Role of healthcare in childbearing decision-making of WLHA in Nigeria: Application of PEN-3 cultural model

Abstract

Healthcare experiences among women living with HIV/AIDS (WLHA), determine their utilisation of sexual and reproductive health services, which ultimately influences their decisions on childbearing. This study aimed to understand the importance of healthcare support in the childbearing decision-making processes of WLHA, and its impact on eliminating new paediatric HIV infections. We conducted in-depth interviews between July and August 2012 with 15 WLHA receiving clinical HIV care at a teaching hospital in Lagos. Using PEN-3 cultural model, as a guide we explored perceptions of healthcare support pre- and post-partum. Findings indicate that faith in God for the delivery of a healthy child is significant during the pre-partum period, while the advice of healthcare workers concerning childbearing and access to available healthcare services carry more weight post-partum. Our findings have important implications for HIV treatment and care programmes geared towards WLHA considering childbearing, and ultimately the UN Global plan to eliminate mother-to-child transmission of HIV, as we move towards the 2030 agenda for sustainable development.

Saúde sexual e reprodutiva de mulheres com HIV/aids: revisão integrativa

“…O segundo grupo reuniu estudos que avaliaram a adesão aos tratamentos propostos pelas equipes de saúde (13,17,(28)(29)31) ; e o último, com pesquisas que relataram as experiências dos profissionais dos serviços frente ao cuidado de mulheres soropositivas quanto à SSR (14)(15)18,(20)(21) . No Quadro 3, apresentam-se os principais resultados oriundos dos estudos analisados.…”

“…Sofolahan-Oladeinde et al, 2017 (31) Indica o despreparo dos profissionais a SSR de mulheres com HIV. Mostra que a religião tem influência no pré-parto, enquanto os profissionais de saúde têm maior influência no pós-parto.…”

Effect of Mother Baby Care (MBC) Package with the Palembang Cultural Approach Adaptation to Physic and Psychological Period Post Partum

“…Health workers need to provide interventions for postpartum mothers with health education packages [20]. This is because the advice of health care workers and access to available health services bring better conditions after giving birth [21].…”

The role of sociocultural contexts in forming adult HIV-patients’ behavior towards the prevention of metabolic syndrome: A descriptive phenomenological study

“…Generally, the study verified that the absence of adequate knowledge regarding the phenomenon under study leads to the unfavorable attitude and inadequate practices. Undeniably, the cultural identity dimension of persons, extended family, and the neighborhood was perceived to all shares for the growth of health-related knowledge (26,(32)(33)(34)(35)(37)(38)(39)(40)(41). An overall purpose of this domain was to identify patterns of thought, influences of prevailing knowledge from the individual response.…”

“…The mean age these respondents was 36.96 (sd8. 94), with more than half, 68.8 % (22) of them were found within the age range of (35)(36)(37)(38)(39)(40)(41)(42)(43)(44) The characteristics of health workers: In the in-depth interview section, there were n = 3(a female and 2 male) healthcare workers were involved. Their mean work experiences was 4.33 (sd = 0.…”