This article is available in: PDF HTML EPUB XML

Breastfeeding: the hidden barrier in Côte d’Ivoire’s quest to eliminate mother-to-child transmission of HIV

Heather M. Buesseler, Ahoua Kone, Julia Robinson, Albert Bakor, Kirsten Senturia

Abstract


Introduction: Côte d’Ivoire has one of the worst HIV/AIDS epidemics in West Africa. This study sought to understand how HIV-positive women’s life circumstances and interactions with the public health care system in Bouaké, Côte d’Ivoire, influence their self-reported ability to adhere to antiretroviral prophylaxis during pregnancy.

Methods: Semistructured interviews were conducted with 24 HIV-positive women not eligible for antiretroviral therapy and five health care workers recruited from four public clinics in which prevention of mother-to-child transmission services had been integrated into routine antenatal care.

Results: Self-reported adherence to prophylaxis is high, but women struggle to observe (outdated) guidelines for rapid infant weaning. Women’s positive interactions with health providers, their motivation to protect their infants and the availability of free antiretrovirals seem to override most potential barriers to prophylaxis adherence.

Conclusions: This study reveals the importance of considering the full continuum of prevention of mother-to-child transmission interventions, including infant feeding, instead of focussing primarily on prophylaxis for the mother and newborn.

Keywords: PMTCT; HIV; adherence; ARV; prophylaxis; breastfeeding; infant feeding; qualitative.

(Published: 14 April 2014)

Citation: Buesseler HM et al. Journal of the International AIDS Society 2014, 17:18853

http://www.jiasociety.org/index.php/jias/article/view/18853 | http://dx.doi.org/10.7448/IAS.17.1.18853




Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.

Journal of the International AIDS Society | eISSN 1758-2652 | Editors-in-Chief: Susan Kippax and Kenneth Mayer

*2016 Journal Citation Reports® Science Edition - a Clarivate Analytics product.

Disclaimer: The Journal of the International AIDS Society is an official journal of and is published by the International AIDS Society. The costs of the Journal of the International AIDS Society are secured by the International AIDS Society. This support does not in any way affect the editorial independency of the Journal of the International AIDS Society. Material published in the journal is entirely independent of the opinion of external sponsors and the society.