Social and community perspectives on prevention of mother-to-child transmission of HIV: Free State
PUBLICATION YEAR: 2004
TITLE AUTHOR(S): H.Brookes, L.Govender, P.Makhura, C.Moalusi, C.Varga
KEYWORDS: HIV/AIDS PREVENTION, MOTHER-INFANT RELATIONSHIP
Print: HSRC Library: shelf number 2504
HANDLE: 20.500.11910/8109
URI: http://hdl.handle.net/20.500.11910/8109
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
This report is the third in a series of studies on the social and community aspects of prevention of mother to child transmission (PMTCT). The aim of these studies was to identify social issues influencing the South African Government's PMTCT pilot program. The aim of this study was to collect information about socio-cultural and community dynamics of PMTCT with the potential to inform the implementation and effectiveness of Free State's PMTCT programme. This work stems from a growing recognition of the need to approach medical interventions such as PMTCT from a contextual and community-oriented perspective. While the central focus of the study is on women's experience of PMTCT services, for a number of reasons it was also deemed important to characterize the knowledge and beliefs of the community at large. Individuals do not accumulate and interpret information, make choices or act in a vacuum. In order to gain perspective on women's PMTCT experiences - and by extension identify factors affecting the efficacy of PMTCT services - it is necessary to understand the stance of their family members and other influential figures in their communities. In addition, and related to this first point, in order to be effective, a PMTCT communications/IEC strategy would likely have to target a broader audience; not simply women themselves. Thus, by focusing on the community at large we are able to collect information which will both inform a community-wide communications strategy as well as serve as a baseline to assess community changes in knowledge, attitudes and perceptions surrounding prevention of mother-to-child HIV transmission over time. This study also shows the voices of expertise of counsellors, community health workers and clinic staff to be heard; both in order to provide quality PMTCT care but also - equally importantly - to cope with the personal and professional challenges this service presents for those who offer them. We hope the research strategy used in this study has helped give communities a voice for addressing their health problems.-
Related Research Outputs:
- Assessing the costs of a rural PMTCT pilot site in the eastern Cape
- Impact of a mother-infant intervention in an indigent peri-urban South African context
- Review of the HIV/AIDS policy, legislation, financing & implementation of programmes in Mozambique
- Reflective practice: psychodynamic ideas in the community
- The "good enough" community: power and knowledge in South African community psychology
- 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 acceptability of an investigational vaginal microbicide, PRO 2000 gel, among women in a Phase I clinical trial
- The Hanover Park mother-infant project: methodological challenges and compromises in a South African context
- The Amaqhawe family: the use of cartoon media in a participatory family-based HIV/AIDS prevention intervention (CHAMP)
- Some factors in condom-use amongst first-year Nigerian university students and black and white South Africans
- HIV/AIDS/STD knowledge, attitudes, beliefs and behaviours in a rural South African adult population
- Knowledge and practice of condom use among black and white South Africans
- Perceived social context of AIDS in a black township in Cape Town
- Evaluation of an HIV-risk reduction programme for first-year university students in South Africa
- Traditional healers on board to fight HIV/AIDS
- HIV/AIDS impact assessment study project: first trimester report March - July 2006
- Bush and the global gag rule: trick or treat?