Facilitators and barriers to treatment adherence within PMTCT programs in Malawi
Bibliographic Data
| ID | 19440397 |
|---|---|
| Authors | Kristan Elwell (0000-0002-0837-6657, Michigan State University, corresponding author) |
| Year | 2016 |
| Volume | 28 |
| Issue | 8 |
| Pages | 971-975 |
| Publication date | 2016-08-02 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2016.1153586 |
| PMID | 26984065 |
| OpenAlex | W2298812211 |
| Language | EN |
| Citations received | 16 |
| References cited | 15 |
In Malawi, an innovative prevention of mother-to-child transmission (PMTCT) of HIV program, Option B+, has greatly expanded access to antiretroviral treatment at no cost to women and their exposed infants. However, many women continue to experience social, cultural, and structural barriers impeding their ability to consistently access medical treatment. Understanding these women's perspectives may make programs more responsive to patients' needs. This qualitative study sought to explore factors influencing women's adherence within PMTCT programs in southern Malawi. Participants were current PMTCT patients (the first cohort following national implementation of Option B+), healthcare providers, community leaders, and patients who had dropped out of the program ("defaulters"). Qualitative interviews and focus groups were conducted to investigate barriers and facilitators to continued participation within PMTCT programs. Data were analyzed using content analysis. Barriers identified included fears of HIV disclosure to husbands, community-based HIV/AIDS stigma, and poor interactions with some health workers. Facilitators included the improved survival of PMTCT patients in recent years and the desire to remain healthy to care for one's children. This research highlights important sociocultural factors affecting adherence within HIV/AIDS treatment programs in Malawi. Recommendations to improve access to medical care for PMTCT patients include integrated services to increase attention to confidentiality and minimize stigma, shared HIV testing and counseling for couples to minimize conflict in gender-unequal relationships, and peer-led support groups to provide social support from other women with the shared experience of an HIV-positive serostatus
Confidentiality · Family medicine · Focus group · Health care · Peer support · Psychiatry · Qualitative research · Serostatus · Social stigma · Social support · Viral load · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology · Social Psychology
Gender and culture-related barriers to access to mother and infant health services in the Far North of Cameroon
Patterns of engagement in HIV care during pregnancy and breastfeeding
Why did I stop? And why did I restart? Perspectives of women lost to follow-up in option B+ HIV care in Dar es Salaam, Tanzania
Water Access and Adherence Intention Among HIV-Positive Pregnant Women and New Mothers Receiving Antiretroviral Therapy in Zambia
Understanding the influence of health systems on women’s experiences of Option B
PMTCT Option B+ 2012 to 2018 — Taking stock
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Project ACCLAIM
HIV Disclosure to Family Members and Medication Adherence
Vulnerable at Each Step in the PMTCT Care Cascade
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Prevalence and risk factors of detectable HIV viral load among pregnant women with HIV infection seeking antenatal care in Southern Malawi
Antiretroviral therapy adherence among peripartum women with HIV in Kenya
Over forty percent of women living with HIV report interruption in antiretroviral therapy during intrapartum and early postpartum inpatient stay
The lived experiences of rural women diagnosed with the human immunodeficiency virus in the antenatal period
Exploring the acceptability of Option B plus among HIV-positive Nigerian women engaged and not engaged in the prevention of mother-to-child transmission of HIV cascade
Barriers and facilitating factors to the uptake of antiretroviral drugs for prevention of mother‐to‐child transmission of HIV in sub‐Saharan Africa
Barriers to acceptance and adherence of antiretroviral therapy in urban Zambian women
Non-adherence to the single dose nevirapine regimen for the prevention of mother-to-child transmission of HIV in Bindura town, Zimbabwe
The prevention of mother-to-child HIV transmission programme in Lilongwe, Malawi
| Unique citing works | 16 |
|---|---|
| Citations per year | 1,78 |
| Citation span | 2017 - 2024 (8) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 15 |