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A Text Messaging Intervention to Support Option B+ in Kenya: A Qualitative Study
The Journal of the Association of Nurses in AIDS Care : JANAC
|October 15, 2017
Summary
Mobile text messaging is acceptable for supporting HIV-positive pregnant women on antiretroviral therapy (ART) in Kenya. This intervention can improve adherence and retention in care for Option B+ services.
Area of Science:
- Public Health
- Global Health
- HIV/AIDS Research
Background:
- Providing lifelong antiretroviral therapy (ART) to pregnant and breastfeeding women (Option B+) in sub-Saharan Africa faces challenges in long-term adherence and retention.
- Mobile text messaging presents a potential intervention to improve ART adherence and retention in care.
Purpose of the Study:
- To evaluate the acceptability of a mobile text messaging intervention among HIV-positive pregnant and postpartum women, their male partners, and healthcare providers in rural western Kenya.
- To gather insights for refining a text messaging intervention for Option B+ services.
Main Methods:
- Qualitative study involving 40 in-depth interviews with women, their male partners, and 30 healthcare providers.
- Thematic analysis of interview data to identify themes related to acceptability, content, format, timing, language, and challenges of text messaging.
Main Results:
- The text messaging intervention was found to be acceptable overall.
- Participants provided valuable input on desired message content, optimal format, timing, and language.
- Potential challenges associated with the intervention were identified and discussed.
Conclusions:
- Mobile text messaging is a feasible and acceptable intervention to support ART adherence and retention in care for women in Option B+ programs.
- Findings from this study informed the refinement of a text messaging intervention for ongoing evaluation in Kenyan study sites.
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