Addressing the migrant gap: maternal healthcare perspectives on utilising prevention of mother to child transmission (PMTCT) services during the COVID-19 pandemic, South Africa.
Addressing the migrant gap: maternal healthcare perspectives on utilising prevention of mother to child transmission (PMTCT) services during the COVID-19 pandemic, South Africa.
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DOI：
10.1080/16549716.2022.2100602
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发表时间：
2022-12-31
影响因子：
2.6
通讯作者：
Vearey, Jo
中科院分区：
文献类型：
--
作者：
Bisnauth, Melanie A.;Coovadia, Ashraf;Kawonga, Mary;Vearey, Jo
2019冠状病毒病大流行中断了南非预防艾滋病毒母婴传播（PMTCT）的计划。据估计，2020年，南非有400万跨境移民，其中一些是感染艾滋病毒的妇女（WLWH），她们移动的程度很高，居住在约翰内斯堡的周边和城市地区。关于这些妇女与不同流动模式相关的流动类型、2019冠状病毒病大流行对使用预防母婴传播服务的妇女的流动类型的影响以及服务的变化如何影响依从性，我们知之甚少。定性探索在约翰内斯堡高流动性背景下使用预防母婴传播服务的不同流动类型移民妇女的经验，以及属于特定类型如何影响COVID-19大流行期间获得的医疗保健及其整体经历。从2020年6月至2021年6月，对40名怀孕的流动人员WLWH进行了定性半结构化访谈。参与者是在约翰内斯堡的一家公立医院通过有目的的抽样招募的。采用专题方法对访谈进行分析。与22名跨境移民和18名国内移民进行了40次访谈。与省际和区域内流动相比，跨界移徙模式中的妇女经历了证件、语言可用性、虐待、教育和咨询方面的障碍。由于边境关闭，他们无法接受抗逆转录病毒治疗，中断了依从性，并依靠短信提醒在大流行期间坚持抗逆转录病毒治疗。所有40名妇女都很难理解坚持的重要性，因为缺乏支持社交距离协议和提供预防母婴传播教育的基础设施。COVID-19加剧了跨境移民妇女利用预防母婴传播服务的现有挑战。未来的大流行准备工作应通过提供差异化服务来解决，包括数月发放抗逆转录病毒药物、虚拟教育保健和语言敏感信息，以满足移动的妇女的需求，减轻医疗保健系统的负担。
The COVID-19 pandemic has interrupted the prevention of mother-to-child transmission of HIV (PMTCT) programming in South Africa. In 2020, it was estimated that there were 4 million cross-border migrants in South Africa, some of whom are women living with HIV (WLWH), who are highly mobile and located within peripheral and urban areas of Johannesburg. Little is known about the mobility typologies of these women associated with different movement patterns, the impact of the COVID-19 pandemic on mobility typologies of women utilising PMTCT services and on how changes to services might have affected adherence. To qualitatively explore experiences of different mobility typologies of migrant women utilising PMTCT services in a high mobility context of Johannesburg and how belonging to a specific typology might have affected the health care received and their overall experiences during the COVID-19 pandemic. Qualitative semi-structured interviews with 40 pregnant migrant WLWH were conducted from June 2020-June 2021. Participants were recruited through purposive sampling at a public hospital in Johannesburg. A thematic approach was used to analyse interviews. Forty interviews were conducted with 22 cross-border and 18 internal migrants. Women in cross-border migration patterns compared to interprovincial and intraregional mobility experienced barriers of documentation, language availability, mistreatment, education and counselling. Due to border closures, they were unable to receive ART interrupting adherence and relied on SMS reminders to adhere to ART during the pandemic. All 40 women struggled to understand the importance of adherence because of the lack of infrastructure to support social distancing protocols and to provide PMTCT education. COVID-19 amplified existing challenges for cross-border migrant women to utilise PMTCT services. Future pandemic preparedness should be addressed with differentiated service delivery including multi-month dispensing of ARVs, virtual educational care, and language-sensitive information, responsive to the needs of mobile women to alleviate the burden on the healthcare system.
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影响因子：
3.7
作者：
Stover J;Kelly SL;Mudimu E;Green D;Smith T;Taramusi I;Bansi-Matharu L;Martin-Hughes R;Phillips AN;Bershteyn A
通讯作者：
Bershteyn A
影响因子：
2.8
作者：
Bisnauth MA;Coovadia A;Kawonga M;Vearey J
通讯作者：
Vearey J
DOI：
10.1016/s2352-3018(20)30359-3
发表时间：
2021-03
期刊：
The lancet. HIV
影响因子：
--
作者：
Dorward J;Khubone T;Gate K;Ngobese H;Sookrajh Y;Mkhize S;Jeewa A;Bottomley C;Lewis L;Baisley K;Butler CC;Gxagxisa N;Garrett N
通讯作者：
Garrett N
影响因子：
3.7
作者：
Bisnauth MA;Davies N;Monareng S;Buthelezi F;Struthers H;McIntyre J;Rees K
通讯作者：
Rees K
影响因子：
3.3
作者：
Crush, Jonathan;Tawodzera, Godfrey
通讯作者：
Tawodzera, Godfrey