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AIDS and Behavior

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01.09.2013 | Substantive Review

HIV-related Stigma as a Barrier to Achievement of Global PMTCT and Maternal Health Goals: A Review of the Evidence

verfasst von: Janet M. Turan, Laura Nyblade

Erschienen in: AIDS and Behavior | Ausgabe 7/2013

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Abstract

The global community has set goals of virtual elimination of new child HIV infections and 50 percent reduction in HIV-related maternal mortality by the year 2015. Although much progress has been made in expanding prevention of mother-to-child transmission (PMTCT) services, there are serious challenges to these global goals, given low rates of utilization of PMTCT services in many settings. We reviewed the literature from low-income settings to examine how HIV-related stigma affects utilization of the series of steps that women must complete for successful PMTCT. We found that stigma negatively impacts service uptake and adherence at each step of this “PMTCT cascade”. Modeling exercises indicate that these effects are cumulative and therefore significantly affect rates of infant HIV infection. Alongside making clinical services more available, effective, and accessible for pregnant women, there is also a need to integrate stigma-reduction components into PMTCT, maternal, neonatal, and child health services.

Specific search terms used included stigma and PMTCT, discrimination and PMTCT, stigma and PMTCT adherence, PMTCT adherence and stigma and discrimination, maternal health and stigma and discrimination, PMTCT cascade, PMTCT adherence, PMTCT and loss to follow-up, antenatal HIV testing, antenatal HIV testing and PMTCT adherence, barriers to PMTCT, HIV testing and cascade, adherence and infant testing, adherence and infant testing and HIV, loss to follow-up and HIV and pregnant women, people living with HIV and pregnant women, AZT adherence, PMTCT uptake and stigma.

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Titel: HIV-related Stigma as a Barrier to Achievement of Global PMTCT and Maternal Health Goals: A Review of the Evidence
verfasst von: Janet M. Turan
Laura Nyblade
Publikationsdatum: 01.09.2013
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 7/2013
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-013-0446-8

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