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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Healthcare-seeking behaviour of HIV-infected mothers and male partners in Nairobi, Kenya</title><author><name sortKey="Drake, Alison L" sort="Drake, Alison L" uniqKey="Drake A" first="Alison L." last="Drake">Alison L. Drake</name><affiliation><nlm:aff id="A1">University of Washington, Department of Global Health, Seattle, WA</nlm:aff></affiliation></author><author><name sortKey="Wilson, Suzanne K" sort="Wilson, Suzanne K" uniqKey="Wilson S" first="Suzanne K." last="Wilson">Suzanne K. Wilson</name><affiliation><nlm:aff id="A2">University of Washington Departments of Global Health and Nursing, Seattle, WA</nlm:aff></affiliation></author><author><name sortKey="Kinuthia, John" sort="Kinuthia, John" uniqKey="Kinuthia J" first="John" last="Kinuthia">John Kinuthia</name><affiliation><nlm:aff id="A3">Kenyatta National Hospital, Department of Research & Programs, Department of Reproductive Health, Kenyatta National Hospital, Nairobi, Kenya<sup><xref rid="FN2" ref-type="author-notes">*</xref></sup></nlm:aff></affiliation></author><author><name sortKey="Roxby, Alison C" sort="Roxby, Alison C" uniqKey="Roxby A" first="Alison C." last="Roxby">Alison C. Roxby</name><affiliation><nlm:aff id="A4">University of Washington Department of Medicine, Seattle, Washington</nlm:aff></affiliation></author><author><name sortKey="Matemo, Daniel" sort="Matemo, Daniel" uniqKey="Matemo D" first="Daniel" last="Matemo">Daniel Matemo</name><affiliation><nlm:aff id="A5">University of Nairobi, Department of Obstetrics and Gynaecology, Nairobi, Kenya<sup><xref rid="FN2" ref-type="author-notes">*</xref></sup></nlm:aff></affiliation></author><author><name sortKey="Farquhar, Carey" sort="Farquhar, Carey" uniqKey="Farquhar C" first="Carey" last="Farquhar">Carey Farquhar</name><affiliation><nlm:aff id="A6">University of Washington Departments of Medicine, Global Health, and Epidemiology, Seattle, Washington</nlm:aff></affiliation></author><author><name sortKey="Rao, Deepa" sort="Rao, Deepa" uniqKey="Rao D" first="Deepa" last="Rao">Deepa Rao</name><affiliation><nlm:aff id="A7">University of Washington, Departments of Global Health; Psychiatry and Behavioural Sciences, Seattle Washington</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25646645</idno><idno type="pmc">4523461</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4523461</idno><idno type="RBID">PMC:4523461</idno><idno type="doi">10.1080/17441692.2014.1003573</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">001A27</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001A27</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Healthcare-seeking behaviour of HIV-infected mothers and male partners in Nairobi, Kenya</title><author><name sortKey="Drake, Alison L" sort="Drake, Alison L" uniqKey="Drake A" first="Alison L." last="Drake">Alison L. Drake</name><affiliation><nlm:aff id="A1">University of Washington, Department of Global Health, Seattle, WA</nlm:aff></affiliation></author><author><name sortKey="Wilson, Suzanne K" sort="Wilson, Suzanne K" uniqKey="Wilson S" first="Suzanne K." last="Wilson">Suzanne K. Wilson</name><affiliation><nlm:aff id="A2">University of Washington Departments of Global Health and Nursing, Seattle, WA</nlm:aff></affiliation></author><author><name sortKey="Kinuthia, John" sort="Kinuthia, John" uniqKey="Kinuthia J" first="John" last="Kinuthia">John Kinuthia</name><affiliation><nlm:aff id="A3">Kenyatta National Hospital, Department of Research & Programs, Department of Reproductive Health, Kenyatta National Hospital, Nairobi, Kenya<sup><xref rid="FN2" ref-type="author-notes">*</xref></sup></nlm:aff></affiliation></author><author><name sortKey="Roxby, Alison C" sort="Roxby, Alison C" uniqKey="Roxby A" first="Alison C." last="Roxby">Alison C. Roxby</name><affiliation><nlm:aff id="A4">University of Washington Department of Medicine, Seattle, Washington</nlm:aff></affiliation></author><author><name sortKey="Matemo, Daniel" sort="Matemo, Daniel" uniqKey="Matemo D" first="Daniel" last="Matemo">Daniel Matemo</name><affiliation><nlm:aff id="A5">University of Nairobi, Department of Obstetrics and Gynaecology, Nairobi, Kenya<sup><xref rid="FN2" ref-type="author-notes">*</xref></sup></nlm:aff></affiliation></author><author><name sortKey="Farquhar, Carey" sort="Farquhar, Carey" uniqKey="Farquhar C" first="Carey" last="Farquhar">Carey Farquhar</name><affiliation><nlm:aff id="A6">University of Washington Departments of Medicine, Global Health, and Epidemiology, Seattle, Washington</nlm:aff></affiliation></author><author><name sortKey="Rao, Deepa" sort="Rao, Deepa" uniqKey="Rao D" first="Deepa" last="Rao">Deepa Rao</name><affiliation><nlm:aff id="A7">University of Washington, Departments of Global Health; Psychiatry and Behavioural Sciences, Seattle Washington</nlm:aff></affiliation></author></analytic><series><title level="j">Global public health</title><idno type="ISSN">1744-1692</idno><idno type="eISSN">1744-1706</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Healthcare-seeking behaviours of HIV-infected mothers in sub-Saharan Africa are poorly characterized and typically focus on individual health conditions rather than overall health. We conducted a qualitative study to understand how HIV-infected mothers, their male partners, and their HIV-exposed infants seek medical services. We performed 32 in-depth interviews (17 female, 15 male) and four focus group discussions (FGDs) among HIV-infected postpartum women and their male partners in Nairobi, Kenya. We used a grounded theory approach to explore the paths followed for health-related concerns. Female participants reported that willingness to be tested for HIV influences whether women sought antenatal care and the type of facility they preferred for childbirth. The need for medical care outside regular clinic hours and securing safe transportation at night were also significant barriers to seeking care. Most men sought services from traditional healers and chemists before HIV diagnosis, and at governmental facilities afterwards. Both men and women sent infants to traditional healers for non-medical conditions such as bewitching and massage, but rarely for medical conditions. Strategies to reduce HIV-related stigma and fears in antenatal and maternity settings, increase access to care after-hours, and improve linkage to HIV care for men early in their infection are needed.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101256323</journal-id><journal-id journal-id-type="pubmed-jr-id">34536</journal-id><journal-id journal-id-type="nlm-ta">Glob Public Health</journal-id><journal-id journal-id-type="iso-abbrev">Glob Public Health</journal-id><journal-title-group><journal-title>Global public health</journal-title></journal-title-group><issn pub-type="ppub">1744-1692</issn><issn pub-type="epub">1744-1706</issn></journal-meta><article-meta><article-id pub-id-type="pmid">25646645</article-id><article-id pub-id-type="pmc">4523461</article-id><article-id pub-id-type="doi">10.1080/17441692.2014.1003573</article-id><article-id pub-id-type="manuscript">NIHMS653743</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Healthcare-seeking behaviour of HIV-infected mothers and male partners in Nairobi, Kenya</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Drake</surname><given-names>Alison L.</given-names></name><xref ref-type="aff" rid="A1">a</xref><xref rid="FN1" ref-type="author-notes">*</xref></contrib><contrib contrib-type="author"><name><surname>Wilson</surname><given-names>Suzanne K.</given-names></name><xref ref-type="aff" rid="A2">b</xref></contrib><contrib contrib-type="author"><name><surname>Kinuthia</surname><given-names>John</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>Roxby</surname><given-names>Alison C.</given-names></name><xref ref-type="aff" rid="A4">d</xref></contrib><contrib contrib-type="author"><name><surname>Matemo</surname><given-names>Daniel</given-names></name><xref ref-type="aff" rid="A5">e</xref></contrib><contrib contrib-type="author"><name><surname>Farquhar</surname><given-names>Carey</given-names></name><xref ref-type="aff" rid="A6">f</xref></contrib><contrib contrib-type="author"><name><surname>Rao</surname><given-names>Deepa</given-names></name><xref ref-type="aff" rid="A7">g</xref></contrib></contrib-group><aff id="A1"><label>a</label>University of Washington, Department of Global Health, Seattle, WA</aff><aff id="A2"><label>b</label>University of Washington Departments of Global Health and Nursing, Seattle, WA</aff><aff id="A3"><label>c</label>Kenyatta National Hospital, Department of Research & Programs, Department of Reproductive Health, Kenyatta National Hospital, Nairobi, Kenya<sup><xref rid="FN2" ref-type="author-notes">*</xref></sup></aff><aff id="A4"><label>d</label>University of Washington Department of Medicine, Seattle, Washington</aff><aff id="A5"><label>e</label>University of Nairobi, Department of Obstetrics and Gynaecology, Nairobi, Kenya<sup><xref rid="FN2" ref-type="author-notes">*</xref></sup></aff><aff id="A6"><label>f</label>University of Washington Departments of Medicine, Global Health, and Epidemiology, Seattle, Washington</aff><aff id="A7"><label>g</label>University of Washington, Departments of Global Health; Psychiatry and Behavioural Sciences, Seattle Washington</aff><author-notes><corresp id="FN1"><label>*</label>Corresponding author. <email>adrake2@uw.edu</email></corresp><fn id="FN2"><label>*</label><p>Affiliation where research was conducted</p></fn></author-notes><pub-date pub-type="nihms-submitted"><day>9</day><month>1</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>3</day><month>2</month><year>2015</year></pub-date><pub-date pub-type="ppub"><month>12</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>12</month><year>2016</year></pub-date><volume>10</volume><issue>10</issue><fpage>1215</fpage><lpage>1226</lpage><pmc-comment>elocation-id from pubmed: 10.1080/17441692.2014.1003573</pmc-comment>
<abstract><p id="P1">Healthcare-seeking behaviours of HIV-infected mothers in sub-Saharan Africa are poorly characterized and typically focus on individual health conditions rather than overall health. We conducted a qualitative study to understand how HIV-infected mothers, their male partners, and their HIV-exposed infants seek medical services. We performed 32 in-depth interviews (17 female, 15 male) and four focus group discussions (FGDs) among HIV-infected postpartum women and their male partners in Nairobi, Kenya. We used a grounded theory approach to explore the paths followed for health-related concerns. Female participants reported that willingness to be tested for HIV influences whether women sought antenatal care and the type of facility they preferred for childbirth. The need for medical care outside regular clinic hours and securing safe transportation at night were also significant barriers to seeking care. Most men sought services from traditional healers and chemists before HIV diagnosis, and at governmental facilities afterwards. Both men and women sent infants to traditional healers for non-medical conditions such as bewitching and massage, but rarely for medical conditions. Strategies to reduce HIV-related stigma and fears in antenatal and maternity settings, increase access to care after-hours, and improve linkage to HIV care for men early in their infection are needed.</p></abstract><kwd-group><kwd>HIV</kwd><kwd>maternal</kwd><kwd>health-seeking behaviours</kwd><kwd>male partners</kwd><kwd>infant</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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