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HIV-positive women's experiences of a PMTCT programme in rural Malawi.
Midwifery 2010; 26(1):27-37M

Abstract

OBJECTIVE

to explore women's experiences of a prevention of mother-to-child transmission (PMTCT) programme in rural Malawi.

DESIGN, SETTING AND PARTICIPANTS

an exploratory, qualitative study using in-depth interviews with 24 purposively selected women infected with human immunodeficiency virus (HIV). The women were in three groups of eight: (1) those who delivered at the hospital and took nevirapine (NVP) before birth and whose babies received NVP within 72 hours of birth; (2) those who birthed at home and took NVP before birth but their babies never received NVP; and (3) those who birthed at home and did not take NVP and whose babies did not receive NVP. Data were analysed using content analysis.

FINDINGS

four themes emerged: (1) 'a wish to confirm and protect' refers to women's decisions to take the HIV test, (2) 'a revelation for action' is an illustration of how the testing may be part of an empowering process, (3) 'a dilemma between silence and openness' points to the dilemma that women are facing in their decision to share or not to share their HIV status with spouse, family, friends and community, and (4) 'a desire challenged by circumstances, chance and tradition' refers to the circumstances and actions which prevent these women from actually delivering at the hospital to protect their babies from HIV infection.

CONCLUSIONS

the PMTCT programme influences women's lives profoundly, and the importance of quality counselling and strengthening male involvement is stressed as the programme is implemented by an increasing number of service providers.

Authors+Show Affiliations

Malamulo Seventh Day Adventist Hospital, Makwasa, Malawi.No affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18571297

Citation

Kasenga, Fyson, et al. "HIV-positive Women's Experiences of a PMTCT Programme in Rural Malawi." Midwifery, vol. 26, no. 1, 2010, pp. 27-37.
Kasenga F, Hurtig AK, Emmelin M. HIV-positive women's experiences of a PMTCT programme in rural Malawi. Midwifery. 2010;26(1):27-37.
Kasenga, F., Hurtig, A. K., & Emmelin, M. (2010). HIV-positive women's experiences of a PMTCT programme in rural Malawi. Midwifery, 26(1), pp. 27-37. doi:10.1016/j.midw.2008.04.007.
Kasenga F, Hurtig AK, Emmelin M. HIV-positive Women's Experiences of a PMTCT Programme in Rural Malawi. Midwifery. 2010;26(1):27-37. PubMed PMID: 18571297.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - HIV-positive women's experiences of a PMTCT programme in rural Malawi. AU - Kasenga,Fyson, AU - Hurtig,Anna-Karin, AU - Emmelin,Maria, Y1 - 2008/06/20/ PY - 2007/11/30/received PY - 2008/03/13/revised PY - 2008/04/11/accepted PY - 2008/6/24/pubmed PY - 2010/9/15/medline PY - 2008/6/24/entrez SP - 27 EP - 37 JF - Midwifery JO - Midwifery VL - 26 IS - 1 N2 - OBJECTIVE: to explore women's experiences of a prevention of mother-to-child transmission (PMTCT) programme in rural Malawi. DESIGN, SETTING AND PARTICIPANTS: an exploratory, qualitative study using in-depth interviews with 24 purposively selected women infected with human immunodeficiency virus (HIV). The women were in three groups of eight: (1) those who delivered at the hospital and took nevirapine (NVP) before birth and whose babies received NVP within 72 hours of birth; (2) those who birthed at home and took NVP before birth but their babies never received NVP; and (3) those who birthed at home and did not take NVP and whose babies did not receive NVP. Data were analysed using content analysis. FINDINGS: four themes emerged: (1) 'a wish to confirm and protect' refers to women's decisions to take the HIV test, (2) 'a revelation for action' is an illustration of how the testing may be part of an empowering process, (3) 'a dilemma between silence and openness' points to the dilemma that women are facing in their decision to share or not to share their HIV status with spouse, family, friends and community, and (4) 'a desire challenged by circumstances, chance and tradition' refers to the circumstances and actions which prevent these women from actually delivering at the hospital to protect their babies from HIV infection. CONCLUSIONS: the PMTCT programme influences women's lives profoundly, and the importance of quality counselling and strengthening male involvement is stressed as the programme is implemented by an increasing number of service providers. SN - 1532-3099 UR - https://www.unboundmedicine.com/medline/citation/18571297/HIV_positive_women's_experiences_of_a_PMTCT_programme_in_rural_Malawi_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0266-6138(08)00041-7 DB - PRIME DP - Unbound Medicine ER -