Barriers to initiating antiretroviral therapy during pregnancy
A qualitative study of women attending services in Cape Town, South Africa
Bibliographic Data
| ID | 15456827 |
|---|---|
| Authors | Kathryn Stinson (University of Cape Town, corresponding author), Landon Myers (0000-0002-8106-7658, University of Cape Town) |
| Year | 2012 |
| Volume | 11 |
| Issue | 1 |
| Pages | 65-73 |
| Publication date | 2012-03-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | African Journal of AIDS Research (JOURNAL) |
| Journal identifiers | ISSN: 1608-5906 • E-ISSN: 1727-9445 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.2989/16085906.2012.671263 |
| PMID | 25870899 |
| OpenAlex | W2036675941 |
| Language | EN |
| Citations received | 18 |
| References cited | 41 |
Despite the rapid expansion of antiretroviral therapy (ART) programmes, uptake of ART in pregnancy remains suboptimal. Little is known about the barriers to initiating lifelong ART in pregnancy and the challenges to postpartum retention in HIV care, particularly in sub-Saharan African contexts with a high burden of disease. In this qualitative study, 28 HIV-positive pregnant or postpartum women, who either had initiated ART or were eligible for ART, and 21 service providers were interviewed in Cape Town, South Africa, to investigate these barriers. Prevention of vertical transmission of HIV was often the primary motivation for starting treatment. Key challenges to ART initiation included late first presentation, denial of an HIV diagnosis, fear of disclosure, and treatment side-effects. The women expressed difficulties in accepting a lifelong commitment to treatment for maternal health benefit. Pregnant women who require ART face a triple burden of transitioning into pregnancy, accepting the HIV diagnosis, and recognising the urgent requirement to start lifelong ART before delivery. Focused interventions are required to address the psychosocial barriers to ART uptake and the linkages to care for pregnant HIV-positive women
Antiretroviral therapy · Denial · Developing country · Economic growth · Family medicine · Human immunodeficiency virus (HIV · Pregnancy · Psychiatry · Psychological intervention · Psychosocial · Psychotherapist · Qualitative research · Sociology · Viral load · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Nursing · Psychology
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
Living in Fear
A comprehensive review of the barriers and promoters health workers experience in delivering prevention of vertical transmission of HIV services in sub-Saharan Africa
Disclosure of HIV serostatus among pregnant and postpartum women in sub-Saharan Africa
Effectiveness of community-based support for pregnant women living with HIV
Understanding the determinants and consequences of HIV status disclosure in Manicaland, Zimbabwe
Acceptability and challenges of rapid ART initiation among pregnant women in a pilot programme, Cape Town, South Africa
Poor rates of linkage to HIV care and uptake of treatment after home-based HIV testing among newly diagnosed 15-to-49 year-old men and women in a high HIV prevalence setting in South Africa
The role of fear as a barrier and facilitator to antiretroviral therapy initiation in Indonesia
Lessons learned from the PMTCT program in Swaziland
Characteristics and outcomes of women initiating ART during pregnancy versus breastfeeding in Option B+ in Malawi
HIV Disclosure Among Pregnant Women Initiating ART in Cape Town, South Africa
A Risk Prediction Model to Identify People Living with HIV Who are High-risk for Disengagement from Care after HIV Diagnosis in South Africa
Understanding Treatment Refusal Among Adults Presenting for HIV-Testing in Soweto, South Africa
HIV-status disclosure and depression in the context of unintended pregnancy among South African women
If the results are negative, they motivate us’. Experiences of early infant diagnosis of HIV and engagement in Option B
Life is so easy on ART, once you accept it
Prevalence of Depression During Pregnancy
Barriers to accessing highly active antiretroviral therapy by HIV‐positive women attending an antenatal clinic in a regional hospital in western Uganda
Factors affecting the utilization of antenatal care in developing countries
The effect of pregnancy in HIV-infected women
Determinants of failure to access care in mothers referred to HIV treatment programs in Nairobi, Kenya
To tell or not to tell
Exploring socio-economic conditions and poor follow-up rates of HIV-exposed infants in Johannesburg, South Africa
Mental health in HIV-positive pregnant women
Relational contexts in adjustment to pregnancy of HIV-positive women
Psychosocial Factors Associated with Adaptation in HIV-Infected Mothers
Factors Associated with Low Early Uptake of a National Program to Prevent Mother to Child Transmission of HIV (PMTCT)
Preventing Mother-to-Child Transmission of HIV in Resource-Limited Settings
Improving mothers' access to PMTCT programs in West Africa
| Unique citing works | 18 |
|---|---|
| Citations per year | 1,38 |
| Citation span | 2013 - 2026 (14) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 18 |