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Factors Influencing Teen Mothers' Enrollment and Participation in Prevention of Mother-to-Child HIV Transmission Services in Limpopo Province, South Africa

Datos Bibliográficos

ID4702521
AutoresChristine 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)
Año2008
Volumen18
Número6
Páginas786-802
Fecha de publicación2008-06-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaQualitative Health Research (JOURNAL)
Identificadores de la revistaISSN: 1049-7323 • E-ISSN: 1552-7557
EditorialSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732308318449
PMID18503020
OpenAlexW2139993994
IdiomaEN
Citas recibidas24
Referencias citadas18

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

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Obras citantes distintas24
Citas por año1,41
Intervalo de citas2009 - 2025 (17)
Velocidad de citaciónrecent
Altamente citadoNo
Tipos de citaNeutras: 24
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