Objective:To find out why pregnant women who receive HIV -1positive test results and are o ffered short course antiretroviral prophylaxis to prevent transmission of HIV from mother to child do not participate in neces...Objective:To find out why pregnant women who receive HIV -1positive test results and are o ffered short course antiretroviral prophylaxis to prevent transmission of HIV from mother to child do not participate in necessary follow up visits before starting prophylax is.Design:Qualitative interview study.Setting:A program me aiming to prevent transmission of HIV from mother to ch ild at a public ante-natal clinic in Abidjan,Cte dIvoire.Participants:Pur-posive sample of 27women who had received HIV -1positive test results and were invit ed to return for monthly follow up visits before starting pro phylaxis with zidovudine at 36weeks’gestation,but who had either refuse d or dis-continued the visits.None of the wom en started prophy-laxis.Results:Most of the women exp lained their non -participation in follow up visits by referring to negative experiences that they had had while i nteracting with pro-gramme staff or to their views about t he programme.Additional reasons concerned their disbelief of HIV positive test results and personal factors.C onclusions:Difficulties experienced by women during their co ntacts with staff working on the prevention programme and negative views that they have about the programme can contribute to their non -participation in prophylaxis.Training and supervi-sion of programme staff may increase the likelihood of positive interactions between staff and clients,thereby fa-cilitating women’s participation in preventing transmission of HIV from mother to child.Outreach and mobilisation in communities that are served by prevention programmes may complement these measures at progra mme level by con-tributing to increased social support for women’s efforts to prevent transmission of HIV from mother to child.展开更多
文摘Objective:To find out why pregnant women who receive HIV -1positive test results and are o ffered short course antiretroviral prophylaxis to prevent transmission of HIV from mother to child do not participate in necessary follow up visits before starting prophylax is.Design:Qualitative interview study.Setting:A program me aiming to prevent transmission of HIV from mother to ch ild at a public ante-natal clinic in Abidjan,Cte dIvoire.Participants:Pur-posive sample of 27women who had received HIV -1positive test results and were invit ed to return for monthly follow up visits before starting pro phylaxis with zidovudine at 36weeks’gestation,but who had either refuse d or dis-continued the visits.None of the wom en started prophy-laxis.Results:Most of the women exp lained their non -participation in follow up visits by referring to negative experiences that they had had while i nteracting with pro-gramme staff or to their views about t he programme.Additional reasons concerned their disbelief of HIV positive test results and personal factors.C onclusions:Difficulties experienced by women during their co ntacts with staff working on the prevention programme and negative views that they have about the programme can contribute to their non -participation in prophylaxis.Training and supervi-sion of programme staff may increase the likelihood of positive interactions between staff and clients,thereby fa-cilitating women’s participation in preventing transmission of HIV from mother to child.Outreach and mobilisation in communities that are served by prevention programmes may complement these measures at progra mme level by con-tributing to increased social support for women’s efforts to prevent transmission of HIV from mother to child.
