Perspectives on HIV partner notification, partner HIV self-testing and partner home-based HIV testing by pregnant and postpartum women in antenatal settings: a qualitative analysis in Malawi and Zambia.

CONCLUSIONS: Most stakeholders considered different approaches to partner HIV testing to be acceptable, but concerns were raised about each. A choice-based approach may allow women to select their preferred method of partner testing; however, implementation challenges need to be addressed. PMID: 31321884 [PubMed - in process]
Source: Journal of the International AIDS Society - Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research

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ConclusionEducational status, counseling on the health benefit of treatment for the fetus and the mothers, social and financial support favors adherence while fear of stigma and discrimination and drug side effects negatively affect adherence to option B+. The study calls for collaborative work among patients, healthcare professionals, and the public to enhance ART adherence.
Source: Sexual and Reproductive Healthcare - Category: Reproduction Medicine Source Type: research
ConclusionThis study demonstrated a high frequency of pediatric HIV among children aged 5 –15 years in four provinces of Iran. Novel strategies to prevent and eliminate mother-to-child transmission of HIV, diagnostic facilities, and treatment of infected mothers during pregnancy in our country are highly recommended.
Source: Wiener Medizinische Wochenschrift - Category: General Medicine Source Type: research
AbstractWe developed and piloted a video-based intervention targeting HIV-positive pregnant women to optimize antiretroviral therapy (ART) retention and adherence by providing a VITAL Start (Video-intervention to Inspire Treatment Adherence for Life) before ART. VITAL Start (VS) was grounded in behavior-determinant models and developed through an iterative multi-stakeholder process. Of 306 pregnant women eligible for ART, 160 were randomized to standard of care (SOC), 146 to VS and followed for one-month. Of those assigned to VS, 100% completed video-viewing; 96.5% reported they would recommend VS. Of 11 health workers int...
Source: AIDS and Behavior - Category: Infectious Diseases Source Type: research
This study fills that gap by including all mothers in specified areas. A cohort study examines MLH in Cape Town, South Africa recruited in pregnancy and followed repeatedly for 5  years, compared to MWOH. Almost all (98%) pregnant women in 12 neighborhoods (N = 594) were recruited in pregnancy. Mothers and children were reassessed five times over 5 years with high retention rates at each of the six assessments, from 98.7% at 2 weeks to 82.8% at 5 years post-birth. ML H’s uptake and adherence to HIV care was evaluated over time associated with maternal comorbidities of alcohol use, de...
Source: AIDS and Behavior - Category: Infectious Diseases Source Type: research
AbstractThe PROMISE trial enrolled asymptomatic HIV-infected pregnant and postpartum women not eligible for antiretroviral treatment (ART) per local guidelines and randomly assigned proven antiretroviral strategies to assess relative efficacy for perinatal prevention plus maternal/infant safety and maternal health. The START study subsequently demonstrated clear benefit in initiating ART regardless of CD4 count. Active PROMISE participants were informed of results and women not receiving ART were strongly recommended to immediately initiate treatment to optimize their own health. We recorded their decision and the primary ...
Source: AIDS and Behavior - Category: Infectious Diseases Source Type: research
CHICAGO (AP) — Pregnancy started out rough for Leslie Siu. Morning sickness and migraines had her reeling and barely able to function at a demanding New York marketing job, so like rising numbers of U.S. mothers-to-be, she turned to marijuana. “l was finally able to get out from under my work desk,” said Siu, who later started her own pot company and says her daughter, now 4, is thriving. There’s no proof that cannabis can relieve morning sickness, and mainstream medicine advises against use in pregnancy because of studies suggesting it might cause premature birth, low birthweight and infant brain d...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Boston News Health Marijuana Source Type: news
This study sought to understand how women’s attitudes towards ART changes between the pregnancy and postpartum periods, and the factors associated with these attitudes. The study enrolled 200 pregnant women living with HIV. Structured surveys were administered during pregnancy and at three and 6 months postpartum. Overall, attitudes towards ART were stable over time. More positive attitudes towards ART were associated with HIV acceptance, lower levels of depression, and lower levels of shame. Counselling interve ntions are needed to help HIV-infected women accept their status and reduce shameful emotions. Depres...
Source: AIDS and Behavior - Category: Infectious Diseases Source Type: research
[SciDev.Net] Mexico City -The WHO now recommends the use of the HIV treatment drug dolutegravir in women of reproductive potential following new evidence from two large studies.
Source: AllAfrica News: HIV-Aids and STDs - Category: Infectious Diseases Source Type: news
While ART has been very successful in preventing mother-to-child HIV transmission, data from the PROMISE trial indicates the association of ART with adverse pregnancy outcomes is strong.JAIDS: Journal of Acquired Immune Deficiency Syndromes
Source: Medscape Hiv-Aids Headlines - Category: Infectious Diseases Tags: HIV/AIDS Journal Article Source Type: news
CONCLUSIONS: Planning for, programming and promoting the adoption of oral PrEP necessitates a deeper understanding of end-user priorities in order to ensure successful interventions. This review illustrates the nuances facilitating or deterring PrEP use that may affect the larger effort of PrEP scale-up. PMID: 31328429 [PubMed - in process]
Source: Journal of the International AIDS Society - Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research
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