Addressing Prevention Among HIV-Uninfected Women in PMTCT Programs in South India.
Hod Tamir, Karl Krupp, Dionne P Stephens and 5 others
PMID 29174348WHAT IT FOUND
HIV-negative women in South Indian antenatal HIV programs said screening counseling was brief, confusing, and hard to question.
Fear of staff anger and assuming negative meant safe left prevention information unaddressed.
Key findings
01Women had limited knowledge of HIV transmission and prevention even after antenatal HIV screening.
02Counseling was often a brief one-sided lecture, and many women were unclear about what ICTC services were or who provided them.
03Fear of staff anger or reproach made women reluctant to ask questions or attend post-test counseling, even when they wanted more information.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study included 24 self-selected women from Mysore District, so it cannot show how common these experiences are. Social desirability bias and fear of staff may have shaped what women said. All participants were married, not formally employed, and Kannada-speaking, so results may not apply to other women. The paper reports themes, not tested outcomes, so it does not prove a counseling change works.
Declared interests
The authors declared no conflicts of interest. The article is tagged as supported by NIH and non-U.S. government research funding.
The easy way to misread this
Do not treat these themes as proof that adding visual aids or post-test counseling will reduce HIV infections. The study reports experiences of 24 self-selected women in Mysore District, not outcomes.