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Reasoning and deciding PMTCT-adherence during pregnancy among women living with HIV in Kenya

Bibliographic Data

ID15099311
AuthorsOpondo Awiti Ujiji (Karolinska Institutet, corresponding author), Anna Mia Ekström (0000-0002-3912-1171, Karolinska Institutet), Muslima Ejaz (0000-0002-1187-9095, Karolinska Institutet), Festus Ilako (African Medical Research Foundation, Kenya Country Office), Dorcas Indalo (African Medical Research Foundation, Kibera Community Health Project), David Wamalwa (African Medical Research Foundation, Busia Child Survival Project (BCSP)), Birgitta Rubenson (0000-0002-7275-3517, Karolinska Institutet)
Year2011
Volume13
Issue7
Pages829-840
Publication date2011-08-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2011.583682
PMID21656411
OpenAlexW1991566383
LanguageEN
Citations received16
References cited18

This study explores type identities among rural and urban slum women on antiretroviral therapies who become pregnant. Narrative structuring was chosen to develop type narratives that illustrate how rural and urban women handle their HIV-infection and how they reason and decide about PMTCT-adherence during pregnancy and childbirth. Women in rural areas described their lives as 'secure and family controlled'. This gave the women security and predictability in life, but also meant that it was difficult to keep secrets about HIV infection. For women in the urban slum area the narratives were a tale of the uncertain and hard to predict reality in the slum, but also about self-reliance and decisiveness. They portrayed themselves as 'vulnerable and striving to survive' thus managing a tough situation without long-term solutions. We conclude that pregnancy poses different social challenges in rural and urban areas affecting how women choose to manage their adherence to PMTCT, which is also affected by HIV stigma and lack of disclosure

Childbirth · Environmental health · Family medicine · Narrative · Population · Pregnancy · Rural area · Slum · Social stigma · Adolescent Sexual and Reproductive Health · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine

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Unique citing works16
Citations per year1,14
Citation span2012 - 2026 (15)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 16
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