“ I…Tell Her Not to Take Medicines ”: Understanding Engagement in the Prevention of Mother to Child Transmission (PMTCT) Care Continuum through the Socio-Ecological Model

Anjali Modi, Cristian Garcia-Alcaraz, Sangita Trivedi, J. K. Kosambiya and Kristen J. Wells ()
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Anjali Modi: Department of Community Medicine, Government Medical College, Surat 395001, India
Cristian Garcia-Alcaraz: San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA 92182, USA
Sangita Trivedi: Department of Pediatrics, Government Medical College, Surat 395001, India
J. K. Kosambiya: Department of Community Medicine, Government Medical College, Surat 395001, India
Kristen J. Wells: Department of Psychology, San Diego State University, 6363 Alvarado Court, Suite 103, San Diego, CA 92120, USA

IJERPH, 2022, vol. 19, issue 20, 1-10

Abstract: With ten percent of the world’s children living with Human Immunodeficiency Virus (HIV/ AIDS) in India, achieving elimination of parent/mother to-child transmission (EPTCT/EMTCT) is far away. Timely initiation and optimal adherence to the prevention of parent/mother to child transmission (PPTCT/PMTCT) may reduce new paediatric HIV infections to zero. This qualitative study applies the Socio-ecological Model (SEM) to understand country, region and context-specific factors influencing mothers’ engagement in the PMTCT care continuum. Maximum variation sampling and saturation tenets determined the sample size. An in-depth interview guide based on SEM “a priori” and emerging themes captured narratives of the parental dyad. The translated and transcribed audio records were coded by direct content analysis method, both manually and with Atlas Ti software. The coding reports were discussed for consensus and final analysis. Male partner, peers, community health workers (CHWs), hope for healthy baby, knowledge about HIV and preventive services, free anti-retroviral therapy, transportation and the early infant diagnosis (EID) tool influenced PMTCT care continuum. Testing and referral policies of the private sector facilitated internalized or self-stigma. Future interventions should seek to develop pregnant women’s support system by engaging male partners, peers, and CHWs. Strategies addressing private sector and community awareness about freely available HIV prevention and care programs may enable optimal PMTCT utilization.

Keywords: Human Immunodeficiency Virus/acquired immuno-deficiency syndrome (HIV/AIDS); prevention of parent/mother to child transmission (PPTCT/PMTCT); elimination of parent/mother to child transmission (EMTCT/EPTCT); health behaviour; male involvement; qualitative (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
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