NDLI: Breastfeeding: the hidden barrier in Côte d'Ivoire's quest to eliminate mother-to-child transmission of HIV

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Breastfeeding: the hidden barrier in Côte d'Ivoire's quest to eliminate mother-to-child transmission of HIV

Content Provider	Semantic Scholar
Author	Buesseler, Heather M. Koné, Ahoua Robinson, Julia Bakor, Albert Senturia, Kirsten D.
Copyright Year	2014
Abstract	INTRODUCTION Côte d'Ivoire has one of the worst HIV/AIDS epidemics in West Africa. This study sought to understand how HIV-positive women's life circumstances and interactions with the public health care system in Bouaké, Côte d'Ivoire, influence their self-reported ability to adhere to antiretroviral prophylaxis during pregnancy. METHODS Semistructured interviews were conducted with 24 HIV-positive women not eligible for antiretroviral therapy and five health care workers recruited from four public clinics in which prevention of mother-to-child transmission services had been integrated into routine antenatal care. RESULTS Self-reported adherence to prophylaxis is high, but women struggle to observe (outdated) guidelines for rapid infant weaning. Women's positive interactions with health providers, their motivation to protect their infants and the availability of free antiretrovirals seem to override most potential barriers to prophylaxis adherence. CONCLUSIONS This study reveals the importance of considering the full continuum of prevention of mother-to-child transmission interventions, including infant feeding, instead of focussing primarily on prophylaxis for the mother and newborn.
File Format	PDF HTM / HTML
DOI	10.7448/IAS.17.1.18853
PubMed reference number	24746179
Journal	Medline
Volume Number	17
Journal	Journal of the International AIDS Society
Alternate Webpage(s)	http://ftp.ncbi.nlm.nih.gov/pub/pmc/bd/f9/JIAS-17-18853.PMC3991830.pdf
Alternate Webpage(s)	http://www.jiasociety.org/index.php/jias/article/download/18853/3625
Alternate Webpage(s)	https://doi.org/10.7448/IAS.17.1.18853
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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