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首页> 外文期刊>AIDS care. >Mamekhaya: a pilot study combining a cognitive-behavioral intervention and mentor mothers with PMTCT services in South Africa.
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Mamekhaya: a pilot study combining a cognitive-behavioral intervention and mentor mothers with PMTCT services in South Africa.

机译：Mamekhaya：一项在南非开展的结合认知行为干预和指导母亲与PMTCT服务的试点研究。

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Nearly 30% of pregnant women in South Africa are estimated to be HIV seropositive, yet adherence to guidelines for the prevention of mother-to-child transmission of HIV (PMTCT) is often low. A pilot study was developed to see whether PMTCT services provided by the South African Government could be enhanced by the Mamekhaya program, a combination of the mothers2mothers peer-mentoring program and a culturally adapted cognitive-behavioral intervention (CBI) from the USA. Pregnant women attending two maternity clinics offering PMTCT in Gugulethu and Vanguard Townships, Cape Town, South Africa, were invited to participate in the study. Women at the intervention site (Gugulethu) received the support of a mentor mother and also attended an eight-session Mamekhaya CBI. At the control site (Vanguard), women received standard services provided by midwives and counselors. Baseline assessments were completed by all participants at enrollment (n=160), and follow-ups were completed six months later by 44% of participants. Self-reports of adherence to PMTCT practices were high across both sites (90% or more engaging in the core practices). Women at the Mamekhaya site showed significantly greater improvement in establishing social support and reducing depression scores than women at the control site. Mamekhaya participants also showed trends for better attendance at follow-up medical visits, and greater improvements in positive coping. The greatest effect of the Mamekhaya program was to increase HIV knowledge scores, particularly with regard to understanding the meaning and importance of viral load and CD4 test results. Results from this pilot study show promise that augmenting basic PMTCT services with mentor mothers and a culturally adapted CBI can be effective in conveying information and in improving the emotional outlook and hopefulness of HIV-positive pregnant women in South Africa.
机译：据估计，南非有将近30％的孕妇是HIV血清反应阳性，但遵守预防母婴传播HIV（PMTCT）的指南通常很少。开展了一项试点研究，以查看南非政府提供的PMTCT服务是否可以通过Mamekhaya计划，母亲2母亲同伴指导计划以及来自美国的适应文化习惯的认知行为干预（CBI）组合来增强。邀请在南非开普敦古古莱特和先锋镇的两家提供PMTCT的妇产科诊所的孕妇参加了这项研究。干预地点（古古莱图）的妇女得到了一位导师母亲的支持，还参加了为期八届的Mamekhaya CBI会议。在控制地点（先锋队），妇女获得了助产士和辅导员提供的标准服务。入选时所有参与者均完成了基线评估（n = 160），六个月后有44％的参与者完成了随访。在两个站点中，遵守PMTCT惯例的自我报告很高（90％或更多参与核心惯例）。与对照地点的妇女相比，Mamekhaya地点的妇女在建立社会支持和降低抑郁评分方面显示出更大的进步。 Mamekhaya的参与者还显示出更好的参加随访医疗访问的趋势，以及积极应对方面的更大进步。 Mamekhaya计划的最大作用是提高HIV知识得分，尤其是在理解病毒载量和CD4测试结果的含义和重要性方面。这项初步研究的结果表明，有希望的是，通过导师母亲和文化适应性强的CBI增加基本的PMTCT服务可以有效地传达信息，并改善南非HIV阳性孕妇的情绪观和希望。

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