The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania

Falnes, Eli Fjeld; Moland, Karen Marie; Tylleskär, Thorkild; Paoli, Marina Manuela de; Leshabari, Sebalda; Engebretsen, Ingunn Marie S.

doi:10.1186/1471-2458-11-551

Cited by 14 publications

(13 citation statements)

References 21 publications

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“…Unfortunately, matriarchal advice on mixed feeding is usually given without the awareness of HIV infection and the risk of MTCT (Hofmann et al, 2009;Maru et al, 2009). As such, women living with their mothers or mothers-in-law are more likely to mix feed (Doherty et al, 2006a;Falnes et al, 2011). Factors that help mothers resist mixed feeding advice include disclosing HIV status to partners and mothers-in-law, attending peer support groups, and living in urban areas away from matriarchs (Ostergaard et al, 2010;Falnes et al, 2011;Mataya et al, 2013;).…”

Section: Influence Of Grandmothers and Other Matriarchsmentioning

confidence: 99%

Barriers to the practice of exclusive breastfeeding among HIV-positive mothers in sub-Saharan Africa: A Scoping Review of counselling, socioeconomic and cultural factors

Al-Mujtaba¹,

Sam-Agudu²,

Khatri³

2016

J. AIDS HIV Res.

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The World Health Organization (WHO) recommends exclusive breast-feeding (EBF) for HIV exposed infants for six months; this is considered best practice for reducing mother-to-child transmission of HIV in the postpartum period. This is a scoping review of the barriers affecting women's decision-making and choice to sustain the practice of EBF in sub-Saharan Africa (SSA). An online literature search via PubMed, Science Direct, Google Scholar, WHO and Joint United Nations Programme on HIV and AIDS (UNAIDS) websites identified research studies and reports that explored socio-economic, cultural and infant feeding counselling-related barriers to EBF among HIV-positive mothers in SSA. A total of 341 relevant articles were identified only 35 (23 qualitative, 3 quantitative and 9 mixed methods) met the inclusion criteria. Findings reveal that key barriers to choice and sustained practice of EBF are healthcare workers' personal biases, inadequate counselling skills and guideline knowledge, a culture of mixed feeding norms, and maternal lack of decision-making power and fear of vertical transmission. Transmission of HIV programs in countries where major challenges persist should evaluate and address the identified healthcare worker and community-level factors impeding EBF.

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Section: Influence Of Grandmothers and Other Matriarchsmentioning

confidence: 99%

Barriers to the practice of exclusive breastfeeding among HIV-positive mothers in sub-Saharan Africa: A Scoping Review of counselling, socioeconomic and cultural factors

Al-Mujtaba¹,

Sam-Agudu²,

Khatri³

2016

J. AIDS HIV Res.

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“…The importance of family support for women living with HIV can never be overestimated especially when husbands and mothers-in-law in particular have traditionally played key roles in the care and maintenance of expectant mothers. As studies have highlighted, there exists huge potential for improving the effectiveness of PMTCT programs when people living with HIV have the support of their families [13,17,[28][29][30][31][32][33].…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study of Barriers to Effectiveness of Interventions to Prevent Mother-to-Child Transmission of HIV in Arba Minch, Ethiopia

Adedimeji

Abboud

Merdekios

et al. 2012

International Journal of Population Research

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Objectives. Despite the availability of services to prevent mother-to-child transmission (PMTCT) of HIV, socio-cultural, health system and operational factors constrain many pregnant women from accessing services or returning for followup thereby increasing the risk of vertical transmission of HIV to newborns. We highlight and describe unique contextual factors contributing to low utilization of PMTCT services in Arba-Minch, Ethiopia. Methods. Qualitative research design was utilized to obtain data through focus group discussions and in-depth interviews with antenatal clinic attendees, health workers health facilities in the study area. Results. Awareness of PMTCT services and knowledge of its benefits was nearly universal, although socioeconomic, cultural and health system factors, including stigma and desire to prevent knowledge of serostatus, impede access to and utilization of services. Health system factors-lack of appropriate followup mechanisms, inadequate access to ARV drugs and poorly equipped manpower also contribute to low utilization of services. Conclusion. Reducing mother-to-child transmission of HIV in sub-Saharan Africa will be more effective when unique contextual factors are identified and addressed. Effectiveness of PMTCT interventions rests on a well functioning health system that recognize the importance of social, economic, cultural contexts that HIV positive pregnant women live in.

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“…of other factors such as poverty, [101][102][103][104] psychosocial support for pregnant women [105][106][107] and their families, 108,109 and violence 102 on women's ability to access a range of available services.…”

Section: Attention To Women's Health During Pregnancymentioning

confidence: 99%

The pregnancy decisions of HIV-positive women: the state of knowledge and way forward

MacCarthy¹,

Rasanathan

Ferguson

et al. 2012

Reproductive Health Matters

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Despite the growing number of women living with and affected by HIV, there is still insufficient attention to their pregnancy-related needs, rights, decisions and desires in research, policy and programs. We carried out a review of the literature to ascertain the current state of knowledge and highlight areas requiring further attention. We found that contraceptive options for pregnancy prevention by HIV-positive women are insufficient: condoms are not always available or acceptable, and other options are limited by affordability, availability or efficacy. Further, coerced sterilization of women living with HIV is widely reported. Information gaps persist in relation to effectiveness, safety and best practices regarding assisted reproductive technologies. Attention to neonatal outcomes generally outweighs attention to the health of women before, during and after pregnancy. Access to safe abortion and post-abortion care services, which are critical to women's ability to fulfill their sexual and reproductive rights, are often curtailed. There is inadequate attention to HIV-positive sex workers, injecting drug users and adolescents. The many challenges that women living with HIV encounter in their interactions with sexual and reproductive health services shape their pregnancy decisions. It is critical that HIV-positive women be more involved in the design and implementation of research, policies and programs related to their pregnancy-related needs and rights.

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The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania

Cited by 14 publications

References 21 publications

Barriers to the practice of exclusive breastfeeding among HIV-positive mothers in sub-Saharan Africa: A Scoping Review of counselling, socioeconomic and cultural factors

Barriers to the practice of exclusive breastfeeding among HIV-positive mothers in sub-Saharan Africa: A Scoping Review of counselling, socioeconomic and cultural factors

A Qualitative Study of Barriers to Effectiveness of Interventions to Prevent Mother-to-Child Transmission of HIV in Arba Minch, Ethiopia

The pregnancy decisions of HIV-positive women: the state of knowledge and way forward

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