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Pregnant and postpartum women's experiences and perspectives on the acceptability and feasibility of copackaged medicine for antenatal care and PMTCT in Lesotho

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Organization
Abstract
Objective: To improve PMTCT and antenatal care-related service delivery, a pack with centrally prepackaged medicine was rolled out to all pregnant women in Lesotho in 2011. This study assessed acceptability and feasibility of this copackaging mechanism for drug delivery among pregnant and postpartum women. Methods: Acceptability and feasibility were assessed in a mixed method, cross-sectional study through structured interviews (SI) and semistructured interviews (SSI) conducted in 2012 and 2013. Results: 290 HIV-negative women and 437 HIV-positive women (n = 727) participated. Nearly all SI participants found prepackaged medicines acceptable, though modifications such as size reduction of the pack were suggested. Positive experiences included that the pack helped women take pills as instructed and contents promoted healthy pregnancies. Negative experiences included inadvertent pregnancy disclosure and discomfort carrying the pack in communities. Implementation was also feasible; 85.2% of SI participants reported adequate counseling time, though 37.8% felt pack use caused clinic delays. SSI participants reported improvement in service quality following pack introduction, due to more comprehensive counseling. Conclusions: A prepackaged drug delivery mechanism for ANC/PMTCT medicines was acceptable and feasible. Findings support continued use of this approach in Lesotho with improved design modifications to reflect the current PMTCT program of lifelong treatment for all HIV-positive pregnant women.
Keywords
ANTIRETROVIRAL REGIMENS, FOLLOW-UP, TRANSMISSION, COMMUNICATION

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MLA
Gill, Michelle, et al. “Pregnant and Postpartum Women’s Experiences and Perspectives on the Acceptability and Feasibility of Copackaged Medicine for Antenatal Care and PMTCT in Lesotho.” AIDS RESEARCH AND TREATMENT, 2015, doi:10.1155/2015/435868.
APA
Gill, M., Hoffman, H. J., Tiam, A., Mohai, F. M., Mokone, M., Isavwa, A., … Guay, L. (2015). Pregnant and postpartum women’s experiences and perspectives on the acceptability and feasibility of copackaged medicine for antenatal care and PMTCT in Lesotho. AIDS RESEARCH AND TREATMENT. https://doi.org/10.1155/2015/435868
Chicago author-date
Gill, Michelle, Heather J. Hoffman, Appolinaire Tiam, Florence M Mohai, Majoalane Mokone, Anthony Isavwa, Sesomo Mohale, et al. 2015. “Pregnant and Postpartum Women’s Experiences and Perspectives on the Acceptability and Feasibility of Copackaged Medicine for Antenatal Care and PMTCT in Lesotho.” AIDS RESEARCH AND TREATMENT. https://doi.org/10.1155/2015/435868.
Chicago author-date (all authors)
Gill, Michelle, Heather J. Hoffman, Appolinaire Tiam, Florence M Mohai, Majoalane Mokone, Anthony Isavwa, Sesomo Mohale, Matela Makhohlisa, Victor Ankrah, Chewe Luo, and Laura Guay. 2015. “Pregnant and Postpartum Women’s Experiences and Perspectives on the Acceptability and Feasibility of Copackaged Medicine for Antenatal Care and PMTCT in Lesotho.” AIDS RESEARCH AND TREATMENT. doi:10.1155/2015/435868.
Vancouver
1.
Gill M, Hoffman HJ, Tiam A, Mohai FM, Mokone M, Isavwa A, et al. Pregnant and postpartum women’s experiences and perspectives on the acceptability and feasibility of copackaged medicine for antenatal care and PMTCT in Lesotho. AIDS RESEARCH AND TREATMENT. 2015;
IEEE
[1]
M. Gill et al., “Pregnant and postpartum women’s experiences and perspectives on the acceptability and feasibility of copackaged medicine for antenatal care and PMTCT in Lesotho,” AIDS RESEARCH AND TREATMENT, 2015.
@article{8607535,
  abstract     = {Objective: To improve PMTCT and antenatal care-related service delivery, a pack with centrally prepackaged medicine was rolled out to all pregnant women in Lesotho in 2011. This study assessed acceptability and feasibility of this copackaging mechanism for drug delivery among pregnant and postpartum women.
Methods: Acceptability and feasibility were assessed in a mixed method, cross-sectional study through structured interviews (SI) and semistructured interviews (SSI) conducted in 2012 and 2013.
Results: 290 HIV-negative women and 437 HIV-positive women (n = 727) participated. Nearly all SI participants found prepackaged medicines acceptable, though modifications such as size reduction of the pack were suggested. Positive experiences included that the pack helped women take pills as instructed and contents promoted healthy pregnancies. Negative experiences included inadvertent pregnancy disclosure and discomfort carrying the pack in communities. Implementation was also feasible; 85.2% of SI participants reported adequate counseling time, though 37.8% felt pack use caused clinic delays. SSI participants reported improvement in service quality following pack introduction, due to more comprehensive counseling.
Conclusions: A prepackaged drug delivery mechanism for ANC/PMTCT medicines was acceptable and feasible. Findings support continued use of this approach in Lesotho with improved design modifications to reflect the current PMTCT program of lifelong treatment for all HIV-positive pregnant women.},
  articleno    = {435868},
  author       = {Gill, Michelle and Hoffman, Heather J. and Tiam, Appolinaire and Mohai, Florence M and Mokone, Majoalane and Isavwa, Anthony and Mohale, Sesomo and Makhohlisa, Matela and Ankrah, Victor and Luo, Chewe and Guay, Laura},
  issn         = {2090-1240},
  journal      = {AIDS RESEARCH AND TREATMENT},
  keywords     = {ANTIRETROVIRAL REGIMENS,FOLLOW-UP,TRANSMISSION,COMMUNICATION},
  language     = {eng},
  pages        = {10},
  title        = {Pregnant and postpartum women's experiences and perspectives on the acceptability and feasibility of copackaged medicine for antenatal care and PMTCT in Lesotho},
  url          = {http://dx.doi.org/10.1155/2015/435868},
  year         = {2015},
}

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