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HIV status disclosure among postpartum women in rural Tanzania: predictors, experiences and uptake of a nurse-facilitated disclosure intervention.
- Source :
- AIDS Care; Apr2018, Vol. 30 Issue 4, p417-425, 9p, 4 Charts, 1 Graph
- Publication Year :
- 2018
-
Abstract
- HIV status disclosure is a key support strategy to start and maintain HIV care and treatment and to reduce HIV transmission. We explored the patterns and correlates of disclosure and described the effectiveness of nurse-facilitated disclosure among HIV-infected mothers of infants in coastal Tanzania. We enrolled 400 HIV positive women in an observational longitudinal study in 2011, interviewed them about maternal sociodemographic and economic characteristics, maternal and child health and history of HIV disclosure experiences and offered nurse-facilitated HIV disclosure at enrolment or at follow-up 1 month later. Mothers frequently disclosed their status to husbands and/or female relatives and experienced predominantly positive reactions. Economically vulnerable women disclosed more often to elderly female relatives, indicating that Infant and Young Child Feeding counseling given to HIV positive women should garner the support of elderly female relatives for implementing appropriate feeding practices. Nurse-facilitated disclosure was feasible in this low resource setting and was used by patients to help them with both first-time disclosure and disclosure to new persons. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV infections
THERAPEUTICS
ARTIFICIAL feeding
ECONOMICS
FISHER exact test
HIV-positive persons
PATIENT aftercare
MEDICAL care
MOTHERS
NURSING
PATIENTS
POSTNATAL care
RURAL conditions
SUPPORT groups
T-test (Statistics)
DISCLOSURE
EXTENDED families
SOCIOECONOMIC factors
PATIENT selection
DATA analysis software
Subjects
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 30
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 127784862
- Full Text :
- https://doi.org/10.1080/09540121.2018.1428724