Experiences of midwives and accoucheurs in implementation of pregnancy HIV guidelines in Limpopo province, South Africa

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dc.contributor.author Maputle, Maria S.
dc.contributor.author Ramavhoya, Ireen T.
dc.contributor.author Makhado, Lufuno
dc.contributor.author Lebese, Rachel T.
dc.date.accessioned 2020-10-09T08:17:59Z
dc.date.available 2020-10-09T08:17:59Z
dc.date.issued 2020-06-19
dc.description.abstract INTRODUCTION : Each year, about 43,000 pregnant women and mothers die world-wide due to pregnancy- related birth conditions. Most of these deaths are avoidable and preventable. An update on the maternal mortality of 2017 indicated that 976 pregnant women died between 2014 and 2016, despite being initiated on anti-retroviral drugs. Although, an improvement on human immunodeficiency virus (HIV) in pregnancy guidelines implementation was achieved, with 35% of maternal deaths occurring due to HIV infections, therefore there is a need to investigate the experience of midwives/accoucheurs regarding the implementation of HIV guidelines during pregnancy. The purpose of this study was to investigate and describe the experience of midwives/accoucheurs in implementing pregnancy HIV guidelines in the Limpopo province of South Africa. MATERIAL AND METHODS : This was a qualitative study using exploratory-descriptive design, and included professional nurses with midwifery qualification. Non-probability, purposive sampling was used for 18 participants based on data capacity. Data was collected through an in-depth, unstructured face-to-face interview and analyzed using Tesch’s open coding method. Measures to ensure dependability, conformability, transferability, and credibility were applied. RESULTS : Three main subjects emerged from raw data, namely: experiences of midwives/accoucheurs during provision of care to HIV-positive pregnant women, management of pregnant HIV-positive women as per guidelines, and challenges experienced by midwives caring for pregnant HIV-positive women. CONCLUSIONS : Midwives implemented the HIV guidelines during pregnancy; however, shortage of nurses during pregnant women’s first visit resulted in prolonged waiting time for other patients. The prolonged time for patients’ results and shortage of consulting rooms affected the implementation of HIV guidelines. The completion of different records was not accurately done. Non-adherence amongst clients affected the overall provision of HIV care. en_ZA
dc.description.department Nursing Science en_ZA
dc.description.librarian am2020 en_ZA
dc.description.sponsorship The South African Medical Research Council and University of Venda. en_ZA
dc.description.uri https://www.termedia.pl/Journal/HIV_AIDS_Review_International_Journal_of_HIV_Related_Problems-106 en_ZA
dc.identifier.citation Maputle, M.S., Ramavhoya, I.T., Makhado, L. et al. 2020, 'Experiences of midwives and accoucheurs in implementation of pregnancy HIV guidelines in Limpopo province, South Africa', HIV and AIDS Review, vol. 19, no. 2, pp. 116-124. en_ZA
dc.identifier.issn 1730-1270 (print)
dc.identifier.issn 1732-2707 (online)
dc.identifier.other 10.5114/hivar.2020.96508
dc.identifier.uri http://hdl.handle.net/2263/76405
dc.language.iso en en_ZA
dc.publisher Termedia Publishing en_ZA
dc.rights © 2019 Polish AIDS Society. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License. en_ZA
dc.subject Implementation en_ZA
dc.subject Pregnancy en_ZA
dc.subject Experiences en_ZA
dc.subject Human immunodeficiency virus (HIV) en_ZA
dc.subject Limpopo Province, South Africa en_ZA
dc.subject Midwives en_ZA
dc.subject Accoucheurs en_ZA
dc.title Experiences of midwives and accoucheurs in implementation of pregnancy HIV guidelines in Limpopo province, South Africa en_ZA
dc.type Article en_ZA


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