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Erschienen in:

11.07.2019 | Original Paper

eHealth Interventions for Early Infant Diagnosis: Mothers’ Satisfaction with the HIV Infant Tracking System in Kenya

verfasst von: Melinda Brown, Catherine Wexler, Brad Gautney, Kathy Goggin, Emily A. Hurley, Beryne Odeny, May Maloba, Raphael Lwembe, Matthew Sandbulte, Sarah Finocchario-Kessler

Erschienen in: AIDS and Behavior | Ausgabe 11/2019

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Abstract

The HIV Infant Tracking System (HITSystem) is an eHealth intervention to improve early infant diagnosis (EID) through alerts to providers and text messages to mothers. This study explored mothers’ experiences receiving standard and HITSystem-enhanced EID services to assess perceived intervention benefits, acceptability, and opportunities for improvement. This qualitative study was embedded within a cluster-randomized control trial to evaluate the HITSystem at six Kenyan government hospitals (3 intervention, 3 control). We conducted semi-structured interviews with 137 mothers attending EID follow-up visits. Compared to control sites, participants at HITSystem sites described enhanced EID quality; HITSystem-generated texts informed them of result availability and retesting needs, provided cues-to-action for clinic attendance, and engendered opportunities for patient support. They described improved EID efficiency through shorter waiting periods for results and fewer hospital visits. Participants reported high satisfaction with EID and acceptability of text messages; however, modifications to ensure text delivery, increase repeat testing reminders, include low literacy content options, and provide encouraging messages were suggested. These user experience data suggest improvements in EID at HITSystem sites when compared with control sites.

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Titel: eHealth Interventions for Early Infant Diagnosis: Mothers’ Satisfaction with the HIV Infant Tracking System in Kenya
verfasst von: Melinda Brown
Catherine Wexler
Brad Gautney
Kathy Goggin
Emily A. Hurley
Beryne Odeny
May Maloba
Raphael Lwembe
Matthew Sandbulte
Sarah Finocchario-Kessler
Publikationsdatum: 11.07.2019
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 11/2019
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-019-02579-5

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