| 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. | |
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MedLine Citation:
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PMID: 21197599 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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Fatima Laher; Angela Cescon; Erica Lazarus; Angela Kaida; Matamela Makongoza; Robert S Hogg; Christine N Soon; Cari L Miller; Glenda Gray |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-1-1 |
Journal Detail:
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Title: AIDS and behavior Volume: - ISSN: 1573-3254 ISO Abbreviation: - Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-1-3 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9712133 Medline TA: AIDS Behav Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Perinatal HIV Research Unit, University of the Witwatersrand, Diepkloof, Soweto, P.O. Box 114, Johannesburg, 1864, South Africa, laherf@phru.co.za. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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