Pregnant and Postpartum Women’s Experiences and Perspectives on the Acceptability and Feasibility of Copackaged Medicine for Antenatal Care and PMTCT in Lesotho
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...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2015/435868 |
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| author | Michelle M. Gill Heather J. Hoffman Appolinaire Tiam Florence M. Mohai Majoalane Mokone Anthony Isavwa Sesomo Mohale Matela Makhohlisa Victor Ankrah Chewe Luo Laura Guay |
| author_facet | Michelle M. Gill Heather J. Hoffman Appolinaire Tiam Florence M. Mohai Majoalane Mokone Anthony Isavwa Sesomo Mohale Matela Makhohlisa Victor Ankrah Chewe Luo Laura Guay |
| author_sort | Michelle M. Gill |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-37b0529f3a1f4f00b0dc44d08fe58aab |
| institution | Kabale University |
| issn | 2090-1240 2090-1259 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-37b0529f3a1f4f00b0dc44d08fe58aab2025-02-03T01:31:34ZengWileyAIDS Research and Treatment2090-12402090-12592015-01-01201510.1155/2015/435868435868Pregnant and Postpartum Women’s Experiences and Perspectives on the Acceptability and Feasibility of Copackaged Medicine for Antenatal Care and PMTCT in LesothoMichelle M. Gill0Heather J. Hoffman1Appolinaire Tiam2Florence M. Mohai3Majoalane Mokone4Anthony Isavwa5Sesomo Mohale6Matela Makhohlisa7Victor Ankrah8Chewe Luo9Laura Guay10Elizabeth Glaser Pediatric AIDS Foundation, 1140 Connecticut Avenue NW, Suite 200, Washington, DC 20036, USADepartment of Epidemiology and Biostatistics, Milken Institute School of Public Health, The George Washington University, 950 New Hampshire Avenue, NW 7th Floor, Washington, DC 20052, USAElizabeth Glaser Pediatric AIDS Foundation, Sechaba House, 1st Floor, 4 Bowker Road, P.O. Box 0166, Maseru West 105, LesothoElizabeth Glaser Pediatric AIDS Foundation, Sechaba House, 1st Floor, 4 Bowker Road, P.O. Box 0166, Maseru West 105, LesothoElizabeth Glaser Pediatric AIDS Foundation, Sechaba House, 1st Floor, 4 Bowker Road, P.O. Box 0166, Maseru West 105, LesothoElizabeth Glaser Pediatric AIDS Foundation, Sechaba House, 1st Floor, 4 Bowker Road, P.O. Box 0166, Maseru West 105, LesothoElizabeth Glaser Pediatric AIDS Foundation, Sechaba House, 1st Floor, 4 Bowker Road, P.O. Box 0166, Maseru West 105, LesothoElizabeth Glaser Pediatric AIDS Foundation, Sechaba House, 1st Floor, 4 Bowker Road, P.O. Box 0166, Maseru West 105, LesothoUnited Nations Children’s Fund, Private Bag A171, Maseru 100, LesothoUnited Nations Children’s Fund, 3 UN Plaza, New York, NY 10017, USAElizabeth Glaser Pediatric AIDS Foundation, 1140 Connecticut Avenue NW, Suite 200, Washington, DC 20036, USAObjective. 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.http://dx.doi.org/10.1155/2015/435868 |
| spellingShingle | Michelle M. Gill Heather J. Hoffman Appolinaire Tiam Florence M. Mohai Majoalane Mokone Anthony Isavwa Sesomo Mohale Matela Makhohlisa Victor Ankrah Chewe Luo Laura Guay 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 |
| title | Pregnant and Postpartum Women’s Experiences and Perspectives on the Acceptability and Feasibility of Copackaged Medicine for Antenatal Care and PMTCT in Lesotho |
| title_full | Pregnant and Postpartum Women’s Experiences and Perspectives on the Acceptability and Feasibility of Copackaged Medicine for Antenatal Care and PMTCT in Lesotho |
| title_fullStr | Pregnant and Postpartum Women’s Experiences and Perspectives on the Acceptability and Feasibility of Copackaged Medicine for Antenatal Care and PMTCT in Lesotho |
| title_full_unstemmed | Pregnant and Postpartum Women’s Experiences and Perspectives on the Acceptability and Feasibility of Copackaged Medicine for Antenatal Care and PMTCT in Lesotho |
| title_short | Pregnant and Postpartum Women’s Experiences and Perspectives on the Acceptability and Feasibility of Copackaged Medicine for Antenatal Care and PMTCT in Lesotho |
| title_sort | 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 |
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