Document Detail

'What mother wouldn't want to save her baby?' HIV testing and counselling practices in a rural Ugandan antenatal clinic.
MedLine Citation:
PMID:  23350571     Owner:  NLM     Status:  Publisher    
Drawing on an exploratory qualitative case study investigating everyday practices within an antenatal clinic in rural Uganda, this paper investigates the dynamics of consent and counselling within a prevention of mother-to-child HIV transmission (PMTCT) programme, from the perspectives of various health professionals involved at different stages of the PMTCT trajectory. The paper contributes to the existing literature by focusing not on clients' views but, rather, by elucidating how different cadres of health workers view and practice the human rights principles of informed consent and opting out, that are reflected in Uganda's HIV testing policies. By investigating the roles and responsibilities of community counsellors, post-test counsellors, and midwives, we illustrate how the practice of counselling in PMTCT is influenced by two hegemonic discourses: the health of a child should be protected, and the health worker knows best. As a result, a directive form of counselling in PMTCT settings, with its focus on the health of the baby, silences women's right to opt out of HIV tests.
Eva Vernooij; Anita Hardon
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-28
Journal Detail:
Title:  Culture, health & sexuality     Volume:  -     ISSN:  1464-5351     ISO Abbreviation:  Cult Health Sex     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883416     Medline TA:  Cult Health Sex     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
a Amsterdam Institute for Social Science Research, Centre for Social Science and Global Health, University of Amsterdam , Amsterdam , The Netherlands.
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