I Have to Stand Up on My Own and Do the Best I Can for My Kids”a
Work (Re-)entry Among New Mothers Living with HIV in Cape Town, South Africa
Bibliographic Data
| ID | 15338226 |
|---|---|
| Authors | Mamaswatsi Kopeka (0009-0008-7961-1141, George Washington University, corresponding author), M Barton Laws (0000-0002-0790-5879, Rhode Island Department of Health), Anna Harrison (0000-0002-1673-8486, Rhode Island Department of Health), Abigail Harrison (0000-0003-1938-5513), Nokwazi Tsawe (0000-0003-1242-8891, University of Cape Town), Lucia Knight (0000-0001-9938-6887, University of Cape Town), Jennifer A Pellowski (0000-0003-3316-4135, Rhode Island Department of Health) |
| Year | 2024 |
| Volume | 28 |
| Issue | 12 |
| Pages | 4199-4208 |
| Publication date | 2024-09-06 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | AIDS and Behavior (JOURNAL) |
| Journal identifiers | ISSN: 1090-7165 • E-ISSN: 1573-3254 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10461-024-04478-w |
| PMID | 39240300 |
| OpenAlex | W4402312011 |
| Language | EN |
| References cited | 19 |
In recent years, significant progress has been made in treatment access for women living with HIV (WLHIV). For example, option B+, which requires that all pregnant persons who test positive for HIV start on antiretroviral treatment, has been instrumental in reducing the risk of vertical transmission. For birthing individuals who have a low HIV viral load, there is a minimized risk of vertical transmission during breastfeeding. However, an alarming rate of WLHIV in South Africa disengage from care during postpartum. Given that work is intricately linked to individuals' socioeconomic status, and thus health outcomes, and their health-seeking ability, it is important to explore the role of work in decisions that impact HIV-related care for the dyad postpartum. Semi-structured interviews were conducted with 26 women living with HIV at 6-8 weeks postpartum in Cape Town, South Africa. A secondary qualitative data analysis was conducted following thematic content analysis. Three themes were identified, spanning participants' financial considerations, navigating childcare needs, and considerations for exclusive breastfeeding. For many participants, there was often a conflict between returning to work, childcare, and the decision whether or not to breastfeed-in addition to their HIV care. This conflict between participants' commitments suggests an increased pressure that WLHIV may face postpartum, which could impact their ability to remain engaged in their healthcare and adherent to medication. Although exclusive breastfeeding is an important recommendation for the baby's health outcomes; there is a need for structural support for WLHIV as they navigate work re-entry during postpartum
Archaeology · Cape · Environmental health · Family medicine · Geography · Health psychology · Human immunodeficiency virus (HIV · Public health · Socioeconomics · Sociology · Work (physics · Demography · Engineering · Gender Studies · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Nursing · Poverty, Education, and Child Welfare · Psychology
A qualitative study on factors impacting HIV care adherence among postpartum HIV-infected women in the rural southeastern USA
Commonalities and differences in infant feeding attitudes and practices in the context of HIV in sub-Saharan Africa
Challenges and successes in the implementation of option B+ to prevent mother-to-child transmission of HIV in southern Swaziland
Does the unconditional cash transfer program in South Africa provide support for women after child birth? Barriers to accessing the child support grant among women in informal work in Durban, South Africa
Attitudes and perceptions about breastfeeding among female and male informal workers in India and South Africa
I decided to go back to work so I can afford to buy her formula’
Using thematic analysis in psychology
| Highly cited | No |
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