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تسجيل الدخول للوصول الكامل.

المؤلفون: Matthews, Lynn T., Bajunirwe, Francis, Kastner, Jasmine, Sanyu, Naomi, Akatukwasa, Cecilia, Ng, Courtney, Rifkin, Rachel, Milford, Cecilia, Moore, Lizzie, Wilson, Ira B., Bangsberg, David R., Smit, Jennifer A., Kaida, Angela

المصدر: BioMed Research International; 3/8/2016, Vol. 2016, p1-9, 9p

مصطلحات موضوعية: HIV prevention, HIV infection transmission, MEDICAL care, ATTITUDE (Psychology), CONTENT analysis, COUNSELING, HIV-positive persons, INTERVIEWING, RESEARCH methodology, MEDICAL cooperation, MEDICAL personnel, RESEARCH, RESEARCH funding, SAFETY, STATISTICAL sampling, REPRODUCTIVE health, QUALITATIVE research, FAMILY planning, DATA analysis software, DESCRIPTIVE statistics

مصطلحات جغرافية: UGANDA

مستخلص: Background. We explored healthcare provider perspectives and practices regarding safer conception counseling for HIV-affected clients. Methods. We conducted semistructured interviews with 38 providers (medical and clinical officers, nurses, peer counselors, and village health workers) delivering care to HIV-infected clients across 5 healthcare centres in Mbarara District, Uganda. Interview transcripts were analyzed using content analysis. Results. Of 38 providers, 76% were women with median age 34 years (range 24–57). First, we discuss providers’ reproductive counseling practices. Emergent themes include that providers (1) assess reproductive goals of HIV-infected female clients frequently, but infrequently for male clients; (2) offer counseling focused on “family planning” and maternal and child health; (3) empathize with the importance of having children for HIV-affected clients; and (4) describe opportunities to counsel HIV-serodiscordant couples. Second, we discuss provider-level challenges that impede safer conception counseling. Emergent themes included the following: (1) providers struggle to translate reproductive rights language into individualized risk reduction given concerns about maternal health and HIV transmission and (2) providers lack safer conception training and support needed to provide counseling. Discussion. Tailored guidelines and training are required for providers to implement safer conception counseling. Such support must respond to provider experiences with adverse HIV-related maternal and child outcomes and a national emphasis on pregnancy prevention. [ABSTRACT FROM AUTHOR]

: Copyright of BioMed Research International is the property of Hindawi Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Nabukera, Sarah K., Witte, Kim, Muchunguzi, Charles, Bajunirwe, Francis, Batwala, Vincent K., Mulogo, Edgar M., Farr, Celeste, Barry, Souleymane, Salihu, Hamisu M.

المصدر: Journal of Community Health; Apr2006, Vol. 31 Issue 2, p84-93, 10p

مصطلحات موضوعية: POSTNATAL care, MEDICAL care, RURAL geography, REPRODUCTIVE health, QUALITATIVE research, ETHNOGRAPHIC informants, HEALTH facilities, POVERTY, COMMUNITY health workers

مصطلحات جغرافية: UGANDA

مستخلص: The purpose of this study was to explore the knowledge, attitudes and barriers to use of postpartum care service among rural communities in Uganda. Study was a part of a larger reproductive health evaluation project, and was cross-sectional in nature utilizing qualitative research methods using the narrative inquiry. Two matched rural communities were used in this study; Semuto in Luwero district, and Lwamaggwa in Rakai district. Fifty key informants who were purposefully selected from each study site were interviewed. They included community leaders, political leaders, health care providers, women leaders and community members. One-on-one interviews were conducted with key community informants using an interview guide. The purpose of the interview was explained to each participant, and written informed consent was obtained before the start of the interview. Respondents were allowed to express their views, opinions and observations on several health issues including postpartum health care services. There was a low level of knowledge about postpartum care services among the respondents of the two communities. There was lack of awareness about postpartum care and it's benefits. The main barriers to use of services were; misconceptions regarding the importance of postpartum care, distance to health facilities, poverty, and health system factors notably; poor facilities, lack of essential drugs, and poor attitudes of health workers. In the effort to improve reproductive health care services, there is an urgent need to improve postpartum services, and make them more accessible and user friendly. The training of providers at all levels is essential, in addition to educating families on the importance of postpartum care services. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)