“It was my obligation as mother”: 18-Month completion of Early Infant Diagnosis as identity control for mothers living with HIV in Kenya

Emily A. Hurley, Beryne Odeny, Catherine Wexler, Melinda Brown, Alexander MacKenzie, Kathy Goggin, May Maloba, Brad Gautney and Sarah Finocchario-Kessler

Social Science & Medicine, 2020, vol. 250, issue C

Abstract: Early Infant Diagnosis (EID) is critical to timely identification of HIV and rapid treatment initiation for infants found to be infected. Completing the EID cascade involves a series of age-specific tests between birth and 18 months and can be challenging for mother- infant pairs in low-resource settings. Even prior to recent increases in Kenya's testing recommendations, approximately 22% of mother-infant pairs enrolled in EID were lost to follow-up. As EID cascades become increasingly complex, identifying strategies to maximize retention becomes even more essential. Despite ongoing health system improvements, we still lack a framework for understanding the individual-level, psychosocial processes underlying EID completion—insight that could be essential for shaping strategies to support patients and close gaps in retention.

Keywords: HIV; Early infant diagnosis; Prevention of mother-to-child transmission; Retention; Kenya; Identity; Motherhood; Therapeutic; Citizenship (search for similar items in EconPapers)
Date: 2020
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Citations: View citations in EconPapers (1)

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DOI: 10.1016/j.socscimed.2020.112866

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