TABLE 2.
Major Themes Mentioned in Interviews With Mothers of Infants Who Were Part of a Study to Integrate Pediatric HIV Care Services Into Routine Infant Immunization Visits; Tanzania, August 2010
| Urban Setting |
Rural Setting |
|||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Region 1 |
Region 2 |
Region 3 |
Region 4 |
|||||||
| Site 1 | Site 2 | Site 3 | Site 4 | Site 5 | Site 6 | Site 7 | Site 8 | |||
| N = 10* | N = 8* | N= 8* | N = 8* | N = 8* | N = 7* | N = 8* | N = 7 | |||
| Global Theme | Organizing Theme | Basic Theme | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) |
| Health sector-centric topics associated with delivering the integrated services | Provider-patient interactions | Mother's trust in providers is high | 10 (100) | 8 (100) | 6 (75) | 7 (88) | 7 (88) | 7 (100) | 8 (100) | 7 (100) |
| Providers are perceived to keep HIV test results confidential | 10 (100) | 8 (100) | 5 (63) | 7 (88) | 7 (88) | 7 (100) | 8 (100) | 6 (86) | ||
| Providers are not perceived to keep HIV test results confidential | 0 (0) | 0 (0) | 1 (13) | 0 (0) | 2 (25) | 0 (0) | 2 (25) | 0 (0) | ||
| Efficiency of integrated delivery | Save resources with less trips to health facility | 1 (10) | 3 (38) | 3 (38) | 0 (0) | 4 (50) | 7 (57) | 5 (63) | 4 (57) | |
| Long wait times and issues with patients moving efficiently from service to service | 2 (20) | 4 (50) | 1 (13) | 2 (25) | 2 (25) | 1 (14) | 1 (13) | 1 (14) | ||
| Insufficient number of workers for number of services needed to conduct | 1 (10) | 1 (13) | 1 (13) | 4 (50) | 4 (50) | 1 (14) | 1 (13) | 0 (0) | ||
| HIV and immunization services should be conducted on separate days to save time | 0 (0) | 1 (13) | 1 (13) | 2 (25) | 0 (0) | 1 (14) | 1 (13) | 0 (0) | ||
| Confidentiality of services received due to facility layout | Health facility layout and workload compromise confidentiality of services received | 0 (0) | 0 (0) | 1 (13) | 1 (13) | 4 (50) | 3 (43) | 1 (13) | 0 (0) | |
| Individual-level experiences accepting the integrated services | HIV testing perceptions | Mother knows other mothers who fear HIV testing | 4 (40) | 4 (50) | 4 (50) | 2 (25) | 4 (50) | 5 (71) | 5 (63) | 5 (71) |
| Belief that other mothers who fear HIV testing might not bring infants for vaccination | 2 (20) | 2 (25) | 3 (38) | 0 (0) | 1 (13) | 2 (29) | 2 (25) | 5 (71) | ||
| HIV testing is perceived as mandatory for child to be immunized | 4 (40) | 0 (0) | 0 (0) | 0 (0) | 1 (13) | 1 (14) | 1 (13) | 2 (29) | ||
| Awareness of own health and service benefits | Can learn about own HIV status and infant's HIV status | 3 (30) | 5 (63) | 3 (38) | 4 (50) | 3 (38) | 4 (57) | 1 (13) | 4 (57) | |
| Can now receive HIV treatment if necessary | 2 (20) | 4 (50) | 3 (38) | 6 (75) | 1 (13) | 2 (29) | 4 (50) | 4 (57) | ||
| Community-level topics affecting acceptance of the integrated services | Community stigma | Community-based stigma is a perceived major cause of fear of HIV testing | 1 (10) | 0 (0) | 3 (38) | 0 (0) | 3 (38) | 4 (57) | 3 (38) | 4 (57) |
| Mother knows peers concerned with being recognized while receiving HIV services | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 3 (43) | 1 (13) | 0 (0) | ||
| Mother is less visible to others when receiving HIV services during routine immunization service | 0 (0) | 0 (0) | 1 (13) | 0 (0) | 2 (25) | 0 (0) | 2 (25) | 0 (0) | ||
| Family stigma | Husband disapproves of HIV testing | 0 (0) | 0 (0) | 2 (25) | 0 (0) | 1 (13) | 0 (0) | 1 (13) | 0 (0) | |
*
Number of mothers interviewed at the selected site.