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The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania

BACKGROUND: In the Kilimanjaro region the mother-in-law has traditionally had an important role in matters related to reproduction and childcare. The aim of this study was to explore the role of the mothers-in-law in prevention of mother-to-child transmission (PMTCT) service utilization and adherenc...

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Autores principales: Falnes, Eli Fjeld, Moland, Karen Marie, Tylleskär, Thorkild, de Paoli, Marina Manuela, Leshabari, Sebalda Charles, Engebretsen, Ingunn MS
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154866/
https://www.ncbi.nlm.nih.gov/pubmed/21749685
http://dx.doi.org/10.1186/1471-2458-11-551
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author Falnes, Eli Fjeld
Moland, Karen Marie
Tylleskär, Thorkild
de Paoli, Marina Manuela
Leshabari, Sebalda Charles
Engebretsen, Ingunn MS
author_facet Falnes, Eli Fjeld
Moland, Karen Marie
Tylleskär, Thorkild
de Paoli, Marina Manuela
Leshabari, Sebalda Charles
Engebretsen, Ingunn MS
author_sort Falnes, Eli Fjeld
collection PubMed
description BACKGROUND: In the Kilimanjaro region the mother-in-law has traditionally had an important role in matters related to reproduction and childcare. The aim of this study was to explore the role of the mothers-in-law in prevention of mother-to-child transmission (PMTCT) service utilization and adherence to infant feeding guidelines. METHODS: The study was conducted during 2007-2008 in rural and urban areas of Moshi district in the Kilimanjaro region of Tanzania. Mixed methods were used and included focus group discussions with mothers-in-law, mothers and fathers; in-depth interviews with mothers-in-law, mothers, fathers and HIV-infected mothers, and a survey of 446 mothers bringing their four-week-old infants for immunisation at five reproductive and child health clinics. RESULTS: The study demonstrated that the mother-in-law saw herself as responsible for family health issues in general and child care in particular. However she received limited trust, and couples, in particular couples living in urban areas, tended to exclude her from decisions related to childbearing and infant feeding. Mothers-in-law expected their daughters-in-law to breastfeed in a customary manner and were generally negative towards the infant feeding methods recommended for HIV-infected mothers; exclusive replacement feeding and exclusive breastfeeding. CONCLUSIONS: Decreasing influence of the mother-in-law and increasing prominence of the conjugal couples in issues related to reproduction and child care, reinforce the importance of continued efforts to include male partners in the PMTCT programme. The potential for involving mothers-in-law in the infant feeding component, where she still has influence in some areas, should be further explored.
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spelling pubmed-31548662011-08-12 The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania Falnes, Eli Fjeld Moland, Karen Marie Tylleskär, Thorkild de Paoli, Marina Manuela Leshabari, Sebalda Charles Engebretsen, Ingunn MS BMC Public Health Research Article BACKGROUND: In the Kilimanjaro region the mother-in-law has traditionally had an important role in matters related to reproduction and childcare. The aim of this study was to explore the role of the mothers-in-law in prevention of mother-to-child transmission (PMTCT) service utilization and adherence to infant feeding guidelines. METHODS: The study was conducted during 2007-2008 in rural and urban areas of Moshi district in the Kilimanjaro region of Tanzania. Mixed methods were used and included focus group discussions with mothers-in-law, mothers and fathers; in-depth interviews with mothers-in-law, mothers, fathers and HIV-infected mothers, and a survey of 446 mothers bringing their four-week-old infants for immunisation at five reproductive and child health clinics. RESULTS: The study demonstrated that the mother-in-law saw herself as responsible for family health issues in general and child care in particular. However she received limited trust, and couples, in particular couples living in urban areas, tended to exclude her from decisions related to childbearing and infant feeding. Mothers-in-law expected their daughters-in-law to breastfeed in a customary manner and were generally negative towards the infant feeding methods recommended for HIV-infected mothers; exclusive replacement feeding and exclusive breastfeeding. CONCLUSIONS: Decreasing influence of the mother-in-law and increasing prominence of the conjugal couples in issues related to reproduction and child care, reinforce the importance of continued efforts to include male partners in the PMTCT programme. The potential for involving mothers-in-law in the infant feeding component, where she still has influence in some areas, should be further explored. BioMed Central 2011-07-12 /pmc/articles/PMC3154866/ /pubmed/21749685 http://dx.doi.org/10.1186/1471-2458-11-551 Text en Copyright ©2011 Falnes et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Falnes, Eli Fjeld
Moland, Karen Marie
Tylleskär, Thorkild
de Paoli, Marina Manuela
Leshabari, Sebalda Charles
Engebretsen, Ingunn MS
The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania
title The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania
title_full The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania
title_fullStr The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania
title_full_unstemmed The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania
title_short The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania
title_sort potential role of mother-in-law in prevention of mother-to-child transmission of hiv: a mixed methods study from the kilimanjaro region, northern tanzania
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154866/
https://www.ncbi.nlm.nih.gov/pubmed/21749685
http://dx.doi.org/10.1186/1471-2458-11-551
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