"I…Tell Her Not to Take Medicines": Understanding Engagement in the Prevention of Mother to Child Transmission (PMTCT) Care Continuum through the Socio-Ecological Model.
"I…Tell Her Not to Take Medicines": Understanding Engagement in the Prevention of Mother to Child Transmission (PMTCT) Care Continuum through the Socio-Ecological Model.
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DOI：
10.3390/ijerph192013530
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发表时间：
2022-10-19
影响因子：
--
通讯作者：
Wells KJ
中科院分区：
文献类型：
--
作者：
Modi A;Garcia-Alcaraz C;Trivedi S;Kosambiya JK;Wells KJ
在印度，世界上有10%的儿童感染了人类免疫缺陷病毒（艾滋病毒/艾滋病），实现消除父母/母亲对儿童的传播（EPTCT/EMTCT）还很遥远。及时启动和最佳坚持预防父母/母亲向儿童传播（PPTCT/PMTCT）可以将新的儿科艾滋病毒感染减少到零。本定性研究应用社会生态模型（SEM）来了解影响母亲参与预防母婴传播护理连续体的国家、地区和具体环境因素。最大变异采样和饱和原则决定了样本量。基于SEM“先验”和新兴主题的深度访谈指南捕捉了父母二人组的叙述。翻译和转录的录音记录采用直接内容分析法进行编码，包括人工编码和Atlas Ti软件编码。对编码报告进行讨论，以达成共识并进行最终分析。男性伴侣、同伴、社区卫生工作者、对健康婴儿的希望、关于艾滋病毒和预防服务的知识、免费抗逆转录病毒治疗、交通和婴儿早期诊断（EID）工具影响了预防母婴传播护理的连续性。私营部门的检测和转诊政策促进了内化或自我污名化。未来的干预措施应寻求通过男性伴侣、同伴和卫生工作者的参与来发展孕妇支持系统。提高私营部门和社区对可免费获得的艾滋病毒预防和护理方案的认识的战略，可能使预防母婴传播的利用达到最佳状态。
With ten percent of the world’s children living with Human Immunodeficiency Virus (HIV/ AIDS) in India, achieving elimination of parent/mother to-child transmission (EPTCT/EMTCT) is far away. Timely initiation and optimal adherence to the prevention of parent/mother to child transmission (PPTCT/PMTCT) may reduce new paediatric HIV infections to zero. This qualitative study applies the Socio-ecological Model (SEM) to understand country, region and context-specific factors influencing mothers’ engagement in the PMTCT care continuum. Maximum variation sampling and saturation tenets determined the sample size. An in-depth interview guide based on SEM “a priori” and emerging themes captured narratives of the parental dyad. The translated and transcribed audio records were coded by direct content analysis method, both manually and with Atlas Ti software. The coding reports were discussed for consensus and final analysis. Male partner, peers, community health workers (CHWs), hope for healthy baby, knowledge about HIV and preventive services, free anti-retroviral therapy, transportation and the early infant diagnosis (EID) tool influenced PMTCT care continuum. Testing and referral policies of the private sector facilitated internalized or self-stigma. Future interventions should seek to develop pregnant women’s support system by engaging male partners, peers, and CHWs. Strategies addressing private sector and community awareness about freely available HIV prevention and care programs may enable optimal PMTCT utilization.
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影响因子：
3.2
作者：
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通讯作者：
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