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Loss to Follow-Up Among HIV-Exposed Children in an HIV Clinic in Beira, Mozambique

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  • Ana Judith Blanco
  • Mark A. Micek
  • Lisa M. Frenkel
  • Pablo Montoya
  • Marina Karagianis
  • Laurinda Matunha
  • Wendy Johnson
  • Stephen Gloyd
  • James Pfeiffer

Abstract

Loss to follow-up contributes to the low coverage of HIV care interventions among HIV-exposed infants in Beira, Mozambique. This qualitative study explores the perceptions of HIV-infected women and their health care providers regarding the main obstacles preventing women from attending follow-up visits for HIV care, and factors influencing women’s decisions about newborn care. Fifty-two in-depth interviews and two focus group discussions were conducted; transcripts were coded and analyzed using ATLAS.ti. Interviewees perceived three major barriers to follow-up: food insecurity, difficulties navigating the health system, and women’s familial roles and responsibilities. Our findings unveil the complex context in which HIV-infected women and their children live, and suggest that the structure and function of the HIV care system should be reviewed. Economic empowerment of women is crucial to achieving better compliance with medical care. Integration of mother and child services and more efficient and culturally sensitive medical services may improve follow-up.

Suggested Citation

  • Ana Judith Blanco & Mark A. Micek & Lisa M. Frenkel & Pablo Montoya & Marina Karagianis & Laurinda Matunha & Wendy Johnson & Stephen Gloyd & James Pfeiffer, 2015. "Loss to Follow-Up Among HIV-Exposed Children in an HIV Clinic in Beira, Mozambique," SAGE Open, , vol. 5(3), pages 21582440155, July.
    • Handle: RePEc:sae:sagope:v:5:y:2015:i:3:p:2158244015590841
    DOI: 10.1177/2158244015590841
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    References listed on IDEAS

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    1. Robiner, William N. & Yozwiak, John A. & Bearman, Diane L. & Strand, Trudy D. & Strasburg, Katherine R., 2009. "Barriers to clinical research participation in a diabetes randomized clinical trial," Social Science & Medicine, Elsevier, vol. 68(6), pages 1069-1074, March.
    2. Chapman, Rachel R., 2003. "Endangering safe motherhood in Mozambique: prenatal care as pregnancy risk," Social Science & Medicine, Elsevier, vol. 57(2), pages 355-374, July.
    3. Bryceson, Deborah Fahy & Fonseca, Jodie, 2006. "Risking death for survival: Peasant responses to hunger and HIV/AIDS in Malawi," World Development, Elsevier, vol. 34(9), pages 1654-1666, September.
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    1. Elias M. A. Militao & Elsa M. Salvador & Olalekan A. Uthman & Stig Vinberg & Gloria Macassa, 2022. "Food Insecurity and Health Outcomes Other than Malnutrition in Southern Africa: A Descriptive Systematic Review," IJERPH, MDPI, vol. 19(9), pages 1-18, April.

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