HIV-disclosure in the context of vertical transmission: HIV-positive mothers in Johannesburg, South Africa

AIDS Care ◽  
2006 ◽  
Vol 18 (8) ◽  
pp. 952-960 ◽  
Author(s):  
C. A. Varga ◽  
G. G. Sherman ◽  
S. A. Jones
AIDS Care ◽  
2013 ◽  
Vol 25 (6) ◽  
pp. 721-725 ◽  
Author(s):  
Heather Sipsma ◽  
Irma Eloff ◽  
Jennifer Makin ◽  
Michelle Finestone ◽  
Liesel Ebersohn ◽  
...  

2018 ◽  
Vol 15 (2) ◽  
pp. 55-65
Author(s):  
Gayle Clifford ◽  
Gill Craig ◽  
Christine McCourt

Abstract Existing guidelines (WHO, 2011) advise caretakers and professionals to disclose children’s and their caretakers’ HIV status to children, despite a lack of evidence concerning the potential implications in resource-constrained settings. Our research uses feminist Interpretative Phenomenological Analysis (IPA) to explore the experiences of HIV positive mothers in Kingston, Jamaica, focusing on their lived experiences of talking to their children about maternal HIV. This paper will focus on the concept of mothering at a distance and how this presents additional challenges for HIV positive mothers who are trying to establish emotional closeness in relation to talking to their children about their HIV. Using Hochschild’s concept of emotion work and examples from the interviews, we highlight the difficult contexts informing women’s decisions when negotiating discussions about their HIV. Women may choose full, partial or differential disclosure or children may be told their mother’s HIV status by others. Disclosure policy, we argue, reflects Anglo-Northern constructions of the family and parenting which may not adequately reflect the experiences of poor urban mothers in low and middle income countries. We argue that policy needs to recognise culturally-specific family formations, which, in Jamaica includes absent fathers, mothering at a distance and mothering non-biological children. This article reflects on the experiences of an under-researched group, poor urban Jamaican women practising mothering at a distance, using a novel methodological approach (IPA) to bring into relief unique insights into their lived experiences and will contribute to the global policy and research literature on HIV disclosure.


2010 ◽  
Vol 100 (4) ◽  
pp. 538-542 ◽  
Author(s):  
Rendani Ladzani ◽  
Karl Peltzer ◽  
Motlatso G. Mlambo ◽  
Khanyisa Phaweni

2019 ◽  
Vol 2019 ◽  
pp. 1-13 ◽  
Author(s):  
Getaneh Mulualem Belay ◽  
Chalachew Adugna Wubneh

Introduction. Breastfeeding is the ideal food source for all newborns globally. However, in the era of Human Immune Deficiency Virus (HIV) infection, feeding practice is a challenge due to mother-to-child HIV transmission. Therefore, this systematic review and meta-analysis aimed to estimate the national prevalence of exclusive breastfeeding and mixed feeding practices among HIV positive mothers and its association with counseling and HIV disclosure status to the spouse in Ethiopia. Methods. We searched all available articles from the electronic databases including PubMed, EMBASE, Google Scholar, and the Web of Science. Moreover, reference lists of the included studies and the Ethiopian institutional research repositories were used. Searching of articles was limited to the studies conducted in Ethiopia and published in English language. We have included observational studies including cohort, cross-sectional, and case-control studies. The weighted inverse variance random effects model was used. The overall variations between studies were checked through heterogeneity test (I2). Subgroup analysis by region was conducted. To assess the quality of the study, the Joanna Briggs Institute (JBI) quality appraisal criteria were employed. Publication bias was checked with the funnel plot and Egger’s regression test. Result. A total of 18 studies with 4,844 participants were included in this study. The national pooled prevalence of exclusive breastfeeding and mixed feeding practices among HIV positive mothers were 63.43% (95% CI: 48.19, 78.68) and 23.11% (95% CI: 10.10, 36.13), respectively. In the subgroup analysis, the highest prevalence of exclusive breastfeeding practice was observed in Tigray (90.12%) and the lowest in Addis Ababa (41.92%). Counseling on feeding option with an odds ratio of 4.32 (95% CI: 2.75, 6.77) and HIV disclosure status to the spouse with an odds ratio of 6.05 (95% CI: 3.03, 12.06) were significantly associated with exclusive breast feedings practices. Conclusion. Most mothers report exclusive breastfeeding, but there are still almost a quarter of mothers who mix feed. Counseling on feeding options and HIV disclosure status to the spouse should be improved.


AIDS ◽  
2014 ◽  
Vol 28 ◽  
pp. S347-S357 ◽  
Author(s):  
Irma Eloff ◽  
Michelle Finestone ◽  
Jennifer D. Makin ◽  
Alex Boeving-Allen ◽  
Maretha Visser ◽  
...  

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