Document Detail


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.
MedLine Citation:
PMID:  21197599     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  JOURNAL ARTICLE     Date:  2011-1-1
Journal Detail:
Title:  AIDS and behavior     Volume:  -     ISSN:  1573-3254     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9712133     Medline TA:  AIDS Behav     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
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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