title: The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania.
abstract: BACKGROUND
  In the Kilimanjaro region the mother-in-law has traditionally had an important role in matters related to reproduction and childcare. The aim of this study was to explore the role of the mothers-in-law in prevention of mother-to-child transmission (PMTCT) service utilization and adherence to infant feeding guidelines.
  
  
  METHODS
  The study was conducted during 2007-2008 in rural and urban areas of Moshi district in the Kilimanjaro region of Tanzania. Mixed methods were used and included focus group discussions with mothers-in-law, mothers and fathers; in-depth interviews with mothers-in-law, mothers, fathers and HIV-infected mothers, and a survey of 446 mothers bringing their four-week-old infants for immunisation at five reproductive and child health clinics.
  
  
  RESULTS
  The study demonstrated that the mother-in-law saw herself as responsible for family health issues in general and child care in particular. However she received limited trust, and couples, in particular couples living in urban areas, tended to exclude her from decisions related to childbearing and infant feeding. Mothers-in-law expected their daughters-in-law to breastfeed in a customary manner and were generally negative towards the infant feeding methods recommended for HIV-infected mothers; exclusive replacement feeding and exclusive breastfeeding.
  
  
  CONCLUSIONS
  Decreasing influence of the mother-in-law and increasing prominence of the conjugal couples in issues related to reproduction and child care, reinforce the importance of continued efforts to include male partners in the PMTCT programme. The potential for involving mothers-in-law in the infant feeding component, where she still has influence in some areas, should be further explored.
authors.affiliation: Centre for International Health, University of Bergen, Postboks 7804, N-5020 Bergen, Norway. eli.fjeld@cih.uib.no
authors.forename: Eli Fjeld
authors.initials: EF
authors.lastname: Falnes
authors.forename: Karen Marie
authors.initials: KM
authors.lastname: Moland
authors.forename: Thorkild
authors.initials: T
authors.lastname: Tylleskär
authors.forename: Marina Manuela
authors.initials: MM
authors.lastname: de Paoli
authors.forename: Sebalda Charles
authors.initials: SC
authors.lastname: Leshabari
authors.forename: Ingunn M S
authors.initials: IM
authors.lastname: Engebretsen
mesh_terms: D000328:Adult; D001942:Breast Feeding; D003220:Conflict, Psychological; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000517:prevention & control / Q000635:transmission*; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D016901:Intergenerational Relations; D007407:Interviews as Topic; D008297:Male; D009035:Mothers; D012424:Rural Population; D013636:Tanzania; D035502:Trust; D014505:Urban Population; D055815:Young Adult