Effect of a multicomponent behavioural PMTCT cluster randomised controlled trial on HIV stigma reduction among perinatal HIV positive women in Mpumalanga province, South Africa
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2018
TITLE AUTHOR(S): K.Peltzer, S.Babyigit, V.J.Rodriquez, J.Jean, S.Sifunda, D.L.Jones
KEYWORDS: HIV/AIDS STATUS, MPUMALANGA PROVINCE, PREVENTION OF MOTHER TO CHILD TRANSMISSION (PMTCT) PROGRAMME, STIGMATISATION, WOMEN
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 10492
HANDLE: 20.500.11910/12531
URI: http://hdl.handle.net/20.500.11910/12531
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
The authors evaluate the impact a multicomponent, behavioural, prevention of mother to child transmission (PMTCT), cluster randomised controlled trial on HIV stigma reduction among perinatal HIV infected women in rural South Africa. In a cluster randomised controlled trial, twelve community health centres (CHCs) in Mpumalanga Province, South Africa, were randomised; pregnant women living with HIV enrolled received either: A Standard Care (SC) condition plus time-equivalent attention-control on disease prevention (SC; 6 CHCs; n =357), or an Enhanced Intervention (EI) condition of SC PMTCT plus the 'Protect Your Family' intervention (EI; 6 CHCs; n =342). HIV-infected pregnant women in the SC attended four antenatal and two postnatal video sessions; those in the EI, four antenatal and two postnatal group PMTCT sessions, including stigma reduction, led by trained lay health workers. Maternal PMTCT, HIV knowledge and HIV related stigma were assessed. The impact of the EI was ascertained on stigma reduction (baseline, 12 months postnatally). A series of logistic regression and latent growth curve models were developed to test the impact of the intervention. In all, 699 women living with HIV were recruited during pregnancy (8???24 weeks), and assessments were completed prenatally at baseline and at 12 months (59.5%) postnatally. Baseline scores of overall HIV related stigma and the four scale factors (personalised stigma, disclosure concerns, negative self-image, and concern public attitudes) decreased at follow-up in the intervention group, while baseline scores of overall stigma and three scale factors (personalised stigma, negative self-image, and concern public attitudes) increased at follow-up in the control group. Using longitudinal analyses, Model 1, which included time-invariant predictors of stigma assessed over the two time periods of baseline and 12 months, increases in stigma from baseline to 12 months were associated with being unemployed, having been diagnosed with HIV before the current pregnancy, and alcohol use. In Model 2, which included time-varying predictors, lower stigma scores were associated with participation in the intervention, greater male partner involvement, and consistent condom use. The enhanced PMTCT intervention, including stigma reduction, administered by trained lay health workers had a significant effect on the reduction of HIV related stigma.-
Related Research Outputs:
- Factors influencing pregnancy desires among HIV positive women in Gert Sibande district in Mpumalanga, South Africa
- HIV sero-status disclosure and sexual behaviour among HIV positive patients who are on antiretroviral treatment (ART) in Mpumalanga, South Africa
- Influence of male partners on HIV disclosure among South African women in a cluster randomized PMTCT intervention
- Internalized stigma, discrimination, and depression among men and women living with HIV/AIDS in Cape Town, South Africa
- Programme to improve implementation of the Prevention of Mother to Child Transmission of HIV in Gert Sibande district in Mpumalanga, South Africa: baseline report: Gert Sibande PMTCT programme implementation
- Factors determining prenatal HIV testing for prevention of Mother to Child Transmission of HIV in Mpumalanga, South Africa
- Determinants of adherence to a single-dose nevirapine regimen for the Prevention of Mother-to-Child HIV Transmission in Gert Sibande district in South Africa
- Implementing a rural programme of Prevention of Mother-to-Child Transmission of HIV in Nkangala, South Africa: a baseline evaluation
- Infant-feeding practices and associated factors of HIV-positive mothers at Gert Sibande, South Africa
- Perceived stigma among patients receiving antiretroviral therapy: a prospective study in KwaZulu-Natal, South Africa
- Project Masihambisane: a cluster randomised controlled trial with peer mentors to improve outcomes for pregnant mothers living with HIV
- Rethinking HIV/AIDS disclosure among women within the context of motherhood in South Africa
- Factors associated with short-course antiretroviral prophylaxis (dual therapy) adherence for PMTCT in Nkangala district, South Africa
- Psychological distress and associated factors among a sample of pregnant women in South Africa
- Partner violence and associated factors among pregnant women in Nkangala district, South Africa
- Report on PMTCT comprehensive community intervention package including male involvement, infant follow-up, peer support, partner violence and infant feeding in Nkangala district, Mpumalanga province
- Prevalence of alcohol use and associated factors in pregnant antenatal care attendees in Mpumalanga, South Africa
- Partner violence and associated factors among pregnant women in Nkangala district, Mpumalanga
- Sexual HIV risk behaviour and associated factors among pregnant women in Mpumalanga, South Africa
- Sexual behaviour among HIV-infected new mothers in South Africa 3-12 months after delivery