Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/16451
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dc.contributor.authorHatcher, Abigail Men
dc.contributor.authorWoollett, Natalyen
dc.contributor.authorPallitto, Christina Cen
dc.contributor.authorMokoatle, Keneuoeen
dc.contributor.authorStockle, Heidien
dc.contributor.authorMacPhail, Catherineen
dc.contributor.authorDelany-Moretlwe, Sineaden
dc.contributor.authorGarcia-Morena, Claudiaen
dc.date.accessioned2015-01-12T17:19:00Z-
dc.date.issued2014-
dc.identifier.citationJournal of the International AIDS Society, v.17, p. 1-9en
dc.identifier.issn1758-2652en
dc.identifier.urihttps://hdl.handle.net/1959.11/16451-
dc.description.abstractIntroduction: Prevention of mother-to-child transmission (PMTCT) has the potential to eliminate new HIV infections among infants. Yet in many parts of sub-Saharan Africa, PMTCT coverage remains low, leading to unacceptably high rates of morbidity among mothers and new infections among infants. Intimate partner violence (IPV) may be a structural driver of poor PMTCT uptake, but has received little attention in the literature to date. Methods: We conducted qualitative research in three Johannesburg antenatal clinics to understand the links between IPV and HIV-related health of pregnant women. We held focus group discussions with pregnant women (n=13) alongside qualitative interviews with health care providers (n=10), district health managers (n=10) and pregnant abused women (n=5). Data were analysed in Nvivo10 using a team-based approach to thematic coding. Findings: We found qualitative evidence of strong bidirectional links between IPV and HIV among pregnant women. HIV diagnosis during pregnancy, and subsequent partner disclosure, were noted as a common trigger of IPV. Disclosure leads to violence because it causes relationship conflict, usually related to perceived infidelity and the notion that women are "bringing" the disease into the relationship. IPV worsened HIV-related health through poor PMTCT adherence, since taking medication or accessing health services might unintentionally alert male partners of the women's HIV status. IPV also impacted on HIV-related health via mental health, as women described feeling depressed and anxious due to the violence. IPV led to secondary HIV risk as women experienced forced sex, often with little power to negotiate condom use. Pregnant women described staying silent about condom negotiation in order to stay physically safe during pregnancy. Conclusions: IPV is a crucial issue in the lives of pregnant women and has bidirectional links with HIV-related health. IPV may worsen access to PMTCT and secondary prevention behaviours, thereby posing a risk of secondary transmission. IPV should be urgently addressed in antenatal care settings to improve uptake of PMTCT and ensure that goals of maternal and child health are met in sub-Saharan African settings.en
dc.languageenen
dc.publisherInternational AIDS Societyen
dc.relation.ispartofJournal of the International AIDS Societyen
dc.titleBidirectional links between HIV and intimate partner violence in pregnancy: implications for prevention of mother-to-child transmissionen
dc.typeJournal Articleen
dc.identifier.doi10.7448/IAS.17.1.19233en
dcterms.accessRightsGolden
dc.subject.keywordsHealth Promotionen
local.contributor.firstnameAbigail Men
local.contributor.firstnameNatalyen
local.contributor.firstnameChristina Cen
local.contributor.firstnameKeneuoeen
local.contributor.firstnameHeidien
local.contributor.firstnameCatherineen
local.contributor.firstnameSineaden
local.contributor.firstnameClaudiaen
local.subject.for2008111712 Health Promotionen
local.subject.seo2008920413 Social Structure and Healthen
local.subject.seo2008920412 Preventive Medicineen
local.profile.schoolSchool of Rural Medicineen
local.profile.emailcmacphai@une.edu.auen
local.output.categoryC1en
local.record.placeauen
local.record.institutionUniversity of New Englanden
local.identifier.epublicationsrecordune-20150112-164920en
local.publisher.placeGeneva, Switzerlanden
local.identifier.runningnumber19233en
local.format.startpage1en
local.format.endpage9en
local.peerreviewedYesen
local.identifier.volume17en
local.title.subtitleimplications for prevention of mother-to-child transmissionen
local.access.fulltextYesen
local.contributor.lastnameHatcheren
local.contributor.lastnameWoolletten
local.contributor.lastnamePallittoen
local.contributor.lastnameMokoatleen
local.contributor.lastnameStockleen
local.contributor.lastnameMacPhailen
local.contributor.lastnameDelany-Moretlween
local.contributor.lastnameGarcia-Morenaen
dc.identifier.staffune-id:cmacphaien
local.profile.orcid0000-0002-0614-0157en
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.identifier.unepublicationidune:16688en
local.identifier.handlehttps://hdl.handle.net/1959.11/16451en
dc.identifier.academiclevelAcademicen
local.title.maintitleBidirectional links between HIV and intimate partner violence in pregnancyen
local.output.categorydescriptionC1 Refereed Article in a Scholarly Journalen
local.search.authorHatcher, Abigail Men
local.search.authorWoollett, Natalyen
local.search.authorPallitto, Christina Cen
local.search.authorMokoatle, Keneuoeen
local.search.authorStockle, Heidien
local.search.authorMacPhail, Catherineen
local.search.authorDelany-Moretlwe, Sineaden
local.search.authorGarcia-Morena, Claudiaen
local.uneassociationUnknownen
local.year.published2014en
local.subject.for2020420603 Health promotionen
local.subject.seo2020200207 Social structure and healthen
local.subject.seo2020200413 Substance abuseen
local.subject.seo2020200412 Preventive medicineen
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