Evidence map›Paper›PMID 31409297›Full record

ArticleBMC pregnancy and childbirth2019

Acceptability of community-based mentor mothers to support HIV-positive pregnant women on antiretroviral treatment in western Kenya: a qualitative study.

Iris Wanga, Anna Helova, Lisa L Abuogi, Elizabeth A Bukusi, Wafula Nalwa, Eliud Akama, Thomas A Odeny, Janet M Turan, Maricianah Onono

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02491177 (Maximizing Adherence and Retention for Women and Infants in the Context of Option B+), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02491177 nacompletednot on this map

Maximizing Adherence and Retention for Women and Infants in the Context of Option B+

TypeinterventionalSponsorUniversity of Colorado, DenverRan2014 to 2021Enrolled1,338ConditionsHuman Immunodeficiency VirusArmscMM, Text Messaging
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Iris WangaCentre for Microbiology Research, Kenya Medical Research Institute, P.O. Box 19464 - 00202, Nairobi, Kenya.
Anna HelovaDepartment of Health Care Policy and Organization, School of Public Health, University of Alabama at Birmingham, 517 RPHB 1665 University Blvd, Birmingham, AL, 35294, USA.
Lisa L AbuogiDepartment of Pediatrics, University of Colorado Denver, 13199 East Montview Blvd, Suite 310 Mail Stop A090, Aurora, CO, 80045, USA.
Elizabeth A BukusiCentre for Microbiology Research, Kenya Medical Research Institute, P.O. Box 19464 - 00202, Nairobi, Kenya.
Wafula NalwaMaseno University School of Medicine, Box 3365-40100, Kisumu, Kenya.
Eliud AkamaCentre for Microbiology Research, Kenya Medical Research Institute, P.O. Box 19464 - 00202, Nairobi, Kenya.
Thomas A OdenyCentre for Microbiology Research, Kenya Medical Research Institute, P.O. Box 19464 - 00202, Nairobi, Kenya.
Janet M TuranDepartment of Health Care Policy and Organization, School of Public Health, University of Alabama at Birmingham, 517 RPHB 1665 University Blvd, Birmingham, AL, 35294, USA.
Maricianah OnonoCentre for Microbiology Research, Kenya Medical Research Institute, P.O. Box 19464 - 00202, Nairobi, Kenya. maricianah@gmail.com.ORCID http://orcid.org/0000-0001-6847-8762
Kenya Medical Research Institute · KEUniversity of Alabama at Birmingham · USMaseno University · KEUniversity of Colorado Denver · US

Funding

Maximizing adherence /retention for women /infants in the context of Option B+, KenyaR01HD080477 · NICHD · UNIVERSITY OF COLORADO DENVER · PI ABUOGI, LISA LYNN, TURAN, JANET M. · 2014 to 2018
$2.0M
National Institute of Child Health and Human Development R01HD080477NICHD NIH HHS R01 HD080477
6 · The paper itself

Abstract

backgroundOption B+ is a comprehensive antiretroviral treatment (ART) designed for HIV-infected pregnant/ postpartum women. However, barriers to implementing Option B+ and establishing long-term ART adherence while facilitating retention in prevention of mother to child transmission of HIV (PMTCT) services remain. Community-based mentor mothers (cMMs) who can provide home-based support for PMTCT services may address some of the barriers to successful adoption and retention in Option B+. Thus, we evaluated the acceptability of using cMMs as home-based support for PMTCT services.

methodsGender-matched in-depth interviews were conducted between September-November 2014 for HIV-infected pregnant/postpartum women and their male partners living in southwestern Kenya (n = 40); additionally, we conducted four focus groups involving 30 health workers (n = 70) within four health facilities. Audio-recordings were transcribed, translated, and then coded using a thematic analytical approach in which data were deductively and inductively coded with support from prior literature, identified themes within the interview guides, and emerging themes from the transcripts utilizing Dedoose software.

resultsOverall, the study results suggest high acceptability of cMMs among individual participants and health workers. Stigma reduction, improvement of utilization of health care services, as well as ART adherence were most frequently discussed potential benefits of cMMs. Participants pictured a cMM as someone acting as a role model and confidant, and who was over 30 years old. Many respondents raised concerns about breaches of confidentiality and inadvertent disclosure. Respondent suggestions to overcome these issues included the cMM working in different communities than where she lives and attending home-visits with no identifying clothing as an HIV-related health worker.

conclusionsThe home-based cMM approach may be a beneficial and acceptable strategy for promoting ART adherence and retention within PMTCT services for pregnant/postpartum women living with HIV. Considering the risks of inadvertent disclosure of HIV-infected status and related negative consequences for pregnant/postpartum women living with HIV, similar cMM program designs may benefit from recognizing and addressing these risks.

trial registrationThe MOTIVATE! study was registered on July 7, 2015 at the ClinicalTrials.gov ( NCT02491177 ).

Indexed as

MentorsMothersPatient Acceptance of Health CarePregnant PeopleSocial SupportAdultAnti-HIV AgentsCommunity Health ServicesFemaleFocus GroupsHealth PersonnelHIV InfectionsHouse CallsHumansInfectious Disease Transmission, VerticalKenyaAnti-HIV AgentsCommunity mentor mothersHIVOption B+Prevention of mother-to-child transmission

Identifiers

PMID31409297
PMCPMC6693232
OpenAlexW2967305571

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.