"I will leave the baby with my mother": Long-distance travel and follow-up care among HIV-positive pregnant and postpartum women in South Africa

Journal of the International AIDS Society
Kate ClouseSten H Vermund

Abstract

It is common in urban African settings for postpartum women to temporarily return to family in distant settings. We sought to explore mobility among peripartum HIV-positive women to understand the timing and motivation of travel, particularly vis-à-vis delivery, and how it may affect healthcare access. Using the same mobility measurements within three different studies, we examined long-distance travel of mother and infant before and after delivery in three diverse clinics within greater Johannesburg, South Africa (n = 150). Participants were interviewed prior to delivery at two sites (n = 125) and after delivery at one (n = 25). Quantitative and qualitative results are reported. Among 150 women, median age was 29 years (IQR: 26 to 34) and 36.3% were employed. Overall, 76.7% of the participants were born in South Africa: 32.7% in Gauteng Province (Johannesburg area) and 44.0% in other South African provinces, but birthplace varied greatly by site. Almost half (44.0%) planned to travel around delivery; nearly all after delivery. Median duration of stay was 30 days (IQR: 24 to 90) overall, but varied from 60 days at two sites to just 7 days at another. Participants discussed travel to eight of South Africa's nine provinces and fo...Continue Reading

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Citations

Jun 13, 2019·BMC Public Health·Elizabeth SpoonerAnna Coutsoudis
Jul 22, 2018·Journal of the International AIDS Society·Susan CasselsJanet Seeley
Nov 8, 2020·Tropical Medicine & International Health : TM & IH·Phepo MogobaLandon Myer
May 22, 2021·PloS One·Agnes N KiraggaKara K Wools-Kaloustian

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Software Mentioned

REDCap ( Research Electronic Data Capture )
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