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Accepted (AM)Open Access (License Unspecified), Open
Journal article
HIV status disclosure among postpartum women in rural Tanzania: predictors, experiences and uptake of a nurse-facilitated disclosure intervention
AIDS care, v 30(4), pp 417-425
03 Apr 2018
PMID: 29363340
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
HIV status disclosure is a key support strategy to start and maintain HIV care and treatment and to reduce HIV transmission. We explored the patterns and correlates of disclosure and described the effectiveness of nurse-facilitated disclosure among HIV-infected mothers of infants in coastal Tanzania. We enrolled 400 HIV positive women in an observational longitudinal study in 2011, interviewed them about maternal sociodemographic and economic characteristics, maternal and child health and history of HIV disclosure experiences and offered nurse-facilitated HIV disclosure at enrolment or at follow-up 1 month later. Mothers frequently disclosed their status to husbands and/or female relatives and experienced predominantly positive reactions. Economically vulnerable women disclosed more often to elderly female relatives, indicating that Infant and Young Child Feeding counseling given to HIV positive women should garner the support of elderly female relatives for implementing appropriate feeding practices. Nurse-facilitated disclosure was feasible in this low resource setting and was used by patients to help them with both first-time disclosure and disclosure to new persons.
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Details
- Title
- HIV status disclosure among postpartum women in rural Tanzania: predictors, experiences and uptake of a nurse-facilitated disclosure intervention
- Creators
- E. Geubbels - Ifakara Health InstituteA. Williams - Emory UniversityA. Ramaiya - Drexel UniversityD. Tancredi - University of California Davis Medical CenterS. Young - Cornell UniversityC. Chantry - University of California, Davis
- Publication Details
- AIDS care, v 30(4), pp 417-425
- Publisher
- Taylor & Francis
- Grant note
- R34 200513446-7 / National Institutes of Health (10.13039/100000002) 5-10 / Campbell Foundation (10.13039/100009323) K01 MH098902 / National Institute of Mental Health (10.13039/100000025)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- English and Philosophy; Community Health and Prevention
- Web of Science ID
- WOS:000424346700003
- Scopus ID
- 2-s2.0-85040977959
- Other Identifier
- 991019168029904721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Health Policy & Services
- Psychology, Multidisciplinary
- Public, Environmental & Occupational Health
- Respiratory System
- Social Sciences, Biomedical