The lived experiences of rural women diagnosed with the human immunodeficiency virus in the antenatal period

Background: In South Africa, pregnant women are diagnosed with human immunodeficiency virus (HIV) at antenatal clinics and simultaneously initiated on antiretroviral treatment (ART). An HIV diagnosis together with the initiation of ART has an emotional impact that may influence how pregnant women co...

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Autores principales: Fords, Genevieve Marion, Crowley, Talitha, van der Merwe, Anita S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5639609/
https://www.ncbi.nlm.nih.gov/pubmed/28949277
http://dx.doi.org/10.1080/17290376.2017.1379430
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author Fords, Genevieve Marion
Crowley, Talitha
van der Merwe, Anita S
author_facet Fords, Genevieve Marion
Crowley, Talitha
van der Merwe, Anita S
author_sort Fords, Genevieve Marion
collection PubMed
description Background: In South Africa, pregnant women are diagnosed with human immunodeficiency virus (HIV) at antenatal clinics and simultaneously initiated on antiretroviral treatment (ART). An HIV diagnosis together with the initiation of ART has an emotional impact that may influence how pregnant women cope with pregnancy and their adherence to a treatment plan. The aim of the study was to explore the lived experiences of women diagnosed with HIV in the antenatal period in a rural area in the Eastern Cape province of South Africa. Methods: A qualitative approach with a descriptive phenomenological design was utilised. The study applied purposive sampling to select participants from a local community clinic in the Eastern Cape. Ten semistructured interviews were conducted, transcribed and analysed using Colaizzi's framework. Results: Four themes formed the essential structure of the phenomenon being investigated: a reality that hits raw, a loneliness that hurts, hope for a fractured tomorrow and support of a few. Although the participants had to accept the harsh reality of being diagnosed with HIV and experienced loneliness and the support of only a few people, they had hope to live and see the future of their children. Conclusion: Women diagnosed with HIV during pregnancy are ultimately concerned with the well-being of their unborn children, and this concern motivates their adherence to ART. Women's lived experiences are situated in their unique sociocultural context, and although some known challenges remain, counselling and support strategies need to be informed by exploring context-specific issues and involving the local community.
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spelling pubmed-56396092017-10-26 The lived experiences of rural women diagnosed with the human immunodeficiency virus in the antenatal period Fords, Genevieve Marion Crowley, Talitha van der Merwe, Anita S SAHARA J Original Articles Background: In South Africa, pregnant women are diagnosed with human immunodeficiency virus (HIV) at antenatal clinics and simultaneously initiated on antiretroviral treatment (ART). An HIV diagnosis together with the initiation of ART has an emotional impact that may influence how pregnant women cope with pregnancy and their adherence to a treatment plan. The aim of the study was to explore the lived experiences of women diagnosed with HIV in the antenatal period in a rural area in the Eastern Cape province of South Africa. Methods: A qualitative approach with a descriptive phenomenological design was utilised. The study applied purposive sampling to select participants from a local community clinic in the Eastern Cape. Ten semistructured interviews were conducted, transcribed and analysed using Colaizzi's framework. Results: Four themes formed the essential structure of the phenomenon being investigated: a reality that hits raw, a loneliness that hurts, hope for a fractured tomorrow and support of a few. Although the participants had to accept the harsh reality of being diagnosed with HIV and experienced loneliness and the support of only a few people, they had hope to live and see the future of their children. Conclusion: Women diagnosed with HIV during pregnancy are ultimately concerned with the well-being of their unborn children, and this concern motivates their adherence to ART. Women's lived experiences are situated in their unique sociocultural context, and although some known challenges remain, counselling and support strategies need to be informed by exploring context-specific issues and involving the local community. Taylor & Francis 2017-09-26 /pmc/articles/PMC5639609/ /pubmed/28949277 http://dx.doi.org/10.1080/17290376.2017.1379430 Text en © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Fords, Genevieve Marion
Crowley, Talitha
van der Merwe, Anita S
The lived experiences of rural women diagnosed with the human immunodeficiency virus in the antenatal period
title The lived experiences of rural women diagnosed with the human immunodeficiency virus in the antenatal period
title_full The lived experiences of rural women diagnosed with the human immunodeficiency virus in the antenatal period
title_fullStr The lived experiences of rural women diagnosed with the human immunodeficiency virus in the antenatal period
title_full_unstemmed The lived experiences of rural women diagnosed with the human immunodeficiency virus in the antenatal period
title_short The lived experiences of rural women diagnosed with the human immunodeficiency virus in the antenatal period
title_sort lived experiences of rural women diagnosed with the human immunodeficiency virus in the antenatal period
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5639609/
https://www.ncbi.nlm.nih.gov/pubmed/28949277
http://dx.doi.org/10.1080/17290376.2017.1379430
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