The Psychosocial Profile of Women Who Defaulted Option B+ HIV Treatment: An Interpretive Phenomenological Analysis Study.

IF 1.5 Q4 INFECTIOUS DISEASES HIV AIDS-Research and Palliative Care Pub Date : 2023-09-28 eCollection Date: 2023-01-01 DOI:10.2147/HIV.S401336
Patricia Mae Dhlakama, Constance Matshidiso Lelaka, Azwihangwisi Helen Mavhandu-Mudzusi
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Abstract

Purpose: The study explored the psychosocial profile of women who defaulted Option B+ HIV treatment at Chitungwiza Municipality clinics in Zimbabwe. Option B+ is a strategy to prevent mother-to-child transmission (PMTCT) of HIV to reduce MTCT rate to less than or equal to 5%.

Methods: An interpretive phenomenological analysis (IPA) design was used. Data were collected from 04 September to 12 October 2020 on twelve purposively selected HIV-positive breastfeeding women aged 18 to 40 years, who defaulted Option B+ HIV treatment. Unstructured individual face-to-face interviews were utilised. Data were analysed thematically using the interpretive phenomenological analysis framework for data analysis.

Results: The study findings revealed that participants experienced the following: psychosocial and emotional challenges due to HIV positive results, shown emotional distress and suicidal tendencies which affected their mental health. Their relationship was derailed due to abuse, infidelity, partner's high-risk behaviour and to lack of support stemming from their partners and family members.

Conclusion: Strengthening adherence support interventions and effective counselling on HIV-positive status disclosure and male partner involvement is important for retaining women in care and for improving their quality of life. Comprehensive, integrated, and tailor-made interventions should be adopted. Couple HIV counselling and testing should be encouraged. Psychosocial and mental health should be encouraged. Furthermore, community sensitization, risk reduction behaviour, education on purpose and side effects of ART as well as the benefits of Option B+ to new enrolments should be intensified and strengthened to minimize defaulting of treatment and LTFUP. Vigorous patient tracing and visit reminders help retain women in care.

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选择B+HIV治疗失败妇女的心理社会状况:一项解释性现象学分析研究。
目的:本研究探讨了在津巴布韦Chitungwiza市诊所未接受选项B+HIV治疗的妇女的心理社会状况。选项B+ 是一种预防艾滋病毒母婴传播(PMTCT)的策略,将MTCT率降至5%以下。方法:采用解释性现象学分析(IPA)设计。数据是在2020年9月4日至10月12日期间收集的,对象是12名有意选择的18至40岁HIV阳性母乳喂养女性,她们没有接受B+HIV治疗。采用了非结构化的个人面对面访谈。使用解释现象学分析框架对数据进行主题分析。结果:研究结果显示,参与者经历了以下方面:HIV阳性结果导致的心理社会和情绪挑战,表现出情绪困扰和自杀倾向,影响了他们的心理健康。由于虐待、不忠、伴侣的高风险行为以及缺乏伴侣和家庭成员的支持,他们的关系脱轨。结论:加强依从性支持干预措施,并就艾滋病毒阳性状况的披露和男性伴侣的参与提供有效的咨询,对于留住妇女并提高她们的生活质量至关重要。应采取全面、综合和量体裁衣的干预措施。应鼓励对夫妇进行艾滋病毒咨询和检测。应鼓励心理社会和心理健康。此外,应加强和加强社区宣传、降低风险行为、ART的目的和副作用教育,以及选项B+对新入学者的好处,以最大限度地减少治疗和LTFUP的拖欠。积极的患者追踪和就诊提醒有助于留住护理中的女性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.00
自引率
6.70%
发文量
61
审稿时长
16 weeks
期刊介绍: About Dove Medical Press Dove Medical Press Ltd is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC. We specialize in the publication of Open Access peer-reviewed journals across the broad spectrum of science, technology and especially medicine. Dove Medical Press was founded in 2003 with the objective of combining the highest editorial standards with the ''best of breed'' new publishing technologies. We have offices in Manchester and London in the United Kingdom, representatives in Princeton, New Jersey in the United States, and our editorial offices are in Auckland, New Zealand. Dr Scott Fraser is our Medical Director based in the UK. He has been in full time clinical practice for over 20 years as well as having an active research interest.
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