Community mobilization and maternal Care of Women Living with HIV in poor settings: the case of Mfuwe, Zambia: The case of Mfuwe, Zambia
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| Title: | Community mobilization and maternal Care of Women Living with HIV in poor settings: the case of Mfuwe, Zambia: The case of Mfuwe, Zambia |
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| Authors: | Muzyamba, C., Groot, W., Tomini, S., Pavlova, M. |
| Source: | BMC Health Serv Res BMC Health Services Research, Vol 18, Iss 1, Pp 1-11 (2018) |
| Publisher Information: | Springer Science and Business Media LLC, 2018. |
| Publication Year: | 2018 |
| Subject Terms: | i14 - Health and Inequality, Welfare and Poverty: Other, Rural Population, Social Stigma, HIV Infections, social stigma, 0302 clinical medicine, 5. Gender equality, Pregnancy, middle aged, organization and management, Pregnancy Complications, Infectious, 10. No inequality, adult, Infectious, 1. No poverty, Focus Groups, Middle Aged, Resource-poor settings, health care planning, health services research, 3. Good health, female, i39 - Welfare and Poverty: Other, Health, i00 - Health, HIV Infections/epidemiology, Health Resources, Female, pregnancy, Health Services Research, community participation, supply and distribution, Public aspects of medicine, RA1-1270, Zambia/epidemiology, Research Article, Adult, Community mobilization, Maternal Health Services/organization & administration, Zambia, psychology, information processing, Education, 03 medical and health sciences, Human immunodeficiency virus infection, and Welfare: General, Humans, Health Resources/supply & distribution, Maternal Health Services, human, rural population, Health and Economic Development, Community Participation, HIV, Social Support, social support, Pregnancy Complications, maternal health service, Infectious/epidemiology, i15 - Health and Economic Development, pregnancy complication, Maternal health, Health and Inequality |
| Description: | Research has shown that community mobilization is a useful strategy in promoting maternal care of HIV negative women in resource poor settings; however, similar evidence for women living with HIV is missing. Therefore, in this study we provide this evidence by exploring the relevance of community mobilization in the promotion of maternal health care among women living with HIV in resource-poor settings by using Mfuwe, a rural district in Zambia as a case study.By relying on Focus Group Discussions (FGDs), qualitative data were collected from Mfuwe, Zambia. The data were digitally recorded, transcribed and later translated from CheChewa (local language) to English. We relied on Thematic analysis to analyze the data.By focusing on community mobilization, our results showed that within their social fabrics, resource-poor communities often contain unrecognized and sometimes ignored strategies which are contextually-feasible and have been used for generations to promote maternal care for HIV positive women. Further, it was evident that although the three forms of community mobilization were largely and uniquely useful in promoting maternal health care of women living with HIV, they also presented unique and various shortcomings.We demonstrated that community mobilization was largely and often characterized as a force for good (e.g. providing support, improving access to maternal care etc.) and sometimes for bad (e.g. reinforced harmful misconceptions, superstition and stigma). Thus we recommend that community mobilization needs to be factored into maternal health care policies for HIV positive women in resource poor settings either to optimize their potential benefits or to minimize their potential harm. |
| Document Type: | Article Other literature type |
| File Description: | application/pdf |
| Language: | English |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/s12913-018-2959-3 |
| Access URL: | https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-018-2959-3.pdf https://pubmed.ncbi.nlm.nih.gov/29499703 https://doaj.org/article/54ef7b39f55f4befb4efb9639a6188e1 https://dare.uva.nl/personal/pure/en/publications/community-mobilization-and-maternal-care-of-women-living-with-hiv-in-poor-settings-the-case-of-mfuwe-zambia(fb117cce-662c-4afb-a825-aa482ed82e83).html https://hdl.handle.net/11245.1/fb117cce-662c-4afb-a825-aa482ed82e83 https://doi.org/10.1186/s12913-018-2959-3 https://link.springer.com/article/10.1186/s12913-018-2959-3 https://cris.maastrichtuniversity.nl/en/publications/community-mobilization-and-maternal-care-of-women-living-with-hiv https://pubmed.ncbi.nlm.nih.gov/29499703/ https://paperity.org/p/194588736/community-mobilization-and-maternal-care-of-women-living-with-hiv-in-poor-settings-the http://europepmc.org/articles/PMC5834889 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5834889 |
| Rights: | CC BY |
| Accession Number: | edsair.doi.dedup.....f6588df1d1e36a2cbba4e64da92d4863 |
| Database: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Research has shown that community mobilization is a useful strategy in promoting maternal care of HIV negative women in resource poor settings; however, similar evidence for women living with HIV is missing. Therefore, in this study we provide this evidence by exploring the relevance of community mobilization in the promotion of maternal health care among women living with HIV in resource-poor settings by using Mfuwe, a rural district in Zambia as a case study.By relying on Focus Group Discussions (FGDs), qualitative data were collected from Mfuwe, Zambia. The data were digitally recorded, transcribed and later translated from CheChewa (local language) to English. We relied on Thematic analysis to analyze the data.By focusing on community mobilization, our results showed that within their social fabrics, resource-poor communities often contain unrecognized and sometimes ignored strategies which are contextually-feasible and have been used for generations to promote maternal care for HIV positive women. Further, it was evident that although the three forms of community mobilization were largely and uniquely useful in promoting maternal health care of women living with HIV, they also presented unique and various shortcomings.We demonstrated that community mobilization was largely and often characterized as a force for good (e.g. providing support, improving access to maternal care etc.) and sometimes for bad (e.g. reinforced harmful misconceptions, superstition and stigma). Thus we recommend that community mobilization needs to be factored into maternal health care policies for HIV positive women in resource poor settings either to optimize their potential benefits or to minimize their potential harm. |
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| ISSN: | 14726963 |
| DOI: | 10.1186/s12913-018-2959-3 |