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Author Notes:

Dr Eveline Geubbels: Ifakara Health Institute, P.O. Box 78373, Kiko Avenue, Mikocheni, Dar es Salaam,Tanzania. Phone +255783925999; Fax +255 222771714; egeubbels@ihi.or.tz.

The institutional review boards at the University of California, Davis and the Ifakara Health Institute (IHI), Tanzania, the Tanzanian National Research Ethics Committee and the Tanzanian Commission for Science and Technology approved the study.

All women gave written informed consent for participation.

No potential conflict of interest was reported by the authors.

Subjects:

Research Funding:

This work was supported by Campbell Foundation [grant number 5-10]; National Institute of Mental Health [grant number K01 MH098902]; National Institutes of Health [grant number R34 200513446-7].

Keywords:

  • Disclosure
  • HIV
  • mothers
  • Tanzania

HIV status disclosure among postpartum women in rural Tanzania: predictors, experiences and uptake of a nurse-facilitated disclosure intervention

Tools:

Journal Title:

AIDS Care

Volume:

Volume 30, Number 4

Publisher:

, Pages 417-425

Type of Work:

Article | Post-print: After Peer Review

Abstract:

HIV status disclosure is a key support strategy to start and maintain HIV care and treatment and to reduce HIV transmission. We explored the patterns and correlates of disclosure and described the effectiveness of nurse-facilitated disclosure among HIV-infected mothers of infants in coastal Tanzania. We enrolled 400 HIV positive women in an observational longitudinal study in 2011,interviewed them about maternal sociodemographic and economic characteristics, maternal and child health and history of HIV disclosure experiences and offered nurse-facilitated HIV disclosure at enrollment or at follow-up 1 month later. Mothers frequently disclosed their status to husbands and/or female relatives and experienced predominantly positive reactions. Economically vulnerable women disclosed more often to elderly female relatives, indicating that Infant and Young Child Feeding counselling given to HIV positive women should garner the support of elderly female relatives for implementing appropriate feeding practices. Nurse-facilitated disclosure was feasible in this low resource setting and was used by patients to help them with both first-time disclosure and disclosure to new persons.

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Copyright © 2018 Informa UK Limited

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