"I Have to Stand Up on My Own and Do the Best I Can for My Kids"

Exclusive breastfeeding HIV/AIDS Labor participation WLHIV

Journal

AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133

Informations de publication

Date de publication:
06 Sep 2024
Historique:
accepted: 21 08 2024
medline: 6 9 2024
pubmed: 6 9 2024
entrez: 6 9 2024
Statut: aheadofprint

Résumé

In recent years, significant progress has been made in treatment access for women living with HIV (WLHIV). For example, option B+, which requires that all pregnant persons who test positive for HIV start on antiretroviral treatment, has been instrumental in reducing the risk of vertical transmission. For birthing individuals who have a low HIV viral load, there is a minimized risk of vertical transmission during breastfeeding. However, an alarming rate of WLHIV in South Africa disengage from care during postpartum. Given that work is intricately linked to individuals' socioeconomic status, and thus health outcomes, and their health-seeking ability, it is important to explore the role of work in decisions that impact HIV-related care for the dyad postpartum. Semi-structured interviews were conducted with 26 women living with HIV at 6-8 weeks postpartum in Cape Town, South Africa. A secondary qualitative data analysis was conducted following thematic content analysis. Three themes were identified, spanning participants' financial considerations, navigating childcare needs, and considerations for exclusive breastfeeding. For many participants, there was often a conflict between returning to work, childcare, and the decision whether or not to breastfeed-in addition to their HIV care. This conflict between participants' commitments suggests an increased pressure that WLHIV may face postpartum, which could impact their ability to remain engaged in their healthcare and adherent to medication. Although exclusive breastfeeding is an important recommendation for the baby's health outcomes; there is a need for structural support for WLHIV as they navigate work re-entry during postpartum.

Identifiants

DOI: 10.1007/s10461-024-04478-w PMID: 39240300
pubmed: 39240300
doi: 10.1007/s10461-024-04478-w
pii: 10.1007/s10461-024-04478-w
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : NIMH NIH HHS
ID : K01MH112443
Pays : United States

Informations de copyright

© 2024. The Author(s).

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Auteurs

Mamaswatsi Kopeka (M)

Brown University School of Public Health, Rhode Island, USA. mamaswatsi_kopeka@alumni.brown.edu.
Department of Prevention and Community Health, The George Washington University, Washington, DC, USA. mamaswatsi_kopeka@alumni.brown.edu.
ORCID: 0009-0008-7961-1141

Michael Barton Laws (MB)

Department of Health Services, Policy and Practice, Brown University School of Public Health, Rhode Island, USA.

Abigail Harrison (A)

Department of Behavioral and Social Sciences, Brown University School of Public Health, Rhode Island, USA.

Nokwazi Tsawe (N)

Division of Epidemiology and Biostatistics, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.

Lucia Knight (L)

Division of Social and Behavioural Sciences, Faculty of Health Sciences, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
School of Public Health, Community and Health Sciences, University of the Western Cape, Cape Town, South Africa.

Jennifer Pellowski (J)

Department of Behavioral and Social Sciences, Brown University School of Public Health, Rhode Island, USA.
Division of Social and Behavioural Sciences, Faculty of Health Sciences, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.

Classifications MeSH