1. Keeping secrets, disclosing health information: an institutional ethnography of the social organisation of perinatal care for women living with HIV in Canada.
- Author
-
Ion, Allyson
- Subjects
- *
HIV-positive women , *INSTITUTIONAL care , *MATERNITY nursing , *MEDICAL personnel , *ETHNOLOGY , *HIV infection transmission , *DISCLOSURE , *MATERNAL health services , *RESEARCH , *SOCIAL participation , *HEALTH facilities , *RESEARCH methodology , *SOCIAL stigma , *MEDICAL cooperation , *EVALUATION research , *QUALITATIVE research , *COMPARATIVE studies , *PSYCHOLOGICAL tests , *PSYCHOSOCIAL factors ,PERINATAL care ,HIV infections & psychology - Abstract
This paper describes findings from an institutional ethnography that arose out of the concerns of women living with HIV in Ontario, Canada, regarding the disclosure of their HIV status while accessing perinatal care. The enquiry traces the connections between women's experiences of perinatal care, the activities of healthcare providers delivering such care and the ruling relations that organise women's experiences and healthcare providers' activities. Focusing on HIV disclosure as a concern expressed by women, the findings make visible the day-to-day, routinised practices of healthcare providers working in perinatal care for women living with HIV, as well as the ideological discourses of 'fear of contagion' and 'AIDS hysteria' that contributed to producing the kinds of care experiences that were articulated by women. Opportunities to strengthen perinatal care policies and practices for women living with HIV are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF