Factors Influencing Teen Mothers' Enrollment and Participation in Prevention of Mother-to-Child HIV Transmission Services in Limpopo Province, South Africa
Bibliographic Data
| ID | 4702521 |
|---|---|
| Authors | Christine Vargas (0000-0001-5256-0518, Nozizwe Consulting and Human Sciences Research Council, Durban, South Africa), Christine Varga (Nozizwe Consulting and Human Sciences Research Council, Durban, South Africa), Heather Brookes (0000-0003-1210-9356, University of Johannesburg, Johannesburg, South Africa) |
| Year | 2008 |
| Volume | 18 |
| Issue | 6 |
| Pages | 786-802 |
| Publication date | 2008-06-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1049732308318449 |
| PMID | 18503020 |
| OpenAlex | W2139993994 |
| Language | EN |
| Citations received | 24 |
| References cited | 18 |
In this article, we examine barriers to HIV testing uptake and participation in prevention of mother-to-child HIV transmission (PMTCT) services among adolescent mothers aged 15 to 19 years in rural and urban Limpopo Province, South Africa. We used the narrative research method involving key informants constructing typical case studies of adolescent experiences with HIV testing and entry into PMTCT. Case studies formed the basis of a community-based questionnaire and focus group discussions with adolescent mothers. Client-counselor dynamics during pretest counseling were pivotal in determining uptake and participation, and counselor profile strongly influenced the nature of the interaction. Other factors found to influence adherence to PMTCT recommendations included HIV and early premarital pregnancy stigma, fear of a positive test result, and concerns over confidentiality and poor treatment by health care providers. Adolescents described elaborate strategies to avoid HIV disclosure to labor and delivery staff, despite knowing this would mean no antiretroviral therapy for their newborn infants. Theoretical, methodological, and programmatic implications of study findings are also discussed
Confidentiality · Family medicine · Focus group · Psychiatry · Qualitative research · Social stigma · Adolescent Sexual and Reproductive Health · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology
Adherence to antiretroviral therapy during and after pregnancy in low-income, middle-income, and high-income countries
Barriers and facilitating factors to the uptake of antiretroviral drugs for prevention of mother‐to‐child transmission of HIV in sub‐Saharan Africa
A Systematic Review of Individual and Contextual Factors Affecting ART Initiation, Adherence, and Retention for HIV-Infected Pregnant and Postpartum Women
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Patterns of use of a maternal mental health service in a low-resource antenatal setting in South Africa
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Intimate partner violence and HIV-positive women's non-adherence to antiretroviral medication for the purpose of prevention of mother-to-child transmission in Lusaka, Zambia
Women, mothers and HIV care in resource-poor settings
Improving mothers' access to PMTCT programs in West Africa
HIV-disclosure in the context of vertical transmission
Experiences of breastfeeding and vulnerability among a group of HIV-positive women in Durban, South Africa
Preventing Mother-to-Child HIV Transmission Among South African Adolescents
Ensuring a Public Health Impact of Programs to Reduce HIV Transmission From Mothers to Infants
Pregnancy Termination among South African Adolescents
How Gender Roles Influence Sexual and Reproductive Health Among South African Adolescents
HIV-Positive Patients and the Doctor-Patient Relationship
Factors Underlying Anxiety in HIV Testing
Worry
Perceived Social Support and HIV/Aids Medication Adherence Among African American Women
Counsellors' Perspectives on Antenatal HIV Testing and Infant Feeding Dilemmas Facing Women with HIV in Northern Tanzania
| Unique citing works | 24 |
|---|---|
| Citations per year | 1,41 |
| Citation span | 2009 - 2025 (17) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 24 |