Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv最新文献

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COVID-19, pandemic lockdowns and intimate partner violence among HIV-positive women in Ghana. 加纳艾滋病毒呈阳性妇女中的 COVID-19、大流行病封锁和亲密伴侣暴力。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-02-06 DOI: 10.1080/09540121.2024.2312876
Eric Y Tenkorang, Akosua Pokua Adjei, Victor Agyei-Yeboah, Adobea Y Owusu
{"title":"COVID-19, pandemic lockdowns and intimate partner violence among HIV-positive women in Ghana.","authors":"Eric Y Tenkorang, Akosua Pokua Adjei, Victor Agyei-Yeboah, Adobea Y Owusu","doi":"10.1080/09540121.2024.2312876","DOIUrl":"10.1080/09540121.2024.2312876","url":null,"abstract":"<p><p>This study examines the prevalence and risk factors of physical, sexual, psychological, and economic violence during lockdowns associated with COVID-19 among HIV-positive women in Ghana. Data were collected in August 2021 from a cross-section of 538 HIV-positive women aged 18 years and older in the Lower Manya Krobo District in the Eastern region of Ghana. Logit models were used to explore relationships between women's self-reported experiences of physical, sexual, psychological /emotional, and economic violence under lockdown and key socio-economic and demographic characteristics. The findings indicate moderate to high prevalence of intimate partner violence (IPV) under lockdown in our sample: physical violence (30.1%), sexual violence (28.6%), emotional/psychological violence (53.7%), and economic violence (54.2%). IPV was higher on all four measures for educated women, poorer women, employed women, cohabiting and married women, and HIV seroconcordant couples.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Depressive symptoms and HIV among a cohort of adolescent young men and transgender women who have sex with men, Bangkok and Nakhon Sawan, Thailand, 2017-2019. 2017-2019年泰国曼谷和那空沙旺男男性行为者和变性女性青少年队列中的抑郁症状和艾滋病毒。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-05-27 DOI: 10.1080/09540121.2024.2354866
M Vasantiuppapokakorn, S Pattanasin, R Kittiyaowamarn, S Chantraraprasat, S Winaitham, P Khongsom, J V Woodring, S M O'Connor, W Sukwicha, S Na-Pompet, E F Dunne
{"title":"Depressive symptoms and HIV among a cohort of adolescent young men and transgender women who have sex with men, Bangkok and Nakhon Sawan, Thailand, 2017-2019.","authors":"M Vasantiuppapokakorn, S Pattanasin, R Kittiyaowamarn, S Chantraraprasat, S Winaitham, P Khongsom, J V Woodring, S M O'Connor, W Sukwicha, S Na-Pompet, E F Dunne","doi":"10.1080/09540121.2024.2354866","DOIUrl":"10.1080/09540121.2024.2354866","url":null,"abstract":"<p><p>Screening for depression may identify persons for HIV prevention services and to ensure linkage to care for ART and mental health. We assessed factors associated with depressive symptoms using multiple logistic regression among 15- to 29-year-old gay, bisexual or other men who have sex with men (MSM) and transgender women who have sex with men (TGW) attending HIV prevention clinics at Silom Community Clinic or Bangrak Hospital in Bangkok or Rainbow Clinic in Nakhon Sawan, Thailand. We defined depressive symptoms as a self-report of feelings of sadness that impacted daily life in the past one month. Among 192 MSM, 51 TGW, and 11 gender-questioning persons screened: 12.6% met the criteria for depression; 5.9% had new HIV diagnosis. Independently associated factors which increase the risk of depressive symptoms included: studying in a private school (AOR 7.17); experiencing any type of bullying (AOR 2.8); having a partner with HIV (AOR 4.1); and learning about the study from sources other than a friend (AOR 4.2). Given many youths had depressive symptoms, screening for depression and connection to mental health services would be beneficial in sexual health settings to meet the needs of HIV-vulnerable youth.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11269011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141159086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The power for action - now! 行动的力量--现在!
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-05-09 DOI: 10.1080/09540121.2024.2321697
Lena Nilsson Schönnesson, Lucie Cluver, Lars E Eriksson, Udi Davidovich, Richard Harding, Bruno Spire, José Catalan, Mehdi Karkouri, Kathryn Steventon-Roberts, Bridgette Prince, Lorraine Sherr
{"title":"The power for action - now!","authors":"Lena Nilsson Schönnesson, Lucie Cluver, Lars E Eriksson, Udi Davidovich, Richard Harding, Bruno Spire, José Catalan, Mehdi Karkouri, Kathryn Steventon-Roberts, Bridgette Prince, Lorraine Sherr","doi":"10.1080/09540121.2024.2321697","DOIUrl":"10.1080/09540121.2024.2321697","url":null,"abstract":"","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
High mortality in adolescents and young adults with perinatally-acquired HIV in Thailand during the transition to adulthood. 泰国围产期感染艾滋病毒的青少年和年轻成人在向成年过渡期间的高死亡率。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-03-06 DOI: 10.1080/09540121.2024.2325100
Pradthana Ounchanum, Linda Aurpibul, Sirinya Teeraananchai, Pagakrong Lumbiganon, Wipaporn Natalie Songtaweesin, Tavitiya Sudjaritruk, Kulkanya Chokephaibulkit, Supattra Rungmaitree, Pope Kosalaraksa, Tulathip Suwanlerk, Jeremy L Ross, Annette H Sohn, Thanyawee Puthanakit
{"title":"High mortality in adolescents and young adults with perinatally-acquired HIV in Thailand during the transition to adulthood.","authors":"Pradthana Ounchanum, Linda Aurpibul, Sirinya Teeraananchai, Pagakrong Lumbiganon, Wipaporn Natalie Songtaweesin, Tavitiya Sudjaritruk, Kulkanya Chokephaibulkit, Supattra Rungmaitree, Pope Kosalaraksa, Tulathip Suwanlerk, Jeremy L Ross, Annette H Sohn, Thanyawee Puthanakit","doi":"10.1080/09540121.2024.2325100","DOIUrl":"10.1080/09540121.2024.2325100","url":null,"abstract":"<p><p>Transitioning from pediatric to adult care remains a challenge for adolescents and young adults with perinatally-acquired HIV (AYA-PHIV). We assessed treatment outcomes and mortality among Thai AYA-PHIV. The study included AYA-PHIV who reached age 18-24 years who started antiretroviral treatment during childhood at five pediatric HIV clinics across Thailand. From November 2020-July 2021, data were gathered from a cohort database, medical records, and the Thai National AIDS Program. Of 811 eligible AYA-PHIV, 93% were alive; median age 22.3 years (IQR 20.6-23.7), treatment duration 16.1 years (IQR 13.4-18.0). Current HIV care was provided in adults (71%) and pediatric clinics (29%). Treatment regimens included non-nucleoside reverse transcriptase inhibitors (55%), protease inhibitors (36%), and integrase inhibitors (8%); 78% had HIV RNA <200 copies/ml. Of the 7.0% who died, median age at death was 20.8 years (IQR 20.6-22.1); 88% were AIDS-related death. Mortality after age 18 was 1.76 per 100-person years (95% confidence interval 1.36-2.28). Those with CD4 <200 cell/mm<sup>3</sup> at age 15 had higher risk of mortality (adjusted hazard ratio 6.16, 95% CI 2.37-16.02). In conclusion, the high mortality among Thai AYA-PHIV indicated the need for better systems to support AYA-PHIV during the transition to adulthood.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11518584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlates of ART attrition among adults under antiretroviral therapy in Southern Ethiopia, retrospective cohort study. 埃塞俄比亚南部接受抗逆转录病毒疗法的成年人中抗逆转录病毒疗法流失的相关因素,回顾性队列研究。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2023-12-29 DOI: 10.1080/09540121.2023.2293758
Molalegn Mesele, Getachew Asmare, Gizachew Ambaw, Misganaw Asmamaw, Mohammed Abdu, Endeshaw Chekol, Denekew Tenaw, Sefineh Fenta, Tadesse Asmamaw, Melkamu Aderajew, Anteneh Mengist, Yenealem Solomon, Berihun Bantie, Wubet Alebachew, Natnael Atnafu
{"title":"Correlates of ART attrition among adults under antiretroviral therapy in Southern Ethiopia, retrospective cohort study.","authors":"Molalegn Mesele, Getachew Asmare, Gizachew Ambaw, Misganaw Asmamaw, Mohammed Abdu, Endeshaw Chekol, Denekew Tenaw, Sefineh Fenta, Tadesse Asmamaw, Melkamu Aderajew, Anteneh Mengist, Yenealem Solomon, Berihun Bantie, Wubet Alebachew, Natnael Atnafu","doi":"10.1080/09540121.2023.2293758","DOIUrl":"10.1080/09540121.2023.2293758","url":null,"abstract":"<p><p>High attrition rates from ART are the primary contributors to morbidity, death, hospitalisation, rising transmission rates, treatment failure, rising burden of opportunistic infections (OIs), and the evolution of HIV-virus resistance (HIVDR). In Sub-Saharan Africa, more than two-thirds of ART patients will not receive continuous care. There is little information about the correlates that contribute to attrition from ART services among ART patients in Southern Ethiopia. Hence, this study aims to identify correlates of attrition from antiretroviral therapy services for adults under antiretroviral therapy at Otona Teaching and Referral Hospital, Wolaita Zone, Southern Ethiopia. From 1 January 2013 to 31 December 2017, a retrospective cohort analysis was performed. The pre-determined 328 medical records were chosen using a simple random sampling technique using computer-generated random numbers. Epi Info version 3.5.3 was used to enter and clean the data, which were then exported to STATA version 11 for analysis. The Cox proportional hazards model, both bivariate and multivariable, was used. Variables with <i>p</i>-values less than 0.25 in bivariate analysis were considered candidates for multivariable analysis, and variables with <i>p</i>-values less than 0.05 were deemed statistically important in multivariable analysis. The intensity of the correlation and statistical significance were determined using the CHR, AHR, and 95 per cent confidence intervals. The magnitude of attrition from ART service was 21.60% (95% CI: 17.10, 26.10). The distance between home and hospital is more than five kilometres (AHR:3.84;95% CI: 1.99,7.38), no registered phone number (AHR:2.47;95%CI:1.32,4.09), have not taken isoniazid prophylaxis (AHR:2.23;95%CI:1.30,4.09), alcohol consumption (AHR: 1.77; 95% CI:1.01, 3.12), and had no caregiver (AHR: 2.11; 95% CI:1.23, 3.60) were statistically significant in the Cox proportional hazard model. Distance between home and hospital, phone number registration on follow-up chart, having a history of alcohol consumption, isoniazid prophylaxis provision, and having family support were independent correlates of attrition from antiretroviral treatment services.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Food insecurity in pediatric HIV: understanding a critical challenge in the United States. 儿科艾滋病毒感染者的粮食不安全问题:了解美国面临的严峻挑战。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-02-22 DOI: 10.1080/09540121.2023.2287734
Khaliah A Johnson, Caroline Owens, Hannah Claire Edelson, Magdalene Yonker, Shae Robinson-Mosley, Jenny Park, Miranda Cook
{"title":"Food insecurity in pediatric HIV: understanding a critical challenge in the United States.","authors":"Khaliah A Johnson, Caroline Owens, Hannah Claire Edelson, Magdalene Yonker, Shae Robinson-Mosley, Jenny Park, Miranda Cook","doi":"10.1080/09540121.2023.2287734","DOIUrl":"10.1080/09540121.2023.2287734","url":null,"abstract":"<p><p>Advancing the well-being of individuals living with HIV necessitates attention to social determinants of health, including food insecurity. Through a clinical and community-based needs assessment, we aimed to gain insight into experiences of food insecurity among patients receiving care at a large pediatric HIV outpatient clinic in the Southeastern United States. We adopted a multimodal assessment approach involving a literature review, community profiling, key informant interviews, focus group discussions with staff, patients and parents and a community stakeholder advisory meeting. Our needs assessment demonstrates that food insecurity is an important aspect of the lived experience of children, adolescents and young adults living with HIV. Clinical staff agreed that food insecurity screening should be incorporated into the patient care workflow but ideally only in concert with providing resources that meet their needs. We formulated a recommendation matrix for addressing food insecurity based on priority importance and feasibility. Collaborative relationships between healthcare practitioners and leaders, community-based organizations and local and federal funding sources are vital for enhancing patients' access to sustainable, reliable solutions to this fundamental determinant of health. Our approach provides a tested model for other clinics seeking to identify and alleviate food insecurity among patients.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Gigii-Bapiimin Study: resilience and the impacts of COVID-19 on health and wellbeing of Indigenous people living with HIV in Manitoba and Saskatchewan. Gigii-Bapiimin 研究:COVID-19 对马尼托巴省和萨斯喀彻温省感染艾滋病毒的土著人健康和福祉的影响。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-06-06 DOI: 10.1080/09540121.2024.2361827
Rusty Souleymanov, Marni Still, Tara Christianson, Melissa Morris, Ann Favel, Danita Wahpoosewyan, Albert McLeod, Laverne Gervais, Alexandra King, Margaret Kîsikâw Piyesis, Randy Jackson, Mike Payne, Laurie Ringaert, Linda Larcombe, Gayle Restall, Dallas Montpetit
{"title":"The Gigii-Bapiimin Study: resilience and the impacts of COVID-19 on health and wellbeing of Indigenous people living with HIV in Manitoba and Saskatchewan.","authors":"Rusty Souleymanov, Marni Still, Tara Christianson, Melissa Morris, Ann Favel, Danita Wahpoosewyan, Albert McLeod, Laverne Gervais, Alexandra King, Margaret Kîsikâw Piyesis, Randy Jackson, Mike Payne, Laurie Ringaert, Linda Larcombe, Gayle Restall, Dallas Montpetit","doi":"10.1080/09540121.2024.2361827","DOIUrl":"10.1080/09540121.2024.2361827","url":null,"abstract":"<p><p>The Gigii-Bapiimin study explored the impacts of the COVID-19 pandemic on the health and wellbeing of First Nations, Inuit, and Métis people living with HIV in Manitoba and Saskatchewan, two provinces in Canada with alarmingly high rates of HIV infections. Participants (<i>n</i> = 28 in Manitoba and <i>n</i> = 23 in Saskatchewan) were recruited using various methods, including flyers, community organizations, peers, and social media. The qualitative interviews focused on the pandemic's impact on health, access to services, and ceremonies. The data were analyzed using inductive thematic analysis. The study identified three key themes: (a) resilience and coping; (b) negative impacts on health and substance use; (c) decreased access to health services, HIV care and harm reduction. The participants shared their experiences of social isolation and the loss of community support, which had deleterious effects on their mental health and substance use. The impacts on access to HIV care were exacerbated by poverty, homelessness, and distress over inadvertent disclosure of HIV status. Participants mitigated these impacts by relying on Indigenous knowledges, ceremonies, and resilience within their communities. Service providers must address the impacts of the COVID-19 pandemic on Indigenous people living with HIV and their access to HIV services and ceremonies.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pathways between adverse childhood experiences and viral suppression among male HIV-infected adolescents in South Africa. 南非感染艾滋病毒的男性青少年童年不良经历与病毒抑制之间的关系。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-03-31 DOI: 10.1080/09540121.2024.2332451
Rachel Kidman, Sabera Hossain, Wei Hou, Avy Violari
{"title":"Pathways between adverse childhood experiences and viral suppression among male HIV-infected adolescents in South Africa.","authors":"Rachel Kidman, Sabera Hossain, Wei Hou, Avy Violari","doi":"10.1080/09540121.2024.2332451","DOIUrl":"10.1080/09540121.2024.2332451","url":null,"abstract":"<p><p>Fewer adolescents achieve viral suppression compared to adults. One impediment may be a history of adverse childhood experiences (ACEs). To better develop targets and timeframes for intervention, this study created more robust estimates of the impact of cumulative adversity on viral suppression, tested whether the association is sensitive to the timing of adversity, and simultaneously tested several potential mechanisms. We focus on males, who have lower viral suppression than females and who may contribute to disproportionate incidence among young women. We recruited 251 male perinatally HIV-infected adolescents aged 15-19 from HIV clinics in Soweto, South Africa. Adversity was captured using the Adverse Childhood Experience - International Questionnaire (ACE-IQ). Viral load was measured using blood samples; viral suppression was defined as <20 copies/mL. Indicators of medication adherence, depression, post-traumatic stress disorder (, and substance misuse were captured. A series of pathway analysis were performed. Our sample experienced a median of 7 lifetime and 4 past-year adversities. Less than half (44%) exhibited viral suppression. Adversity demonstrated a significant association with suppression; depression mediated the association. Primary prevention of adversity among children living with HIV is paramount, as is addressing the subsequent mental and behavioral health challenges that impede viral suppression among adolescents.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140332205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding Fijian health system challenges in the prevention of mother-to-child transmission of HIV services in the three tertiary hospitals in Fiji. 了解斐济卫生系统在斐济三家三级医院提供预防母婴传播艾滋病毒服务方面面临的挑战。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-03-20 DOI: 10.1080/09540121.2024.2331215
Amina Razzaq, Joanne Travaglia, Camille Raynes-Greenow, Neeloy Ashraful Alam
{"title":"Understanding Fijian health system challenges in the prevention of mother-to-child transmission of HIV services in the three tertiary hospitals in Fiji.","authors":"Amina Razzaq, Joanne Travaglia, Camille Raynes-Greenow, Neeloy Ashraful Alam","doi":"10.1080/09540121.2024.2331215","DOIUrl":"10.1080/09540121.2024.2331215","url":null,"abstract":"<p><p>Mother-to-child transmission is the most common route of human immunodeficiency virus transmission in children, which could be prevented with proper treatment and access to care. Health system challenges can impede the effectiveness of prevention of mother-to-child transmission (PMTCT) programmes. We aim to understand the health system challenges to the provision of PMTCT services for pregnant women in three tertiary hospitals in Fiji. Data were collected using in-depth interviews in the three tertiary hospitals and associated health clinics in Fiji between April-May 2013 and February-March 2014. Ethical approvals were obtained. A total of 58 healthcare providers were interviewed including doctors (<i>n</i> = 12), midwives (<i>n</i> = 19), nurses (<i>n</i> = 14), laboratory technicians (<i>n</i> = 5) and counsellors (<i>n</i> = 8). The data were analysed using thematic analysis. We found that the healthcare workers faced a wide range of health system challenges including institutional and human resource challenges. Staff shortage, limited PMTCT training and shortage of supplies were barriers to the quality of PMTCT services. Our findings would be useful in developing strategies to overcome barriers as it would be imperative in improving the quality of PMTCT service provision in Fiji and other similar settings.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction. 更正。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-07-04 DOI: 10.1080/09540121.2024.2374185
{"title":"Correction.","authors":"","doi":"10.1080/09540121.2024.2374185","DOIUrl":"10.1080/09540121.2024.2374185","url":null,"abstract":"","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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