Low birthweight, retention in HIV care, and adherence to ART among postpartum women living with HIV in Ghana

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dc.contributor.authorSakyi, Kwame S
dc.contributor.authorLartey, Margaret Y
dc.contributor.authorDension, Julie A
dc.contributor.authorKennedy, Caitlin E
dc.contributor.authorMullany, Luke C
dc.contributor.authorGyebi, Prince O
dc.contributor.authorKwara, Awewura
dc.contributor.authorSurkan, Pamela J
dc.date.accessioned2018-10-03T15:05:29Z
dc.date.available2018-10-03T15:05:29Z
dc.date.issued2018-07-02
dc.description.abstractCare for low birthweight (LBW) infants can contribute to psychological difficulties and stigma among mothers living with HIV, creating challenges for antiretroviral therapy (ART) adherence and retention in HIV care. We explored how caring for LBW infants affects maternal ART adherence and retention in care. We conducted 30 in-depth interviews with postpartum women living with HIV in Accra, Ghana: 15 with LBW infants and 15 with normal birthweight (NBW) infants. Compared to mothers with NBW infants, mothers with LBW infants described how caring for their newborns led to increased caregiver burden, prolonged hospital stays, and stigma—contributing to incomplete ART adherence and missed clinical appointments. For a few women, care for LBW infants created opportunities for re-engagement in HIV care and motivation to adhere to ART. Results suggest women living with HIV and LBW babies in Ghana face increased challenges that impact their adherence to care and ART.en_US
dc.description.sponsorshipThis study was funded by the 1) National Institutes of Health (grant number R25MH83620, T32DA1391); 2) the Johns Hopkins Center for Global Health; and 3) the Center for Qualitative Studies in Health and Medicine, Johns Hopkins Universityen_US
dc.identifier.citationSakyi, K.S., Lartey, M.Y., Dension, J.A. et al. AIDS Behav (2018). https://doi.org/10.1007/s10461-018-2194-2en_US
dc.identifier.grantnumberNational Institutes of Health # R25MH83620, T32DA1391en_US
dc.identifier.urihttp://hdl.handle.net/10323/6378
dc.relation.journalAIDS and Behavioren_US
dc.subjectLow birthweighten_US
dc.subjectRetention in HIV careen_US
dc.subjectART adherenceen_US
dc.subjectPostpartum womenen_US
dc.subjectQualitativeen_US
dc.titleLow birthweight, retention in HIV care, and adherence to ART among postpartum women living with HIV in Ghanaen_US
dc.typeArticleen_US

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