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Health care-seeking behaviour of HIV-infected mothers and male partners in Nairobi, Kenya

Bibliographic Data

ID15541523
AuthorsAlison L Drake (0000-0002-4178-7706, University of Washington, corresponding author), Suzanne Wilson (0000-0002-7021-8967), Suzanne J Wilson (0000-0003-3586-0003, University of Washington), John Kinuthia (0000-0001-6571-8927, Kenyatta National Hospital), Alison C Roxby (0000-0001-9449-8062, University of Washington), Daniel Matemo (0000-0002-7209-1648, University of Nairobi), Carey Farquhar (0000-0001-8575-3439, University of Washington), Deepa Rao (0000-0003-4076-0170, University of Washington)
Year2015
Volume10
Issue10
Pages1215-1226
Publication date2015-02-03
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Public Health (JOURNAL)
Journal identifiersISSN: 1744-1692 • E-ISSN: 1744-1706
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2014.1003573
PMID25646645
PMCIDPMC4523461
OpenAlexW1965914565
LanguageEN
References cited23

Health care-seeking behaviours of HIV-infected mothers in sub-Saharan Africa are poorly characterised and typically focus on individual health conditions rather than overall health. We conducted a qualitative study to understand how HIV-infected mothers, their male partners and their HIV-exposed infants seek medical services. We performed 32 in-depth interviews (17 female, 15 male) and four focus group discussions among HIV-infected post-partum women and their male partners in Nairobi, Kenya. We used a grounded theory approach to explore the paths followed for health-related concerns. Female participants reported that willingness to be tested for HIV influences whether women sought antenatal care and the type of facility they preferred for childbirth. The need for medical care outside regular clinic hours and securing safe transportation at night were also significant barriers to seeking care. Most men sought services from traditional healers and chemists before HIV diagnosis, and at governmental facilities afterwards. Both men and women sent infants to traditional healers for non-medical conditions such as bewitching and massage but rarely for medical conditions. Strategies to reduce HIV-related stigma and fears in antenatal and maternity settings, increase access to care after-hours and improve linkage to HIV care for men early in their infection are needed

Childbirth · Environmental health · Family medicine · Focus group · Health care · Health facility · Health services · Human immunodeficiency virus (HIV · Population · Pregnancy · Psychiatry · Qualitative research · Stigma (botany · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Nursing

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Citation velocityhistorical
Highly citedNo
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