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首页> 外文期刊>AIDS care. >Postnatal care utilization and local understandings of contagion among HIV-infected and uninfected women in rural, southern Zambia
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Postnatal care utilization and local understandings of contagion among HIV-infected and uninfected women in rural, southern Zambia

机译：赞比亚南部农村地区艾滋病毒感染和未感染妇女对产后保健的利用和对传染病的当地了解

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Postnatal care is essential for ensuring the optimal health of newborns and necessary for the prevention of maternal-to-child human immunodeficiency virus (HIV) transmission as well as the early diagnosis and treatment of HIV-infected infants. However, coverage of postnatal care is low in many rural areas of sub-Saharan Africa. We examined women's experiences of accessing formal postnatal care for their HIV-exposed newborns, comparing reports of HIV-infected and uninfected women in an HIV-endemic area of rural southern Zambia. We conducted 24 qualitative in-depth interviews with recently delivered women in a rural region of southern Zambia, including 8 with women who were willing to disclose their HIV infection status and answer additional questions. Data were transcribed, coded and analyzed using thematic analysis techniques. HIV-infected women identified more disincentives and reported more negative experiences accessing postnatal care than HIV-uninfected women. A local notion of contagion holds that healthy infants may become sick with chibele, a fatal, febrile illness, if exposed to another infant who is taking strong medicine, such as antiretroviral drugs. Thus, HIV-uninfected women expressed objections to sharing clinics with women and infants who were presumed to be under treatment. Additionally, women reported receiving better treatment from staff at HIV clinics compared to general pediatric clinics. Due to these tensions, HIV-infected women were less likely to visit a clinic for newborn care if the clinic or waiting area was a common space used by HIV-uninfected women and their children. When integrating programs for HIV with maternal and child health care, these nuanced tensions between groups of patients must be recognized and resolved.
机译：产后保健对于确保新生儿的最佳健康至关重要，对于预防母婴人类免疫缺陷病毒（HIV）的传播以及对HIV感染婴儿的早期诊断和治疗也是必不可少的。但是，在撒哈拉以南非洲的许多农村地区，产后保健的覆盖率很低。我们比较了赞比亚南部农村地区艾滋病毒感染地区的妇女感染艾滋病毒和未感染妇女的报道，我们研究了妇女为受艾滋病毒感染的新生儿提供正式产后护理的经历。我们对赞比亚南部农村地区新近交付的妇女进行了24次定性深入访谈，其中包括8名愿意透露其HIV感染状况并回答其他问题的妇女。使用主题分析技术对数据进行转录，编码和分析。与未感染艾滋病毒的妇女相比，感染了艾滋病毒的妇女发现了更多的抑制因素，并报告了更多的接受产后护理的负面经历。当地的传染病概念认为，健康的婴儿如果暴露于另一名服用强力药物（例如抗逆转录病毒药物）的婴儿，可能会患上致命的发热性疾病-智利。因此，未感染艾滋病毒的妇女表示反对与假定正在接受治疗的妇女和婴儿共用诊所。此外，与普通儿科诊所相比，妇女报告说在HIV诊所工作人员得到的治疗更好。由于这些紧张关系，如果诊所或候诊区是未感染艾滋病毒的妇女及其子女所共有的空间，则感染艾滋病毒的妇女就不太可能去诊所接受新生儿护理。将艾滋病毒计划与母婴保健相结合时，必须意识到并解决患者群体之间这些细微的紧张关系。

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