PMTCT Option B+ 2012 to 2018 — Taking stock: barriers and strategies to improve adherence to Option B+ in urban and rural Uganda

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dc.contributor.authorKing, Rachel
dc.contributor.authorNamale Matovu, Joyce
dc.contributor.authorRujumba, Joseph
dc.contributor.authorWavamunno, Priscilla
dc.contributor.authorMusoke, Philippa
dc.contributor.authorSeeley, Janet,
dc.contributor.authorAmone, Alexander
dc.contributor.authorGabagaya, Grace
dc.contributor.authorGlenn Fowler, Mary
dc.contributor.authorHomsy, Jaco
dc.date.accessioned2021-12-10T12:31:37Z
dc.date.available2021-12-10T12:31:37Z
dc.date.issued2020
dc.description.abstractSince 2012, PMTCT Option B+ has been recommended by the World Health Organization to reduce vertical transmission but numerous adherence challenges remain. We conducted a qualitative study at baseline using six focus group discussions and 14 in-depth interviews to explore knowledge, beliefs, attitudes and challenges towards the Option B+ strategy for PMTCT among HIV-infected pregnant and post-partum women and health workers engaged in Uganda’s national Option B+ PMTCT programme. Data were analysed using a thematic approach to capture latent and manifest content with the social ecological model as a theoretic foundation in order to make contextual sense of key stakeholders’ needs for an effective Option B+ intervention. Overall, among all study participants, we found multi-level barriers to adhering to Option B+ cutting across all levels of the social ecological model. In line with the model, our study revealed barriers at personal, relational, organizational and societal levels. Some personal beliefs such as that the baby’s health is more important that the mother’s, organizational (negative attitudes and behaviour of health workers), structural such as poverty, work conflicts, fear and lack of disclosure related to community stigma were all critical obstacles to women adhering to the Option B+ programme. We found that both health workers and participants in the programme have a relatively clear understanding of the benefits of adhering to their treatment; though a more nuanced understanding and thus emphasis in counselling on side effects, is critical to helping patients adhere.en_US
dc.identifier.citationTo cite this article: Rachel King, Joyce Namale Matovu, Joseph Rujumba, Priscilla Wavamunno, Alexander Amone, Grace Gabagaya, Mary Glenn Fowler, Jaco Homsy, Janet Seeley & Philippa Musoke (2020) PMTCT Option B+ 2012 to 2018 — Taking stock: barriers and strategies to improve adherence to Option B+ in urban and rural Uganda, African Journal of AIDS Research, 19:2, 135-146, DOI: 10.2989/16085906.2020.1760325en_US
dc.identifier.issn1608-5906
dc.identifier.urihttps://doi.org/10.2989/16085906.2020.1760325
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/254
dc.language.isoenen_US
dc.publisherNISC (Pty) Ltden_US
dc.subjectAfricaen_US
dc.subjectHIVen_US
dc.subjectpreventionen_US
dc.subjectPMTCTen_US
dc.subjectsupport groupsen_US
dc.titlePMTCT Option B+ 2012 to 2018 — Taking stock: barriers and strategies to improve adherence to Option B+ in urban and rural Ugandaen_US
dc.typeArticleen_US
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