Conversations with mothers: exploring reasons for prevention of mother-to-child transmission (PMTCT) failures in the era of programmatic scale-up in Soweto, South Africa.
Identifieur interne : 003437 ( Main/Exploration ); précédent : 003436; suivant : 003438Conversations with mothers: exploring reasons for prevention of mother-to-child transmission (PMTCT) failures in the era of programmatic scale-up in Soweto, South Africa.
Auteurs : Fatima Laher [Afrique du Sud] ; Angela Cescon ; Erica Lazarus ; Angela Kaida ; Matamela Makongoza ; Robert S. Hogg ; Christine N. Soon ; Cari L. Miller ; Glenda GraySource :
- AIDS and behavior [ 1573-3254 ] ; 2012.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient, Accessibilité des services de santé, Adulte, Antirétroviraux (administration et posologie), Complications de la grossesse et maladies infectieuses (), Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Grossesse, Groupes focalisés, Humains, Infections à VIH (), Infections à VIH (transmission), Mères (), Mères (psychologie), Nouveau-né, Prejugé, Recherche qualitative, République d'Afrique du Sud, Services de santé maternelle (organisation et administration), Transmission verticale de maladie infectieuse ().
- MESH :
- administration et posologie : Antirétroviraux.
- organisation et administration : Services de santé maternelle.
- psychologie : Mères.
- Acceptation des soins par le patient, Accessibilité des services de santé, Adulte, Complications de la grossesse et maladies infectieuses, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Grossesse, Groupes focalisés, Humains, Infections à VIH, Mères, Nouveau-né, Prejugé, Recherche qualitative, République d'Afrique du Sud, Transmission verticale de maladie infectieuse.
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- Adult, Anti-Retroviral Agents (administration & dosage), Female, Focus Groups, HIV Infections (prevention & control), HIV Infections (transmission), Health Knowledge, Attitudes, Practice, Health Services Accessibility, Humans, Infant, Newborn, Infectious Disease Transmission, Vertical (prevention & control), Maternal Health Services (organization & administration), Mothers (psychology), Mothers (statistics & numerical data), Patient Acceptance of Health Care, Pregnancy, Pregnancy Complications, Infectious (prevention & control), Prejudice, Qualitative Research, Socioeconomic Factors, South Africa, Surveys and Questionnaires.
- MESH :
- chemical , administration & dosage : Anti-Retroviral Agents.
- geographic : South Africa.
- organization & administration : Maternal Health Services.
- prevention & control : HIV Infections, Infectious Disease Transmission, Vertical, Pregnancy Complications, Infectious.
- psychology : Mothers.
- statistics & numerical data : Mothers.
- transmission : HIV Infections.
- Adult, Female, Focus Groups, Health Knowledge, Attitudes, Practice, Health Services Accessibility, Humans, Infant, Newborn, Patient Acceptance of Health Care, Pregnancy, Prejudice, Qualitative Research, Socioeconomic Factors, Surveys and Questionnaires.
Abstract
Reasons for incident cases of vertical HIV transmission in the era of free access to PMTCT in South Africa were investigated. This mixed-methods study was conducted in Soweto, South Africa from June-August, 2009. Birthmothers of HIV-infected infants born after 1 December 2008 were eligible. All participants completed an interviewer-administered questionnaire. Women also participated in a focus group (n = 10) or individual structured interview (n = 35). Mean age of participants (n = 45) was 28.7 years (SD = 5.4). Major findings are: (i) failure of per-guideline prescription of ARV strategies for infants (31%) and/or mothers (57%); (ii) maternal refusal of treatment (n = 5); (iii) preterm delivery (31%); (iv) delayed ANC attendance because of facility-related barriers and maternal apprehension around HIV testing; (v) fear of stigma; (vi) maternal difficulty with administering infant AZT (n = 9) and (vii) maternal confusion about infant feeding. A variety of individual, social, and structural factors must be addressed to optimize PMTCT service delivery in South Africa.
DOI: 10.1007/s10461-010-9875-9
PubMed: 21197599
Affiliations:
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This mixed-methods study was conducted in Soweto, South Africa from June-August, 2009. Birthmothers of HIV-infected infants born after 1 December 2008 were eligible. All participants completed an interviewer-administered questionnaire. Women also participated in a focus group (n = 10) or individual structured interview (n = 35). Mean age of participants (n = 45) was 28.7 years (SD = 5.4). Major findings are: (i) failure of per-guideline prescription of ARV strategies for infants (31%) and/or mothers (57%); (ii) maternal refusal of treatment (n = 5); (iii) preterm delivery (31%); (iv) delayed ANC attendance because of facility-related barriers and maternal apprehension around HIV testing; (v) fear of stigma; (vi) maternal difficulty with administering infant AZT (n = 9) and (vii) maternal confusion about infant feeding. A variety of individual, social, and structural factors must be addressed to optimize PMTCT service delivery in South Africa.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li></country><region><li>Gauteng</li></region><settlement><li>Johannesbourg</li></settlement><orgName><li>Université du Witwatersrand</li></orgName></list><tree><noCountry><name sortKey="Cescon, Angela" sort="Cescon, Angela" uniqKey="Cescon A" first="Angela" last="Cescon">Angela Cescon</name><name sortKey="Gray, Glenda" sort="Gray, Glenda" uniqKey="Gray G" first="Glenda" last="Gray">Glenda Gray</name><name sortKey="Hogg, Robert S" sort="Hogg, Robert S" uniqKey="Hogg R" first="Robert S" last="Hogg">Robert S. Hogg</name><name sortKey="Kaida, Angela" sort="Kaida, Angela" uniqKey="Kaida A" first="Angela" last="Kaida">Angela Kaida</name><name sortKey="Lazarus, Erica" sort="Lazarus, Erica" uniqKey="Lazarus E" first="Erica" last="Lazarus">Erica Lazarus</name><name sortKey="Makongoza, Matamela" sort="Makongoza, Matamela" uniqKey="Makongoza M" first="Matamela" last="Makongoza">Matamela Makongoza</name><name sortKey="Miller, Cari L" sort="Miller, Cari L" uniqKey="Miller C" first="Cari L" last="Miller">Cari L. Miller</name><name sortKey="Soon, Christine N" sort="Soon, Christine N" uniqKey="Soon C" first="Christine N" last="Soon">Christine N. Soon</name></noCountry><country name="Afrique du Sud"><region name="Gauteng"><name sortKey="Laher, Fatima" sort="Laher, Fatima" uniqKey="Laher F" first="Fatima" last="Laher">Fatima Laher</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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