Department of Public Health Sciences, Department of Cell and Molecular Biology, Karolinska Institute, Stockholm, Sweden and Department of Anesthesiology and Perioperative Care, Tufts University School of Medicine, Boston, MA, USA.
Center for Health and Wellbeing, Woodrow Wilson School of Princeton University, Princeton, NJ, USA.
Paediatr Int Child Health. 2020 Feb;40(1):58-64. doi: 10.1080/20469047.2018.1474697. Epub 2018 Aug 13.
: The majority of global HIV infections in children under 10 years of age occur during pregnancy, delivery or breastfeeding, despite improved coverage of 'prevention of mother-to-child transmission' (PMTCT) guidelines to reduce vertical transmission. This article looks closer at one community-based peer mentorship programme [Mentor Mothers Zithulele (MMZ)] in the Eastern Cape, South Africa which aims to supplement the existing heavily burdened antenatal programmes and improve PMTCT care.: Semi-structured interviews were undertaken with HIV-positive women participating in MMZ and women receiving standard PMTCT care without any intervention. A focus group discussion (FGD) was conducted with women working as Mentor mothers (MMs) for MMZ to explore their experience of the impact of peer mentoring on the rural communities they serve.: Six main themes were identified in the interviews with antenatal patients: (i) MMs were a key educational resource, (ii) MMs were important in promoting exclusive breastfeeding, (iii) encouraging early HIV testing during pregnancy and (iv) providing psychosocial support to patients in their homes, thereby reducing stigma and sense of alienation. Respondents requested (v) additional focus on HIV education. MMs can (vi) function as a link between patients and health-care providers, improving treatment adherence. During the FGD two themes emerged; MMs fill the gap between patients and health services, and MMZ should focus on HIV awareness and stigma reduction.: Peer mentoring programmes can play an important role in reducing vertical HIV transmission in resource-limited, rural settings by providing participants with education, psychosocial support, and a continuum of care.
: 在全球 10 岁以下儿童中，大多数艾滋病毒感染是在妊娠、分娩或母乳喂养期间发生的，尽管“预防母婴传播”（PMTCT）指南的覆盖面有所扩大，以减少垂直传播。本文更深入地研究了南非东开普省的一个基于社区的同伴导师计划[Mentor Mothers Zithulele（MMZ）]，该计划旨在补充现有的负担过重的产前方案，并改善 PMTCT 护理。: 对参与 MMZ 的艾滋病毒阳性妇女和未接受任何干预的接受标准 PMTCT 护理的妇女进行了半结构式访谈。对作为 MMZ 的导师母亲（MM）工作的妇女进行了焦点小组讨论（FGD），以探讨同伴指导对她们所服务的农村社区的影响。: 在与产前患者的访谈中确定了六个主要主题：（i）MM 是一个关键的教育资源，（ii）MM 对促进纯母乳喂养很重要，（iii）鼓励孕妇尽早进行 HIV 检测，以及（iv）在患者家中提供心理社会支持，从而减少耻辱感和疏离感。受访者要求（v）增加对 HIV 教育的关注。MM 可以（vi）作为患者和医疗保健提供者之间的联系，提高治疗依从性。在 FGD 中出现了两个主题；MM 填补了患者和卫生服务之间的空白，MMZ 应专注于提高 HIV 意识和减少耻辱感。: 同伴指导计划可以通过为参与者提供教育、心理社会支持和持续的护理，在资源有限的农村环境中发挥重要作用，减少垂直传播的艾滋病毒。
