The Psychosocial Profile of Women Who Defaulted Option B+ HIV Treatment: An Interpretive Phenomenological Analysis Study
Patricia Mae Dhlakama,1 Constance Matshidiso Lelaka,2 Azwihangwisi Helen Mavhandu-Mudzusi1 1Department of Health Studies, College of Human Sciences: University of South Africa, Pretoria, Gauteng Province, South Africa; 2The Discipline of Social Work, School of Human & Community Development, Univ...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-09-01
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| Series: | HIV/AIDS: Research and Palliative Care |
| Subjects: | |
| Online Access: | https://www.dovepress.com/the-psychosocial-profile-of-women-who-defaulted-option-b-hiv-treatment-peer-reviewed-fulltext-article-HIV |
| _version_ | 1797671521497382912 |
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| author | Dhlakama PM Lelaka CM Mavhandu-Mudzusi AH |
| author_facet | Dhlakama PM Lelaka CM Mavhandu-Mudzusi AH |
| author_sort | Dhlakama PM |
| collection | DOAJ |
| description | Patricia Mae Dhlakama,1 Constance Matshidiso Lelaka,2 Azwihangwisi Helen Mavhandu-Mudzusi1 1Department of Health Studies, College of Human Sciences: University of South Africa, Pretoria, Gauteng Province, South Africa; 2The Discipline of Social Work, School of Human & Community Development, University of the Witwatersrand, Johannesburg, 2000, South AfricaCorrespondence: Constance Matshidiso Lelaka; Patricia Mae Dhlakama, Email tshidi.lelaka@wits.ac.za; pmdhlakama5@gmail.comPurpose: The study explored the psychosocial profile of women who defaulted Option B+ HIV treatment at Chitungwiza Municipality clinics in Zimbabwe. Option B+ is a strategy to prevent mother-to-child transmission (PMTCT) of HIV to reduce MTCT rate to less than or equal to 5%.Methods: An interpretive phenomenological analysis (IPA) design was used. Data were collected from 04 September to 12 October 2020 on twelve purposively selected HIV-positive breastfeeding women aged 18 to 40 years, who defaulted Option B+ HIV treatment. Unstructured individual face-to-face interviews were utilised. Data were analysed thematically using the interpretive phenomenological analysis framework for data analysis.Results: The study findings revealed that participants experienced the following: psychosocial and emotional challenges due to HIV positive results, shown emotional distress and suicidal tendencies which affected their mental health. Their relationship was derailed due to abuse, infidelity, partner’s high-risk behaviour and to lack of support stemming from their partners and family members.Conclusion: Strengthening adherence support interventions and effective counselling on HIV-positive status disclosure and male partner involvement is important for retaining women in care and for improving their quality of life. Comprehensive, integrated, and tailor-made interventions should be adopted. Couple HIV counselling and testing should be encouraged. Psychosocial and mental health should be encouraged. Furthermore, community sensitization, risk reduction behaviour, education on purpose and side effects of ART as well as the benefits of Option B+ to new enrolments should be intensified and strengthened to minimize defaulting of treatment and LTFUP. Vigorous patient tracing and visit reminders help retain women in care.Keywords: breastfeeding, HIV, Option B+, PMTCT, pregnant, psychosocial, treatment default, women |
| first_indexed | 2024-03-11T21:16:45Z |
| format | Article |
| id | doaj.art-3ac4040f5bfe4c3e9ec7d6786e373be0 |
| institution | Directory Open Access Journal |
| issn | 1179-1373 |
| language | English |
| last_indexed | 2024-03-11T21:16:45Z |
| publishDate | 2023-09-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | HIV/AIDS: Research and Palliative Care |
| spelling | doaj.art-3ac4040f5bfe4c3e9ec7d6786e373be02023-09-28T18:12:52ZengDove Medical PressHIV/AIDS: Research and Palliative Care1179-13732023-09-01Volume 1558359887027The Psychosocial Profile of Women Who Defaulted Option B+ HIV Treatment: An Interpretive Phenomenological Analysis StudyDhlakama PMLelaka CMMavhandu-Mudzusi AHPatricia Mae Dhlakama,1 Constance Matshidiso Lelaka,2 Azwihangwisi Helen Mavhandu-Mudzusi1 1Department of Health Studies, College of Human Sciences: University of South Africa, Pretoria, Gauteng Province, South Africa; 2The Discipline of Social Work, School of Human & Community Development, University of the Witwatersrand, Johannesburg, 2000, South AfricaCorrespondence: Constance Matshidiso Lelaka; Patricia Mae Dhlakama, Email tshidi.lelaka@wits.ac.za; pmdhlakama5@gmail.comPurpose: The study explored the psychosocial profile of women who defaulted Option B+ HIV treatment at Chitungwiza Municipality clinics in Zimbabwe. Option B+ is a strategy to prevent mother-to-child transmission (PMTCT) of HIV to reduce MTCT rate to less than or equal to 5%.Methods: An interpretive phenomenological analysis (IPA) design was used. Data were collected from 04 September to 12 October 2020 on twelve purposively selected HIV-positive breastfeeding women aged 18 to 40 years, who defaulted Option B+ HIV treatment. Unstructured individual face-to-face interviews were utilised. Data were analysed thematically using the interpretive phenomenological analysis framework for data analysis.Results: The study findings revealed that participants experienced the following: psychosocial and emotional challenges due to HIV positive results, shown emotional distress and suicidal tendencies which affected their mental health. Their relationship was derailed due to abuse, infidelity, partner’s high-risk behaviour and to lack of support stemming from their partners and family members.Conclusion: Strengthening adherence support interventions and effective counselling on HIV-positive status disclosure and male partner involvement is important for retaining women in care and for improving their quality of life. Comprehensive, integrated, and tailor-made interventions should be adopted. Couple HIV counselling and testing should be encouraged. Psychosocial and mental health should be encouraged. Furthermore, community sensitization, risk reduction behaviour, education on purpose and side effects of ART as well as the benefits of Option B+ to new enrolments should be intensified and strengthened to minimize defaulting of treatment and LTFUP. Vigorous patient tracing and visit reminders help retain women in care.Keywords: breastfeeding, HIV, Option B+, PMTCT, pregnant, psychosocial, treatment default, womenhttps://www.dovepress.com/the-psychosocial-profile-of-women-who-defaulted-option-b-hiv-treatment-peer-reviewed-fulltext-article-HIVbreastfeedinghivoption b+pmtctpregnantpsychosocialtreatment defaultwomen. |
| spellingShingle | Dhlakama PM Lelaka CM Mavhandu-Mudzusi AH The Psychosocial Profile of Women Who Defaulted Option B+ HIV Treatment: An Interpretive Phenomenological Analysis Study HIV/AIDS: Research and Palliative Care breastfeeding hiv option b+ pmtct pregnant psychosocial treatment default women. |
| title | The Psychosocial Profile of Women Who Defaulted Option B+ HIV Treatment: An Interpretive Phenomenological Analysis Study |
| title_full | The Psychosocial Profile of Women Who Defaulted Option B+ HIV Treatment: An Interpretive Phenomenological Analysis Study |
| title_fullStr | The Psychosocial Profile of Women Who Defaulted Option B+ HIV Treatment: An Interpretive Phenomenological Analysis Study |
| title_full_unstemmed | The Psychosocial Profile of Women Who Defaulted Option B+ HIV Treatment: An Interpretive Phenomenological Analysis Study |
| title_short | The Psychosocial Profile of Women Who Defaulted Option B+ HIV Treatment: An Interpretive Phenomenological Analysis Study |
| title_sort | psychosocial profile of women who defaulted option b hiv treatment an interpretive phenomenological analysis study |
| topic | breastfeeding hiv option b+ pmtct pregnant psychosocial treatment default women. |
| url | https://www.dovepress.com/the-psychosocial-profile-of-women-who-defaulted-option-b-hiv-treatment-peer-reviewed-fulltext-article-HIV |
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