Table 2.

Factors influencing prevention of mother-to-child transmission.

Main themes	Sub-themes	Categories
The rationale for unsuccessful PMTCT	Patient-related factors	- Fear of Stigmatization - Cultural reasons and treatment non-compliance - Lack of knowledge of HIV status - Home deliveries - Relocation to other provinces
	Staff-related factors	- Shortage of staff - Nurses’ negative attitudes - Insufficient knowledge among pregnant women - Lack of training among nurses/midwives - Camouflaged reports
Suggestions for effective PMTCT	Staff-related factors	- Orientation and training of community service nurses - Introduction of refresher courses - Nurses to change the attitude - Sharing information with nurses/midwives
	Management-related factors	- Increased nursing workforce - Adequate resources - Unexpected support visits by senior managers - Continuous monitoring of evaluation of PMTCT policy