Evidence map›Paper›PMID 32572712›Full record

ArticleAIDS and behavior2021

"She Just Told Me Not To Cry": A Qualitative Study of Experiences of HIV Testing and Counseling (HTC) Among Pregnant Women Living with HIV in Tanzania.

Martha Oshosen, Brandon A Knettel, Elizabeth Knippler, Michael Relf, Blandina T Mmbaga, Melissa H Watt

Abstract read
In one paragraph

Article in AIDS and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

6 authors.

Martha OshosenKilimanjaro Clinical Research Institute, P.O. Box 2236, Moshi, Tanzania.
Brandon A KnettelDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA. Brandon.Knettel@duke.edu.ORCID http://orcid.org/0000-0003-2986-1579
Elizabeth KnipplerDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA.
Michael RelfDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA.
Blandina T MmbagaKilimanjaro Clinical Research Institute, P.O. Box 2236, Moshi, Tanzania.
Melissa H WattDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA.

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
Vanderbilt-Emory-Cornell-Duke Global Health Fellowship Consortium-Expanding Diversity for Global Equity (EDGE)D43TW009337 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ALIYU, MUKTAR HASSAN, HEIMBURGER, DOUGLAS CORBETT · 2017 to 2021
$6.3M
Sociobehavioral Sciences Research to Improve Care for HIV Infection in TanzaniaD43TW009595 · FIC · KILIMANJARO CHRISTIAN MEDICAL CENTRE · PI Blandina Theophil Mmbaga · 2013 to 2026
$4.2M
A stigma reduction intervention at time of entry into antenatal care to improve PMTCT services in TanzaniaR21TW011053 · FIC · UNIVERSITY OF UTAH · PI MMBAGA, BLANDINA THEOPHIL, WATT, MELISSA H · 2018 to 2019
$424k
Postpartum HIV care engagement in the context of Option B+ in TanzaniaR21AI124344 · NIAID · DUKE UNIVERSITY · PI MMBAGA, BLANDINA THEOPHIL, WATT, MELISSA H · 2016 to 2017
$314k
FIC NIH HHS D43 TW009337FIC NIH HHS D43 TW009595FIC NIH HHS R21 TW011053NIAID NIH HHS P30 AI064518NIAID NIH HHS R21 AI124344
6 · The paper itself

Abstract

HIV testing and counseling (HTC) in antenatal care is extremely effective at identifying women living with HIV and linking them to HIV care. However, retention is suboptimal in this population. We completed qualitative interviews with 24 pregnant women living with HIV in Tanzania to explore perceptions of HTC. Participants described intense shock and distress upon testing positive, including concerns about HIV stigma and disclosure; however, these concerns were rarely discussed in HTC. Nurses were generally kind, but relied on educational content and brief reassurances, leaving some participants feeling unsupported and unprepared to start HIV treatment. Several participants described gaps in HIV knowledge, including the purpose of antiretroviral therapy and the importance of medication adherence. Targeted nurse training related to HIV disclosure, stigma, and counseling skills may help nurses to more effectively communicate the importance of care engagement to prevent HIV transmission and support the long-term health of mother and child.

Indexed as

CounselingHIV InfectionsHIV TestingPregnancy Complications, InfectiousChildFemaleHumansPregnancyPregnant PeopleQualitative ResearchTanzaniaHIV stigmaHIV testing and counseling (HTC)Low- and middle-income countries (LMICs)Option B+Prevention of mother-to-child transmission of HIV (PMTCT)

Identifiers

PMID32572712
PMCPMC7752832

What OpenQuestion holds

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Registered trials

None linked

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.