Abstract:
OBJECTIVES:To explore whether private midwives can perform HIV counselling and testing, provide antiretroviral treatment and contraceptives, and how this affects access to services especially among young and HIV-positive women. METHODS:A formative study was conducted between January and April 2009 to assess care-seeking practices and perceptions on the prevention of mother-to-child transmission (PMTCT) and family planning services in Wakiso district, central Uganda. A household survey supplemented by 12 focus group discussions and 66 key informant interviews was carried out between January and April 2009. RESULTS:10,706 women, mean age 25.8 years (14-49 years) were interviewed. The majority of women, 4786 (57%) were in the lowest wealth quintile; 62.0% were not using family planning (p<0.000); 56.2% did not access HIV counselling and testing because they feared knowing their HIV status (p<0.013), while 66.5% feared spouses knowing their HIV status (p<0.013). Access to these services among the young women and those with no education was also poor. Private midwives provide HIV testing to 7.8% of their clients; 5.9% received antiretroviral drugs and 8.6% received contraceptives. Client satisfaction with services at private midwifery practices was high. Private midwives are trusted and many clients confide in them. An intervention through private midwives was perceived to improve access because of short distances and no transport costs. Adolescents prioritized confidentiality, while subsidizing costs, community sensitisation and focusing on male spouses were overwhelmingly recommended. CONCLUSIONS:Private midwives clinics are potential delivery outlets for PMTCT in Uganda. A well-designed intervention linking them to the public sector and the community could increase access to services.
journal_name
Sex Transm Infectjournal_title
Sexually transmitted infectionsauthors
Mbonye AK,Hansen KS,Wamono F,Magnussen Pdoi
10.1136/sti.2009.037986subject
Has Abstractpub_date
2009-12-01 00:00:00pages
534-9issue
7eissn
1368-4973issn
1472-3263pii
sti.2009.037986journal_volume
85pub_type
杂志文章abstract:OBJECTIVE:To develop and evaluate instructional and packaging materials for patient-delivered partner therapy (PDPT). METHODS:64 patients participated from an urban US sexually transmitted infection (STI) clinic. The research comprised three phases: individual interviews to elicit attitudes and beliefs regarding PDPT ...
journal_title:Sexually transmitted infections
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journal_title:Sexually transmitted infections
pub_type: 杂志文章,多中心研究
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journal_title:Sexually transmitted infections
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journal_title:Sexually transmitted infections
pub_type: 杂志文章,评审
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更新日期:2006-06-01 00:00:00
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journal_title:Sexually transmitted infections
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2004-10-01 00:00:00
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更新日期:2010-12-01 00:00:00
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更新日期:2013-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/sextrans-2012-050689
更新日期:2012-12-01 00:00:00
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journal_title:Sexually transmitted infections
pub_type: 杂志文章
doi:10.1136/sextrans-2015-052152
更新日期:2016-03-01 00:00:00
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journal_title:Sexually transmitted infections
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:2011-08-01 00:00:00
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journal_title:Sexually transmitted infections
pub_type: 杂志文章,多中心研究
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更新日期:2014-06-01 00:00:00
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journal_title:Sexually transmitted infections
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2003-10-01 00:00:00
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journal_title:Sexually transmitted infections
pub_type: 杂志文章
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更新日期:2002-10-01 00:00:00
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journal_title:Sexually transmitted infections
pub_type: 杂志文章
doi:10.1136/sextrans-2011-050354
更新日期:2012-12-01 00:00:00
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journal_title:Sexually transmitted infections
pub_type: 杂志文章
doi:10.1136/sextrans-2011-050298
更新日期:2012-08-01 00:00:00
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journal_title:Sexually transmitted infections
pub_type: 杂志文章
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更新日期:2007-07-01 00:00:00
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journal_title:Sexually transmitted infections
pub_type: 临床试验,杂志文章,多中心研究
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更新日期:2004-10-01 00:00:00
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journal_title:Sexually transmitted infections
pub_type: 杂志文章
doi:10.1136/sti.78.suppl_1.i176
更新日期:2002-04-01 00:00:00
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更新日期:2003-06-01 00:00:00