莫桑比克预防艾滋病毒母婴传播项目实施障碍和促进因素认知情况。
Perceptions of barriers and facilitators to implement programs for prevention of mother-to-child transmission of HIV-Mozambique.
机构信息
Pontificia Universidad Católica de Chile, Facultad de Medicina, Escuela de Enfermería, Santiago, Chile.
出版信息
Rev Esc Enferm USP. 2022 Feb 11;56:e20210353. doi: 10.1590/1980-220X-REEUSP-2021-0353. eCollection 2022.
OBJECTIVE
To understand the perspectives of pregnant and postpartum women living with HIV in Sofala, Mozambique, regarding barriers and facilitators to following Prevention of Mother-to-Child Transmission (PMTCT) recommendations.
METHOD
Qualitative study conducted in three health centers and with a peer support group of women living with HIV, between October 2020 and March 2021. We applied purposeful sampling, semi-structured interviews, and content analysis.
RESULTS
Among the barriers that emerged were the social stigma associated with HIV-positive status and fear of discrimination, side effects of medications, economic barriers, and denial of diagnosis/treatment. As facilitating factors: peer support networks and inspiration, innate concern for health and family. Finally, they recommend that the community should become more educated about HIV.
CONCLUSION
The results of this study give a broad understanding of the experience of women living with HIV in this province, making it possible to focus strategies in improving the care of women in PMTCT programs in Mozambique.
目的
了解莫桑比克索法拉省感染艾滋病毒的孕妇和产后妇女对遵循预防母婴传播(PMTCT)建议的障碍和促进因素的看法。
方法
这是一项于 2020 年 10 月至 2021 年 3 月在三个保健中心和一个艾滋病毒感染者同伴支持小组进行的定性研究。我们采用了目的性抽样、半结构式访谈和内容分析。
结果
出现的障碍包括与 HIV 阳性状态相关的社会耻辱感和对歧视的恐惧、药物的副作用、经济障碍和对诊断/治疗的否认。促进因素包括同伴支持网络和启发、对健康和家庭的固有关注。最后,她们建议社区应该对 HIV 有更多的了解。
结论
这项研究的结果广泛了解了该省感染艾滋病毒妇女的经历,这使得有可能集中精力制定战略,改善莫桑比克 PMTCT 方案中妇女的护理。