Show simple item record

dc.contributor.authorOdiachi, Angela
dc.contributor.authorAl-Mujtaba, Maryam
dc.contributor.authorTorbunde, Nguavese
dc.contributor.authorErekaha, Salome
dc.contributor.authorAfe, Abayomi J
dc.contributor.authorAdejuyigbe, Ebun
dc.contributor.authorGaladanci, Hadiza S
dc.contributor.authorJasper, Tongdiyen L
dc.contributor.authorCornelius, Llewellyn J
dc.contributor.authorSam-Agudu, Nadia A
dc.date.accessioned2021-08-12T12:40:44Z
dc.date.available2021-08-12T12:40:44Z
dc.date.issued2021-08-07
dc.identifier.urihttp://hdl.handle.net/10713/16371
dc.description.abstractBackground: Mentor mothers provide psychosocial and other support to pregnant and post-partum women living with HIV (WLHIV), which has been shown to enhance maternal-infant outcomes in the prevention of mother-to-child transmission of HIV (PMTCT). Our objective was to assess the acceptability of mentor mothers as a PMTCT intervention, and to explore opinions on mentor mother program composition and delivery among stakeholders in North-Central Nigeria. Methods: We conducted nine focus group discussions and 31 in-depth interviews with 118 participants, including WLHIV, pregnant women, male partners, health workers, traditional birth attendants, community leaders, PMTCT program implementers, and policymakers. Participants were purposively recruited from health facilities and surrounding communities in the Federal Capital Territory and Nasarawa State. Transcripts were manually analysed using a Grounded Theory approach, where theory was derived from the data collected. Results: Most participants were female (n = 78, 67%), and married (n = 110, 94%). All participant groups found mentor mothers acceptable as women providing care to pregnant and postpartum women, and as WLHIV supporting other WLHIV. Mentor mothers were uniquely relatable as role models for WLHIV because they were women, living with HIV, and had achieved an HIV-negative status for their HIV-exposed infants. Mentor mothers were recognized as playing major roles in maternal health education, HIV treatment initiation, adherence, and retention, HIV prevention for male partners and infants, and couple HIV disclosure. Most WLHIV preferred to receive mentor mothers' services at health facilities rather than at home, due to concerns about HIV-related stigma and discrimination through association with mentor mothers. Key mentor mother needs were identified as training, remuneration, and validation as lay health workers. Conclusions: Mentor mothers are an acceptable PMTCT intervention among stakeholders in North-Central Nigeria. However, stigma and discrimination for both mentor mothers and their clients remain a critical challenge, and mentor mother needs such as training, pay, and a sustainably supported niche in health systems require focused attention.en_US
dc.description.urihttps://doi.org/10.1186/s12884-021-04002-1en_US
dc.language.isoenen_US
dc.publisherSpringer Natureen_US
dc.relation.ispartofBMC Pregnancy and Childbirthen_US
dc.rights© 2021. The Author(s).en_US
dc.subjectCounselingen_US
dc.subjectExpert mothersen_US
dc.subjectHIVen_US
dc.subjectMentor mothersen_US
dc.subjectNigeriaen_US
dc.subjectPMTCTen_US
dc.subjectPeer supporten_US
dc.titleAcceptability of mentor mother peer support for women living with HIV in North-Central Nigeria: a qualitative studyen_US
dc.typeArticleen_US
dc.identifier.doi10.1186/s12884-021-04002-1
dc.identifier.pmid34364384
dc.source.volume21
dc.source.issue1
dc.source.beginpage545
dc.source.endpage
dc.source.countryEngland


This item appears in the following Collection(s)

Show simple item record