BMJ  2004;329 (4 September), doi:10.1136/bmj.329.7465.0-c

Mistrust blocks prevention of vertical HIV transmission

Poor communication between health workers and HIV positive pregnant women in Africa may increase the risk of mother to child transmission of the virus. Painter and colleagues (p 543) interviewed 27 HIV positive women in Côte d'Ivoire who refused prophylaxis, and found that dissatisfaction with the delivery of HIV tests and results, fears of stigma, lack of faith in treatment and in test results, or personal reasons were the most common barriers to treatment. A better understanding of women's needs and concerns may improve uptake of prevention, say the authors.

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Women's reasons for not participating in follow up visits before starting short course antiretroviral prophylaxis for prevention of mother to child transmission of HIV: qualitative interview study

Thomas M Painter, Kassamba L Diaby, Danielle M Matia, Lillian S Lin, Toussaint S Sibailly, Moïse K Kouassi, Ehounou R Ekpini, Thierry H Roels, and Stefan Z Wiktor
BMJ 2004 329: 543. [Abstract] [Full Text] [PDF]

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