title: Health care-seeking behaviour of HIV-infected mothers and male partners in Nairobi, Kenya.
abstract: Health care-seeking behaviours of HIV-infected mothers in sub-Saharan Africa are poorly characterised and typically focus on individual health conditions rather than overall health. We conducted a qualitative study to understand how HIV-infected mothers, their male partners and their HIV-exposed infants seek medical services. We performed 32 in-depth interviews (17 female, 15 male) and four focus group discussions among HIV-infected post-partum women and their male partners in Nairobi, Kenya. We used a grounded theory approach to explore the paths followed for health-related concerns. Female participants reported that willingness to be tested for HIV influences whether women sought antenatal care and the type of facility they preferred for childbirth. The need for medical care outside regular clinic hours and securing safe transportation at night were also significant barriers to seeking care. Most men sought services from traditional healers and chemists before HIV diagnosis, and at governmental facilities afterwards. Both men and women sent infants to traditional healers for non-medical conditions such as bewitching and massage but rarely for medical conditions. Strategies to reduce HIV-related stigma and fears in antenatal and maternity settings, increase access to care after-hours and improve linkage to HIV care for men early in their infection are needed.
authors: a Department of Global Health , University of Washington , Seattle , WA , USA.
authors: Alison L
authors: AL
authors: Drake
authors: b Departments of Global Health and Nursing , University of Washington , Seattle , WA , USA.
authors: Suzanne K
authors: SK
authors: Wilson
authors: c Departments of Research & Programs and Reproductive Health , Kenyatta National Hospital , Nairobi , Kenya.
authors: John
authors: J
authors: Kinuthia
authors: d Department of Medicine , University of Washington Seattle , Seattle , WA , USA.
authors: Alison C
authors: AC
authors: Roxby
authors: e Department of Obstetrics and Gynaecology , University of Nairobi , Nairobi , Kenya.
authors: Daniel
authors: D
authors: Matemo
authors: f Departments of Medicine, Global Health, and Epidemiology , University of Washington , Seattle , WA , USA.
authors: Carey
authors: C
authors: Farquhar
authors: g Departments of Global Health; Psychiatry and Behavioural Sciences , University of Washington , Seattle , WA , USA.
authors: Deepa
authors: D
authors: Rao
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006679:HIV Seropositivity; D006801:Humans; D007407:Interviews as Topic; D007630:Kenya; D008297:Male; D009035:Mothers; D010342:Patient Acceptance of Health Care; D036301:Qualitative Research; D012747:Sexual Partners; D055815:Young Adult
keywords: HIV; health-seeking behaviours; infant; male partners; maternal
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