Evidence map›Paper›PMID 32641072›Full record

ArticleReproductive health2020

Knowledge transmission, peer support, behaviour change and satisfaction in post Natal clubs in Khayelitsha, South Africa: a qualitative study.

Hélène Duvivier, Tom Decroo, Aurélie Nelson, Tali Cassidy, Zodwa Mbakaz, Laura Trivino Duran, Virginia de Azevedo, Suhair Solomon, Emilie Venables

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 31% 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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. 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

9 authors at 4 institutions in 2 countries.

Hélène DuvivierMédecins Sans Frontières, Brussels, Belgium. Lnduv@hotmail.com.
Tom DecrooDepartment of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
Aurélie NelsonMédecins Sans Frontières, Cape Town, South Africa.
Tali CassidyMédecins Sans Frontières, Cape Town, South Africa.
Zodwa MbakazMédecins Sans Frontières, Cape Town, South Africa.
Laura Trivino DuranMédecins Sans Frontières, Cape Town, South Africa.
Virginia de AzevedoCity of Cape Town Department of Health, Khayelitsha, Cape Town, South Africa.
Suhair SolomonMédecins Sans Frontières, Cape Town, South Africa.
Emilie VenablesDivision of Social and Behavioural Sciences, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
Médecins Sans Frontières · ZACity of Cape Town · ZAMédecins Sans Frontières · BEResearch Foundation - Flanders · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Post Natal Club (PNC) model assures comprehensive care, including HIV and Maternal and Child Health care, for postpartum women living with HIV and their infants during an 18-month postnatal period. The PNC model was launched in 2016 in Town Two Clinic, a primary health care facility in Khayelitsha, South Africa. This qualitative research study aims to understand how participation in PNCs affected knowledge transmission, peer support, behaviour change and satisfaction with the care provided.

methodsWe conducted ten in-depth interviews; three focus group discussions and participant observation with PNC members, health-care workers and key informants selected through purposive sampling. Seventeen PNC members between 21 and 38 years old, three key informants and seven staff working in PNC participated in the research. All participants were female, except for one of the three key informants who was male. Data was collected until saturation. The data analysis was performed in an inductive way and involved an iterative process, using Nvivo11 software.

resultsPNC members acquired knowledge on HIV, ART, adherence, infant feeding, healthy eating habits, follow up tests and treatment for exposed infants. Participants believed that PNC created strong relationships among members and offered an environment conducive to sharing experience and advice. Most interviewees stated that participating in PNC facilitated disclosure of their HIV status, enhanced support network and provided role models. PNC members said that they adapted their behaviour based on advice received in PNCs related to infant feeding, ART adherence, monitoring of symptoms and stimulation of early childhood development. The main benefits were believed to be comprehensive care for mother-infant pairs, time-saving and the peer dynamic. The main challenge from the perspective of key informants was the sustainability of dedicating human resources to PNC.

conclusionThe PNC model was believed to improve knowledge acquisition, behaviour change and peer support. Participants, staff and the majority of key informants expressed a high level of satisfaction with the PNC model. Sustainability and finding adequate human resources for PNCs remained challenging. Strategies to improve sustainability may include handing over some PNC tasks to members to increase their sense of ownership.

Indexed as

Community ParticipationHealth Knowledge, Attitudes, PracticePeer GroupPersonal SatisfactionPostnatal CareAdultAntiretroviral Therapy, Highly ActiveFemaleFocus GroupsHIV InfectionsHumansInfantInfectious Disease Transmission, VerticalInterviews as TopicMaleQualitative ResearchCommunity participationHealth services accessibilityHIVPostnatal careTreatment adherence and compliance, social support

Identifiers

PMID32641072
PMCPMC7346440
OpenAlexW3042146908

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.