Hassan, Farida; Renju, Jenny; Songo, John; Chimukuche, Rujeko Samanthia; Kalua, Thokozani; McLean, Estelle; Luwanda, Lameck; Geubbels, Eveline; Seeley, Janet; Moshabela, Mosa; +2 more... Kajoka, Deborah; Wringe, Alison; (2020) Implementation and experiences of integrated prevention of mother-to-child transmission services in Tanzania, Malawi and South Africa: A mixed methods study. GLOBAL PUBLIC HEALTH, 16 (2). pp. 201-215. ISSN 1744-1692 DOI: https://doi.org/10.1080/17441692.2020.1839927
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Abstract
Although integration of HIV and maternal health services is recommended by the World Health Organization, evidence to guide implementation is limited. We describe facility-level implementation of policies for integrating HIV care within maternal health services and explore experiences of service users and providers in rural Tanzania (Ifakara), South Africa (uMkhanyakude) and Malawi (Karonga). Policy in all countries included HIV testing during antenatal care (ANC), same-day antiretroviral therapy (ART) initiation for HIV-positive pregnant women, and postpartum referral to ART clinics, between six weeks (Malawi, South Africa) and two years after delivery (Tanzania). All facilities offered HIV testing within ANC, most commonly during the first visit. Although most women were comfortable with HIV testing, some felt that opting out would lead to sub-standard services. Some facilities conducted group post-test counselling for HIV-negative women, raising concerns of unintended HIV status disclosure. ART initiation was offered on the same day, the same room as an HIV diagnosis in >90% of facilities. Women's worries around postpartum referral included having unknown providers, insufficient privacy and queues. Adoption and implementation of policies on integrated HIV and maternal health services varied across settings. Patients' experiences of these policies may influence uptake and retention in care.
Item Type | Article |
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Faculty and Department |
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) Faculty of Public Health and Policy > Dept of Global Health and Development |
Research Centre | Centre for Maternal, Reproductive and Child Health (MARCH) |
PubMed ID | 33119433 |
Elements ID | 152313 |
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Filename: Implementation and experiences of integrated prevention of mother to child transmission services in Tanzania Malawi and South Africa A mixed methods.pdf
Licence: Creative Commons: Attribution-Noncommercial-No Derivative Works 3.0
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