat Data dan Informasi Kementerian Kesehatan RI. Jakarta; 2017. 1689–1699 p.
Indonesia KKR. Peraturan menteri kesehatan Republik Indonesia nomor 52 tahun 2017 tentang eliminasi penularan human deficiency virus, sifilis dan hepatitis B dari ibu ke anak. Jakarta; 2017. p. 1–84.
Visser M, Van Der Ploeg CPB, Smit C, Hukkelhoven CWPM, Abbink F, Van Benthem BHB, et al. Evaluating progress towards triple elimination of mother-to-child transmission of HIV, syphilis and hepatitis B in the Netherlands. BMC Public Health. 2019;19(1):1–9.
Sankaran D, Partridge E, Lakshminrusimha S. Congenital Syphilis—An Illustrative Review. Children. 2023;10(8).
Last JM. The Iceberg: “Completing the clinical picture” in general practice. International Journal of Epidemiology. 2013. 1608–1613 p.
Sulyastini NK, Duarsa DP. Model edukasi dan tingkat pengetahuan ibu hamil dalam melaksanakan triple eliminasi di kabupaten buleleng 2023 (sebuah studi fenomenologi). Midwinerslion J Kesehat STIKes Buleleng. 2023;8(1):88–99.
Indonesia KKR. Peraturan menteri kesehatan Republik Indonesia nomor 24 tahun 2022 tentang rekam medis. Vol. 33, Kementerian Kesehatan RI. Vol. 33, Kementerian Kesehatan Republik Indonesia. Jakarta; 2022.
Wan Z, Zhang H, Xu H, Hu Y, Tan C, Tao Y. Maternal syphilis treatment and pregnancy outcomes : a retrospective study in Jiangxi. BMC Pregnancy Childbirth. 2020;20(648):1–8.
Gentile I, Borgia G. Vertical transmission of hepatitis B virus: challenges and solutions. Int J Womens Health. 2014;6(1):605–11.
Sirilert S, Tongsong T. Hepatitis b virus infection in pregnancy: Immunological response, natural course and pregnancy outcomes. J Clin Med. 2021;10(13).
Ayoub WS, Cohen E. Hepatitis b management in the pregnant patient: An update. J Clin Transl Hepatol. 2016;4(3):241–7.
Copyright (c) 2025 Berkala Ilmu Kesehatan Kulit dan Kelamin
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
- Copyright of the article is transferred to the journal, by the knowledge of the author, whilst the moral right of the publication belongs to the author.
- The legal formal aspect of journal publication accessibility refers to Creative Commons Atribusi-Non Commercial-Share alike (CC BY-NC-SA), (https://creativecommons.org/licenses/by-nc-sa/4.0/)
- The articles published in the journal are open access and can be used for non-commercial purposes. Other than the aims mentioned above, the editorial board is not responsible for copyright violation
The manuscript authentic and copyright statement submission can be downloaded ON THIS FORM.
