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    Exploring the acceptability of Option B plus among HIV-positive Nigerian women engaged and not engaged in the prevention of mother-to-child transmission of HIV cascade: a qualitative study

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    Author
    Erekaha, S.C.
    Cornelius, L.J.
    Bessaha, M.L.
    Date
    2018
    Journal
    SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance
    Publisher
    Taylor & Francis
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://dx.doi.org/10.1080/17290376.2018.1527245
    Abstract
    The acceptability of lifelong antiretroviral therapy (ART) among HIV-positive women in high-burden Nigeria, is not well-known. We explored readiness of users and providers of prevention of mother-to-child transmission of HIV (PMTCT) services to accept lifelong ART -before Option B plus was implemented in Nigeria. We conducted 142 key informant interviews among 100 PMTCT users (25 pregnant-newly-diagnosed, 26 pregnant-in-care, 28 lost-to-follow-up (LTFU) and 21 postpartum women living with HIV) and 42 PMTCT providers in rural North-Central Nigeria. Qualitative data were manually analyzed via Grounded Theory. PMTCT users had mixed views about lifelong ART, strongly influenced by motivation to prevent infant HIV and by presence or absence of maternal illness. Newly-diagnosed women were most enthusiastic about lifelong ART, however postpartum and LTFU women expressed conditionalities for acceptance and adherence, including minimal ART side effects and potentially serious maternal illness. Providers corroborated user findings, identifying the postpartum period as problematic for lifelong ART acceptability/adherence. Option B plus scale-up in Nigeria will require proactively addressing PMTCT user fears about ART side effects, and continuous education on long-term maternal and infant benefits. Structural barriers such as the availability of trained providers, long clinic wait times and patient access to ART should also be addressed.
    Keyword
    adherence
    HIV
    Nigeria
    Option B plus
    PMTCT
    rural
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85054098947&doi=10.1080%2f17290376.2018.1527245&partnerID=40&md5=7e34b01b5eba522cfc2f15db37e78548; http://hdl.handle.net/10713/9398
    ae974a485f413a2113503eed53cd6c53
    10.1080/17290376.2018.1527245
    Scopus Count
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