“I Desire to Have an HIV‐Free Baby”: Pregnant and Breastfeeding Mothers’ Perceptions of Viral Load Testing and Suppression in HIV Care in Southwestern Uganda.
Introduction Viral suppression is a critical component for preventing mother-to-child transmission of HIV(MTCT). Mothers’ perceptions of viral load suppression is crucial in the attainment of successful outcomes in preventing mother-to-child transmission of HIV. We therefore aimed to explore the exp...
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| Format: | Article |
| Language: | English |
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Kabale University
2024
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| Online Access: | http://hdl.handle.net/20.500.12493/2419 |
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| author | Kabami, Jane Akatukwasa, Cecilia Kabageni, Stella Nangendo, Joanita Byamukama, Ambrose Atwiine, Fredrick Mftumukiza, Valence Tamu, Munezero John Bosco Arinaitwe, Elizabeth Mutabazi, Andrew Ssebutinde, Peter Musoke, Phillipa Kamya, Moses R. Katahoire, Anne R. |
| author_facet | Kabami, Jane Akatukwasa, Cecilia Kabageni, Stella Nangendo, Joanita Byamukama, Ambrose Atwiine, Fredrick Mftumukiza, Valence Tamu, Munezero John Bosco Arinaitwe, Elizabeth Mutabazi, Andrew Ssebutinde, Peter Musoke, Phillipa Kamya, Moses R. Katahoire, Anne R. |
| author_sort | Kabami, Jane |
| collection | KAB-DR |
| description | Introduction Viral suppression is a critical component for preventing mother-to-child transmission of HIV(MTCT). Mothers’ perceptions of viral load suppression is crucial in the attainment of successful outcomes in preventing mother-to-child transmission of HIV. We therefore aimed to explore the experiences and perceptions of women on viral suppression.
Methods This was a qualitative sub-study embedded in a cluster-randomized trial (NCT04122144) designed to improve viral load outcomes among pregnant and breastfeeding mothers living with HIV in four level III/IV health facilities in Southwestern Uganda. Thirty-two in-depth interviews were conducted with pregnant and breastfeeding women with HIV from 1st March 2020 to 30th September 2020 to explore their understanding and interpretation of viral suppression. Interviews were audio-recorded, transcribed, and coded in Dedoose software for analysis.
Results A total of 32 Women living with HIV were enrolled in this qualitative study. WLHIV explained viral suppression in the context of attaining good health and having HIV-free babies. Adherence to ART was presented as a key avenue to viral suppression. The level of engagement with providers was presented as a key attribute of attaining viral suppression. The participants narrated their experiences with viral load testing within the routine services. However, they revealed experiencing some proximate barriers to suppression, including anticipated stigma, challenges with nondisclosure of HIV status, pregnancy distress, and distance to the health facility.
Conclusion The understanding and interpretation of viral suppression among pregnant and breastfeeding mothers living with HIV provides a basis for adopting behaviors leading to the prevention of vertical transmission of HIV. Health care
workers can support women by providing clear and culturally appropriate education about viral suppression, adherence
strategies and creating a supportive and non-judgmental environment. |
| format | Article |
| id | oai:idr.kab.ac.ug:20.500.12493-2419 |
| institution | KAB-DR |
| language | English |
| publishDate | 2024 |
| publisher | Kabale University |
| record_format | dspace |
| spelling | oai:idr.kab.ac.ug:20.500.12493-24192024-12-12T00:00:51Z “I Desire to Have an HIV‐Free Baby”: Pregnant and Breastfeeding Mothers’ Perceptions of Viral Load Testing and Suppression in HIV Care in Southwestern Uganda. Kabami, Jane Akatukwasa, Cecilia Kabageni, Stella Nangendo, Joanita Byamukama, Ambrose Atwiine, Fredrick Mftumukiza, Valence Tamu, Munezero John Bosco Arinaitwe, Elizabeth Mutabazi, Andrew Ssebutinde, Peter Musoke, Phillipa Kamya, Moses R. Katahoire, Anne R. Viral suppression · Pregnant and breastfeeding women · Perceptions Introduction Viral suppression is a critical component for preventing mother-to-child transmission of HIV(MTCT). Mothers’ perceptions of viral load suppression is crucial in the attainment of successful outcomes in preventing mother-to-child transmission of HIV. We therefore aimed to explore the experiences and perceptions of women on viral suppression. Methods This was a qualitative sub-study embedded in a cluster-randomized trial (NCT04122144) designed to improve viral load outcomes among pregnant and breastfeeding mothers living with HIV in four level III/IV health facilities in Southwestern Uganda. Thirty-two in-depth interviews were conducted with pregnant and breastfeeding women with HIV from 1st March 2020 to 30th September 2020 to explore their understanding and interpretation of viral suppression. Interviews were audio-recorded, transcribed, and coded in Dedoose software for analysis. Results A total of 32 Women living with HIV were enrolled in this qualitative study. WLHIV explained viral suppression in the context of attaining good health and having HIV-free babies. Adherence to ART was presented as a key avenue to viral suppression. The level of engagement with providers was presented as a key attribute of attaining viral suppression. The participants narrated their experiences with viral load testing within the routine services. However, they revealed experiencing some proximate barriers to suppression, including anticipated stigma, challenges with nondisclosure of HIV status, pregnancy distress, and distance to the health facility. Conclusion The understanding and interpretation of viral suppression among pregnant and breastfeeding mothers living with HIV provides a basis for adopting behaviors leading to the prevention of vertical transmission of HIV. Health care workers can support women by providing clear and culturally appropriate education about viral suppression, adherence strategies and creating a supportive and non-judgmental environment. 2024-12-11T10:40:24Z 2024-12-11T10:40:24Z 2024 Article Kabami, J. et al. (2024). “I Desire to Have an HIV‐Free Baby”: Pregnant and Breastfeeding Mothers’ Perceptions of Viral Load Testing and Suppression in HIV Care in Southwestern Uganda. Kabale: Kabale University. http://hdl.handle.net/20.500.12493/2419 en Attribution-NonCommercial-NoDerivs 3.0 United States http://creativecommons.org/licenses/by-nc-nd/3.0/us/ application/pdf Kabale University |
| spellingShingle | Viral suppression · Pregnant and breastfeeding women · Perceptions Kabami, Jane Akatukwasa, Cecilia Kabageni, Stella Nangendo, Joanita Byamukama, Ambrose Atwiine, Fredrick Mftumukiza, Valence Tamu, Munezero John Bosco Arinaitwe, Elizabeth Mutabazi, Andrew Ssebutinde, Peter Musoke, Phillipa Kamya, Moses R. Katahoire, Anne R. “I Desire to Have an HIV‐Free Baby”: Pregnant and Breastfeeding Mothers’ Perceptions of Viral Load Testing and Suppression in HIV Care in Southwestern Uganda. |
| title | “I Desire to Have an HIV‐Free Baby”: Pregnant and Breastfeeding Mothers’ Perceptions of Viral Load Testing and Suppression in HIV Care in Southwestern Uganda. |
| title_full | “I Desire to Have an HIV‐Free Baby”: Pregnant and Breastfeeding Mothers’ Perceptions of Viral Load Testing and Suppression in HIV Care in Southwestern Uganda. |
| title_fullStr | “I Desire to Have an HIV‐Free Baby”: Pregnant and Breastfeeding Mothers’ Perceptions of Viral Load Testing and Suppression in HIV Care in Southwestern Uganda. |
| title_full_unstemmed | “I Desire to Have an HIV‐Free Baby”: Pregnant and Breastfeeding Mothers’ Perceptions of Viral Load Testing and Suppression in HIV Care in Southwestern Uganda. |
| title_short | “I Desire to Have an HIV‐Free Baby”: Pregnant and Breastfeeding Mothers’ Perceptions of Viral Load Testing and Suppression in HIV Care in Southwestern Uganda. |
| title_sort | i desire to have an hiv free baby pregnant and breastfeeding mothers perceptions of viral load testing and suppression in hiv care in southwestern uganda |
| topic | Viral suppression · Pregnant and breastfeeding women · Perceptions |
| url | http://hdl.handle.net/20.500.12493/2419 |
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