Preventing HIV transmission to children: Quality of counselling of mothers in South Africa
Identifieur interne : 004624 ( Istex/Corpus ); précédent : 004623; suivant : 004625Preventing HIV transmission to children: Quality of counselling of mothers in South Africa
Auteurs : Mickey Chopra ; Tanya Doherty ; Debra Jackson ; Ann AshworthSource :
- Acta Paediatrica [ 0803-5253 ] ; 2005-03.
English descriptors
- KwdEn :
- Breast milk, Breastfeeding, Cape town, Checks understanding, Child survival, Child transmission, Communication skills, Contraceptive options, Counselling, Counselling session, Counselling sessions, Counsellor, Data collection, Exact test, Exclusive breastfeeding, Exit interviews, Formula feed, General quality, Health centre, Health systems trust, Health workers, Many pmtct programmes, More information, Mtct, Nevirapine, Other infections, Pilot projects, Pilot sites, Pmtct, Pmtct counselling, Pmtct programme, Pmtct sites, Poor counselling, Poor infant, Poor quality, Population council, Pregnant women, Programme, Public health, Safe formula, Side effects, Test results, Testing uptake rate, Western cape.
- Teeft :
- Breast milk, Breastfeeding, Cape town, Checks understanding, Child survival, Child transmission, Communication skills, Contraceptive options, Counselling, Counselling session, Counselling sessions, Counsellor, Data collection, Exact test, Exclusive breastfeeding, Exit interviews, Formula feed, General quality, Health centre, Health systems trust, Health workers, Many pmtct programmes, More information, Mtct, Nevirapine, Other infections, Pilot projects, Pilot sites, Pmtct, Pmtct counselling, Pmtct programme, Pmtct sites, Poor counselling, Poor infant, Poor quality, Population council, Pregnant women, Programme, Public health, Safe formula, Side effects, Test results, Testing uptake rate, Western cape.
Abstract
Aim: To assess the quality of counselling provided to mothers through the programme to prevent mother‐to‐child transmission (PMTCT) of HIV in South Africa. Methods: Structured observations of consultations and exit interviews with 60 mothers attending clinics at three purposively selected PMTCT sites across South Africa were conducted. Results: Twenty‐two counsellors were observed. The general quality of communication skills was very good, and 73% of HIV‐negative mothers were informed of the advantages of exclusive breastfeeding (EBF). However, only one of 34 HIV‐positive mothers was informed about the possible side effects of nevirapine, and none was told what to do when it occurred. Only two HIV‐positive mothers were asked about essential conditions for safe formula feeding before a decision about an infant feeding option was made. None of the 12 mothers choosing to breastfeed was shown how to position the baby correctly on the breast or asked whether they thought EBF was feasible. Fewer than a quarter of mothers expressed confidence in performing the actions required, and 85% could not define the term EBF.
Url:
DOI: 10.1111/j.1651-2227.2005.tb03080.x
Links to Exploration step
ISTEX:D73E59BE3C9CB441F23EF398AF73B09543996082Le document en format XML
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Methods: Structured observations of consultations and exit interviews with 60 mothers attending clinics at three purposively selected PMTCT sites across South Africa were conducted. Results: Twenty‐two counsellors were observed. The general quality of communication skills was very good, and 73% of HIV‐negative mothers were informed of the advantages of exclusive breastfeeding (EBF). However, only one of 34 HIV‐positive mothers was informed about the possible side effects of nevirapine, and none was told what to do when it occurred. Only two HIV‐positive mothers were asked about essential conditions for safe formula feeding before a decision about an infant feeding option was made. None of the 12 mothers choosing to breastfeed was shown how to position the baby correctly on the breast or asked whether they thought EBF was feasible. Fewer than a quarter of mothers expressed confidence in performing the actions required, and 85% could not define the term EBF.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>counselling</json:string><json:string>pmtct</json:string><json:string>counsellor</json:string><json:string>programme</json:string><json:string>breastfeeding</json:string><json:string>nevirapine</json:string><json:string>mtct</json:string><json:string>exact test</json:string><json:string>counselling sessions</json:string><json:string>exclusive breastfeeding</json:string><json:string>counselling session</json:string><json:string>pilot sites</json:string><json:string>pmtct programme</json:string><json:string>public health</json:string><json:string>western cape</json:string><json:string>communication skills</json:string><json:string>pmtct sites</json:string><json:string>health workers</json:string><json:string>breast milk</json:string><json:string>side 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Africa</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2005-03"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Preventing HIV transmission to children: Quality of counselling of mothers in South Africa</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Mickey</forename><surname>CHOPRA</surname></persName><affiliation>School of Public Health, University of the Western Cape, Bellville, South Africa<address><country key="ZA"></country></address></affiliation><affiliation>Mickey Chopra, School of Public Health, University of the Western Cape, Bellville 7535, South Africa. Tel: + 27 21 9592809. Fax: +27 21 9592872. E‐mail: mchopra@uwc.ac.za</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Tanya</forename><surname>DOHERTY</surname></persName><affiliation>Health Systems Trust, Cape Town, South Africa<address><country key="ZA"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Debra</forename><surname>JACKSON</surname></persName><affiliation>School of Public Health, University of the Western Cape, Bellville, South Africa<address><country key="ZA"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Ann</forename><surname>ASHWORTH</surname></persName><affiliation>Public Health Nutrition Unit, London School of Hygiene and Tropical Medicine, London, UK<address><country key="GB"></country></address></affiliation></author><idno type="istex">D73E59BE3C9CB441F23EF398AF73B09543996082</idno><idno type="ark">ark:/67375/WNG-6KSDDFJL-G</idno><idno type="DOI">10.1111/j.1651-2227.2005.tb03080.x</idno><idno type="unit">APA357</idno><idno type="toTypesetVersion">file:APA.APA357.pdf</idno></analytic><monogr><title level="j" type="main">Acta Paediatrica</title><title level="j" type="alt">ACTA PAEDIATRICA</title><idno type="pISSN">0803-5253</idno><idno type="eISSN">1651-2227</idno><idno type="book-DOI">10.1111/(ISSN)1651-2227</idno><idno type="book-part-DOI">10.1111/apa.2005.94.issue-3</idno><idno type="product">APA</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">94</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="357">357</biblScope><biblScope unit="page" to="363">363</biblScope><biblScope unit="page-count">7</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2005-03"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main">
Abstract
<p><hi rend="italic">Aim</hi>: To assess the quality of counselling provided to mothers through the programme to prevent mother‐to‐child transmission (PMTCT) of HIV in South Africa. <hi rend="italic">Methods</hi>: Structured observations of consultations and exit interviews with 60 mothers attending clinics at three purposively selected PMTCT sites across South Africa were conducted. <hi rend="italic">Results</hi>: Twenty‐two counsellors were observed. The general quality of communication skills was very good, and 73% of HIV‐negative mothers were informed of the advantages of exclusive breastfeeding (EBF). However, only one of 34 HIV‐positive mothers was informed about the possible side effects of nevirapine, and none was told what to do when it occurred. Only two HIV‐positive mothers were asked about essential conditions for safe formula feeding before a decision about an infant feeding option was made. None of the 12 mothers choosing to breastfeed was shown how to position the baby correctly on the breast or asked whether they thought EBF was feasible. Fewer than a quarter of mothers expressed confidence in performing the actions required, and 85% could not define the term EBF.</p>
Conclusion
<p>: The poor quality of counselling in the PMTCT programme will reduce the effectiveness of these programmes. As they are being scaled up, there needs to be far more attention paid towards the counselling of mothers, especially with regards to optimal infant feeding.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">Counselling</term><term xml:id="k2">exclusive breastfeeding</term><term xml:id="k3">observation study</term><term xml:id="k4">prevention of maternal‐ to‐child transmission of HIV</term><term xml:id="k5">South Africa</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/D73E59BE3C9CB441F23EF398AF73B09543996082/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1651-2227</doi><issn type="print">0803-5253</issn><issn type="electronic">1651-2227</issn><idGroup><id type="product" value="APA"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="ACTA PAEDIATRICA">Acta Paediatrica</title></titleGroup></publicationMeta><publicationMeta level="part" position="03103"><doi origin="wiley">10.1111/apa.2005.94.issue-3</doi><numberingGroup><numbering type="journalVolume" number="94">94</numbering><numbering type="journalIssue" number="3">3</numbering></numberingGroup><coverDate startDate="2005-03">March 2005</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0035700" status="forIssue"><doi origin="wiley">10.1111/j.1651-2227.2005.tb03080.x</doi><idGroup><id type="unit" value="APA357"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><eventGroup><event type="firstOnline" date="2007-01-02"></event><event type="publishedOnlineFinalForm" date="2007-01-02"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.1.6 mode:FullText" date="2012-08-14"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-15"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-14"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="357">357</numbering><numbering type="pageLast" number="363">363</numbering></numberingGroup><correspondenceTo> Mickey Chopra, School of Public Health, University of the Western Cape, Bellville 7535, South Africa. Tel: + 27 21 9592809. Fax: +27 21 9592872. E‐mail: <email>mchopra@uwc.ac.za</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:APA.APA357.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received 29 January 2004; revised 10 May 2004 and 8 September 2004; accepted 12 October 2004</unparsedEditorialHistory><countGroup><count type="referenceTotal" number="23"></count><count type="linksCrossRef" number="5"></count></countGroup><titleGroup><title type="main">Preventing HIV transmission to children: Quality of counselling of mothers in South Africa</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Mickey</givenNames><familyName>CHOPRA</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Tanya</givenNames><familyName>DOHERTY</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>Debra</givenNames><familyName>JACKSON</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a3"><personName><givenNames>Ann</givenNames><familyName>ASHWORTH</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="ZA"><unparsedAffiliation>School of Public Health, University of the Western Cape, Bellville, South Africa</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="ZA"><unparsedAffiliation>Health Systems Trust, Cape Town, South Africa</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="GB"><unparsedAffiliation>Public Health Nutrition Unit, London School of Hygiene and Tropical Medicine, London, UK</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">Counselling</keyword><keyword xml:id="k2">exclusive breastfeeding</keyword><keyword xml:id="k3">observation study</keyword><keyword xml:id="k4">prevention of maternal‐ to‐child transmission of HIV</keyword><keyword xml:id="k5">South Africa</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><section xml:id="abs1-1"><title type="main">Abstract</title><p><i>Aim</i>: To assess the quality of counselling provided to mothers through the programme to prevent mother‐to‐child transmission (PMTCT) of HIV in South Africa. <i>Methods</i>: Structured observations of consultations and exit interviews with 60 mothers attending clinics at three purposively selected PMTCT sites across South Africa were conducted. <i>Results</i>: Twenty‐two counsellors were observed. The general quality of communication skills was very good, and 73% of HIV‐negative mothers were informed of the advantages of exclusive breastfeeding (EBF). However, only one of 34 HIV‐positive mothers was informed about the possible side effects of nevirapine, and none was told what to do when it occurred. Only two HIV‐positive mothers were asked about essential conditions for safe formula feeding before a decision about an infant feeding option was made. None of the 12 mothers choosing to breastfeed was shown how to position the baby correctly on the breast or asked whether they thought EBF was feasible. Fewer than a quarter of mothers expressed confidence in performing the actions required, and 85% could not define the term EBF.</p></section><section xml:id="abs1-2"><title type="main">Conclusion</title><p>: The poor quality of counselling in the PMTCT programme will reduce the effectiveness of these programmes. As they are being scaled up, there needs to be far more attention paid towards the counselling of mothers, especially with regards to optimal infant feeding.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Preventing HIV transmission to children: Quality of counselling of mothers in South Africa</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Preventing HIV transmission to children: Quality of counselling of mothers in South Africa</title></titleInfo><name type="personal"><namePart type="given">Mickey</namePart><namePart type="family">CHOPRA</namePart><affiliation>School of Public Health, University of the Western Cape, Bellville, South Africa</affiliation><affiliation>E-mail: mchopra@uwc.ac.za</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Tanya</namePart><namePart type="family">DOHERTY</namePart><affiliation>Health Systems Trust, Cape Town, South Africa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Debra</namePart><namePart type="family">JACKSON</namePart><affiliation>School of Public Health, University of the Western Cape, Bellville, South Africa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ann</namePart><namePart type="family">ASHWORTH</namePart><affiliation>Public Health Nutrition Unit, London School of Hygiene and Tropical Medicine, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2005-03</dateIssued><edition>Received 29 January 2004; revised 10 May 2004 and 8 September 2004; accepted 12 October 2004</edition><copyrightDate encoding="w3cdtf">2005</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="references">23</extent><extent unit="linksCrossRef">5</extent></physicalDescription><abstract>Aim: To assess the quality of counselling provided to mothers through the programme to prevent mother‐to‐child transmission (PMTCT) of HIV in South Africa. Methods: Structured observations of consultations and exit interviews with 60 mothers attending clinics at three purposively selected PMTCT sites across South Africa were conducted. Results: Twenty‐two counsellors were observed. The general quality of communication skills was very good, and 73% of HIV‐negative mothers were informed of the advantages of exclusive breastfeeding (EBF). However, only one of 34 HIV‐positive mothers was informed about the possible side effects of nevirapine, and none was told what to do when it occurred. Only two HIV‐positive mothers were asked about essential conditions for safe formula feeding before a decision about an infant feeding option was made. None of the 12 mothers choosing to breastfeed was shown how to position the baby correctly on the breast or asked whether they thought EBF was feasible. Fewer than a quarter of mothers expressed confidence in performing the actions required, and 85% could not define the term EBF.</abstract><abstract>: The poor quality of counselling in the PMTCT programme will reduce the effectiveness of these programmes. As they are being scaled up, there needs to be far more attention paid towards the counselling of mothers, especially with regards to optimal infant feeding.</abstract><subject lang="en"><genre>keywords</genre><topic>Counselling</topic><topic>exclusive breastfeeding</topic><topic>observation study</topic><topic>prevention of maternal‐ to‐child transmission of HIV</topic><topic>South Africa</topic></subject><relatedItem type="host"><titleInfo><title>Acta Paediatrica</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0803-5253</identifier><identifier type="eISSN">1651-2227</identifier><identifier type="DOI">10.1111/(ISSN)1651-2227</identifier><identifier type="PublisherID">APA</identifier><part><date>2005</date><detail type="volume"><caption>vol.</caption><number>94</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>357</start><end>363</end><total>7</total></extent></part></relatedItem><identifier type="istex">D73E59BE3C9CB441F23EF398AF73B09543996082</identifier><identifier type="ark">ark:/67375/WNG-6KSDDFJL-G</identifier><identifier type="DOI">10.1111/j.1651-2227.2005.tb03080.x</identifier><identifier type="ArticleID">APA357</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/D73E59BE3C9CB441F23EF398AF73B09543996082/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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