Tamsin K Phillips1, Kemberlee Bonnet2, Landon Myer1, Sizakele Buthelezi3, Zanele Rini1, Jean Bassett3, David Schlundt2, Kate Clouse4,5. 1. Division of Epidemiology and Biostatistics and Centre for Infectious Disease Epidemiology and Research, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa. 2. Department of Psychology, Vanderbilt University, Nashville, TN, USA. 3. Witkoppen Health and Welfare Centre, Johannesburg, South Africa. 4. Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, TN, USA. kate.clouse@vanderbilt.edu. 5. Department of Medicine, Division of Infectious Diseases, Vanderbilt Institute for Global Health, Vanderbilt University, 2525 West End Ave., Suite 750, Nashville, TN, 37203, USA. kate.clouse@vanderbilt.edu.
Abstract
INTRODUCTION: Pregnant women initiating antiretroviral therapy (ART) in sub-Saharan Africa have been shown to have sub-optimal engagement in care, particularly after delivery, and interventions to improve engagement in care for this unique population are urgently needed. METHODS: We enrolled 25 pregnant women living with HIV at each of two large antenatal clinics in Johannesburg and Cape Town, South Africa (n = 50), and conducted in-depth interviews. We assessed participants' reported acceptability of the following proposed interventions to improve engagement in care and retention monitoring data systems: financial incentives, educational toys, health education, combined maternal/infant visits, cell phone text reminders, mobility tracking, fingerprint/biometric devices, and smartcards. RESULTS: Acceptability overall for interventions was high, with mixed responses for some interventions. Overall themes identified included (i) the intersection of individual and facility responsibility for a patient's health, (ii) a call for more health education, (iii) issues of disclosure and concerns about privacy, and (iv) openness to interventions that could improve health systems. DISCUSSION: These findings provide insight into the preferences and concerns of potential users of interventions to improve engagement in HIV care for pregnant women, and support the development of tools that specifically target this high-risk group.
INTRODUCTION: Pregnant women initiating antiretroviral therapy (ART) in sub-Saharan Africa have been shown to have sub-optimal engagement in care, particularly after delivery, and interventions to improve engagement in care for this unique population are urgently needed. METHODS: We enrolled 25 pregnant women living with HIV at each of two large antenatal clinics in Johannesburg and Cape Town, South Africa (n = 50), and conducted in-depth interviews. We assessed participants' reported acceptability of the following proposed interventions to improve engagement in care and retention monitoring data systems: financial incentives, educational toys, health education, combined maternal/infant visits, cell phone text reminders, mobility tracking, fingerprint/biometric devices, and smartcards. RESULTS: Acceptability overall for interventions was high, with mixed responses for some interventions. Overall themes identified included (i) the intersection of individual and facility responsibility for a patient's health, (ii) a call for more health education, (iii) issues of disclosure and concerns about privacy, and (iv) openness to interventions that could improve health systems. DISCUSSION: These findings provide insight into the preferences and concerns of potential users of interventions to improve engagement in HIV care for pregnant women, and support the development of tools that specifically target this high-risk group.
Entities:
Keywords:
Acceptability; Antiretroviral therapy; HIV; Intervention; Pregnancy; Sub-Saharan Africa
Authors: Laura M Bogart; Senica Chetty; Janet Giddy; Alexis Sypek; Laurel Sticklor; Rochelle P Walensky; Elena Losina; Jeffrey N Katz; Ingrid V Bassett Journal: AIDS Care Date: 2012-10-15
Authors: Adwoa Serwaa-Bonsu; Abraham J Herbst; Georges Reniers; Wilfred Ijaa; Benjamin Clark; Chodziwadziwa Kabudula; Osman Sankoh Journal: Glob Health Action Date: 2010-02-24 Impact factor: 2.640
Authors: Selena J An; Asha S George; Amnesty LeFevre; Rose Mpembeni; Idda Mosha; Diwakar Mohan; Ann Yang; Joy Chebet; Chrisostom Lipingu; Japhet Killewo; Peter Winch; Abdullah H Baqui; Charles Kilewo Journal: BMC Public Health Date: 2015-01-21 Impact factor: 3.295
Authors: Ian Hodgson; Mary L Plummer; Sarah N Konopka; Christopher J Colvin; Edna Jonas; Jennifer Albertini; Anouk Amzel; Karen P Fogg Journal: PLoS One Date: 2014-11-05 Impact factor: 3.240
Authors: Sara Rendell; Harald Schmidt; Rebecca Neergaard; Hervette Nkwihoreze; Zoe Barbati; William R Short; Aadia I Rana; Anandi N Sheth; Rachel K Scott; Sonia Sethi; Florence M Momplaisir Journal: Implement Sci Commun Date: 2022-08-02