Vulnerability of women in an African setting: lessons for mother-to-child HIV transmission prevention programmes.
After discussing advantages and risks, only a third of the 290 HIV-infected women included in an intervention study to reduce mother-to-child transmission of HIV in Mombasa, Kenya, informed their partners of their results. Despite careful counselling, 10% subsequently experienced violence or disruption of their relationship. To increase the uptake of interventions to reduce perinatal HIV transmission safely, we recommend the involvement of partners in HIV testing. In addition, the counselling of women has to address methods and skills to deal with violence.
Gaillard
Philippe
P
International Centre for Reproductive Health, University of Ghent, Ghent, Belgium.
Melis
Reinhilde
R
Mwanyumba
Fabian
F
Claeys
Patricia
P
Muigai
Esther
E
Mandaliya
Kishorchandra
K
Bwayo
Job
J
Temmerman
Marleen
M
D003376:Counseling; D017579:Domestic Violence; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000635:transmission*; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D007630:Kenya / Q000453:epidemiology; D008297:Male; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000453:epidemiology / Q000517:prevention & control*; D012747:Sexual Partners