Women's expectations of treatment and care after an antenatal HIV diagnosis in Lilongwe, Malawi
Bibliographic Data
| ID | 4978780 |
|---|---|
| Authors | Jennifer M Levy, Jennifer Levy (University of Toronto, corresponding author) |
| Year | 2009 |
| Volume | 17 |
| Issue | 33 |
| Pages | 152-161 |
| Publication date | 2009-01-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Reproductive Health Matters (JOURNAL) |
| Journal identifiers | ISSN: 0968-8080 • E-ISSN: 1460-9576 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1016/s0968-8080(09)33436-9 |
| PMID | 19523592 |
| OpenAlex | W2052722033 |
| Language | EN |
| Citations received | 3 |
| References cited | 16 |
Women in sub-Saharan Africa are increasingly learning their HIV status in prevention of mother-to-child transmission of HIV (PMTCT) programmes in the context of antenatal care. This paper examines women's decisions about HIV testing and their experience of PMTCT and HIV-related care in one clinic in Lilongwe, Malawi. It is based on qualitative, ethnographic research conducted in 2004 and 2005, including interviews and focus group discussions with 55 HIV-positive women participating in a PMTCT programme, and 21 interviews with key informants from the programme and the health system. Women's expectations from testing were consistent with the benefits for their own health and their infants' health, as communicated by nurses. However, the PMTCT programme only poorly met their expectations. Reasons for this disjuncture included the construction of women as still healthy even when they needed treatment, a focus only on infant health, health system weaknesses, lack of integrated care and timely referral, and defining HIV exclusively as a medical issue, while ignoring the social determinants of health. Women's own health was particularly marginalised within the PMTCT programme, yet good models exist for comprehensive care for women, infants and their families that should be implemented as testing is scaled up
Developing country · Economic growth · Environmental health · Family medicine · Focus group · Health care · Population · Public health · Qualitative research · Referral · Sociology · Adolescent Sexual and Reproductive Health · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Nursing
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 qualitative findings on factors enabling and deterring uptake of HIV testing in Sub-Saharan Africa
A comprehensive review of the barriers and promoters health workers experience in delivering prevention of vertical transmission of HIV services in sub-Saharan Africa
| Unique citing works | 3 |
|---|---|
| Citations per year | 0,23 |
| Citation span | 2013 - 2016 (4) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 3 |