"If It Weren't for This, We'd Be Sick"-Perspectives From Participants of a Couple-Based HIV Treatment and Support Program During Prenatal and Postpartum Periods in Zambézia Province, Mozambique.

Autor:	Brooks HL; Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, Tennessee., Graves E; Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, Tennessee., De Schacht C; Friends in Global Health, Maputo, Mozambique., Emílio A; Friends in Global Health, Quelimane, Mozambique., Matino A; Friends in Global Health, Quelimane, Mozambique., Aboobacar A; Provincial Health Directorate of Zambézia, Quelimane, Mozambique; and., Audet CM; Departments of Health Policy and Epidemiology, Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, Tennessee.
Jazyk:	angličtina
Zdroj:	Journal of acquired immune deficiency syndromes (1999) [J Acquir Immune Defic Syndr] 2024 Jul 01; Vol. 96 (3), pp. 304-310.
DOI:	10.1097/QAI.0000000000003351
Abstrakt:	Background: Engagement in HIV care and treatment services during pregnancy is key to eliminating vertical transmission. One barrier to retention of pregnant and lactating women is insufficient support from male partners. Reframing HIV services as couple-based may increase adherence among men and women. As part of a cluster randomized trial evaluating an intervention offering seroconcordant couples living with HIV joint follow-up in HIV services and sessions with a health counselor and couple peer educators, we assessed participants' perspectives and experiences regarding the intervention. Setting: Zambézia Province is a rural, low-income, and medically underserved region of central Mozambique. Methods: We conducted semistructured interviews with a subset of participants enrolled in the intervention arm. The objectives were to explore participants' (1) experiences with couples-based HIV care and the educational/support sessions; (2) perceived impacts of the intervention; and (3) suggestions for intervention improvement. Interviews conducted by experienced interviewers were audio-recorded, transcribed, and deductively coded. Results: Sixty-four participants were interviewed. Participants described the counselor and the peer educators as trustworthy and the sessions as improving their HIV-related knowledge. Receiving joint HIV services was convenient and motivated some participants to remain adherent to care. Participants provided few suggestions to improve the intervention, although a few female participants did state that they wished their male partners had participated more readily in the joint sessions and medication pick-ups at the health facilities. Conclusions: Participants described positive experiences with and perceived benefits from the intervention, making this intervention acceptable within the local context. Competing Interests: The authors have no conflicts of interest to disclose. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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