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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Factors influencing teen mothers' enrollment and participation in prevention of mother-to-child HIV transmission services in limpopo province, South Africa
Qualitative Health Research, Volume 18, No. 6, Year 2008
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Description
In this article, we examine barriers to HIV testing uptake and participation in prevention of mother-to-child HIV transmission (PMTCT) services among adolescent mothers aged 15 to 19 years in rural and urban Limpopo Province, South Africa. We used the narrative research method involving key informants constructing typical case studies of adolescent experiences with HIV testing and entry into PMTCT. Case studies formed the basis of a community-based questionnaire and focus group discussions with adolescent mothers. Client-counselor dynamics during pretest counseling were pivotal in determining uptake and participation, and counselor profile strongly influenced the nature of the interaction. Other factors found to influence adherence to PMTCT recommendations included HIV and early premarital pregnancy stigma, fear of a positive test result, and concerns over confidentiality and poor treatment by health care providers. Adolescents described elaborate strategies to avoid HIV disclosure to labor and delivery staff, despite knowing this would mean no antiretroviral therapy for their newborn infants. Theoretical, methodological, and programmatic implications of study findings are also discussed. © 2008 Sage Publications.
Authors & Co-Authors
Varga, Christine A.
South Africa, Durban
Nozizwe Consulting
Brookes, Heather Jean
South Africa, Johannesburg
University of Johannesburg
Statistics
Citations: 86
Authors: 2
Affiliations: 2
Identifiers
Doi:
10.1177/1049732308318449
ISSN:
10497323
e-ISSN:
15527557
Research Areas
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Narrative Study
Study Approach
Qualitative
Study Locations
South Africa