Details:

Alternative Title:
J Acquir Immune Defic Syndr
Publisher's site:
http://dx.doi.org/10.1097/QAI.0000000000000078
Personal Author:
Wallace, Aaron ; Kimambo, Sajida ; Dafrossa, Lyimo ; Rusibamayila, Neema ; Rwebembera, Anath ; ... More +
Wallace, Aaron ; Kimambo, Sajida ; Dafrossa, Lyimo ; Rusibamayila, Neema ; Rwebembera, Anath ; Songoro, Juma ; Arthur, Gilly ; Luman, Elizabeth ; Finkbeiner, Thomas ; Goodson, James L. ; Less -
Description:
Background In 2009, a project was implemented in 8 primary health clinics throughout Tanzania to explore the feasibility of integrating pediatric HIV prevention services with routine infant immunization visits. Methods We conducted interviews with 64 conveniently sampled mothers of infants who had received integrated HIV and immunization services and 16 providers who delivered the integrated services to qualitatively identify benefits and challenges of the intervention midway through project implementation. Findings Mothers’ perceived benefits of the integrated services included time savings, opportunity to learn their child's HIV status and receive HIV treatment, if necessary. Providers’ perceived benefits included reaching mothers who usually would not come for only HIV testing. Mothers and providers reported similar challenges, including mothers’ fear of HIV testing, poor spousal support, perceived mandatory HIV testing, poor patient flow affecting confidentiality of service delivery, heavier provider workloads, and community stigma against HIV-infected persons; the latter a more frequent theme in rural compared with urban locations. Interpretation Future scale-up should ensure privacy of these integrated services received at clinics and community outreach to address stigma and perceived mandatory testing. Increasing human resources for health to address higher workloads and longer waiting times for proper patient flow is necessary in the long term.
Subject:
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Article
Delivery Of Health Care, Integrated
HIV Infections
Humans
Immunization Schedule
Infant
Infectious Disease Transmission, Vertical
Interviews As Topic
Mothers

Source:
J Acquir Immune Defic Syndr. 66(1):e8-e14
Pubmed ID:
24326602
Pubmed Central ID:
PMC4663663
Document Type:
Journal Article ;
Funding:
CC999999/Intramural CDC HHS/United States ;
Place as Subject:
Tanzania ;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:84b58aec33503334ccd000b8a62618dbe14a21515b7638393fbe1f2fc87709e6
File Type:

Supporting Files

• nihms-738172.nxml

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