Qualitative interviews with mentor mothers living with HIV: potential impacts of role and coping strategies
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2012
TITLE AUTHOR(S): L.Dhlamini, L.Knight, H.Van Rooyen, A.Van Heerden, M.J.Rotheram-Borus
KEYWORDS: COUNSELLING, HIV/AIDS, HIV/AIDS PREVALENCE, STRESS (PSYCHOLOGICAL)??????, WOMEN
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 7356
HANDLE: 20.500.11910/3323
URI: http://hdl.handle.net/20.500.11910/3323
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
In South Africa where HIV prevalence is high, mentor mother programmes have been used to promote the health and wellbeing of women enrolled in government programmes preventing vertical transmission. The Masihambisane Project trained mentors to be educators and facilitators as "expert patients" in self-help groups. While this and other similar interventions demonstrate positive outcomes for mothers and their children, the long-term repercussions for mentors delivering the intervention are seldom considered. This article explores the personal impact of being a mentor, the potentially traumatizing effects of repeatedly sharing their experiences of living with HIV and the coping strategies they adopt. Towards the end of the Masihambisane intervention, 10 semi-structured qualitative interviews were conducted with locally recruited mentors living with HIV and were thematically analysed. Mentors found the repeated telling of their stories a painful reminder of adverse personal experiences. In some cases, retelling caused a physical reaction. Mentors relied on coping strategies like taking breaks, writing their experiences down and debriefing sessions. Despite the difficulties associated with their role, some mentors found being advisors and the group sessions therapeutic and empowering. These findings indicate that the inclusion of peer mentors comes with certain responsibilities. While the mentors were resilient and some found the experience therapeutic and empowering found creative ways to cope with secondary trauma, the negative implications cannot be ignored. To effectively deliver a mentor-driven intervention to mothers enrolled in a programme to prevent vertical transmission, the possibilities of secondary trauma should be considered and mentors provided with ongoing counselling, training on coping skills and regular debriefing sessions.-
Related Research Outputs:
- HIV prevalence and ART use among men in partnerships with 15-29 year old women in South Africa: HIV risk implications for young women in age-disparate partnerships
- Nelson Mandela/HSRC study of HIV/AIDS: South African national HIV prevalence, behavioural risks and mass media: household survey 2002
- Putting HIV/AIDS counselling in South Africa in its place
- South Africa's first national population-based HIV/AIDS behavioural risks, sero-status and media impact survey (SABSSM) research project: third quarterly progress report
- HIV/AIDS in Southern Africa: executive summary
- Epidemiological and demographic HIV/AIDS projections: South Africa
- A review of HIV/AIDS policy, financing, legislation and programmes: South African case study: Draft
- The impact of HIV/AIDS on the health sector: national survey of health personnel, ambulatory and hospitalised patients and health facilities, 2002
- Prevention of mother to child transmission: a report of an assessment of a pilot programme in fifteen health facilities in Gauteng province
- A comparative analysis of the financing of HIV/AIDS programmes in Botswana, Lesotho, Mozambique, South Africa, Swaziland and Zimbabwe, October 2003
- The impact of HIV/AIDS
- Risk factors for HIV infection among women in Carletonville, South Africa: migration, demography and sexually transmitted diseases
- The current situation of HIV/AIDS in South Africa
- The relationship between sectoral characteristics and HIV risk factors and vulnerability
- Epidemiology of HIV in South Africa: results of a national, community-based survey
- HIV prevention intervention among low-income women in South Africa: a randomized control trial 1
- Coping psychologically with being HIV sero-positive: a study of lived experience, supportive and aggravating factors
- Gender mainstreaming in HIV/AIDS: seminar proceedings: from the satellite session held during the 7th AIDS impact conference, Cape Town, 2005
- South African national HIV prevalence, HIV incidence, behaviour and communication survey, 2005
- The determinants and impact of HIV/AIDS on the labour market in South Africa