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Program synergies and social relations: implications of integrating HIV testing and counselling into maternal health care on care seeking

Overview of attention for article published in BMC Public Health, January 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (78th percentile)
  • Above-average Attention Score compared to outputs of the same age and source (56th percentile)

Mentioned by

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7 tweeters

Citations

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16 Dimensions

Readers on

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201 Mendeley
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Title
Program synergies and social relations: implications of integrating HIV testing and counselling into maternal health care on care seeking
Published in
BMC Public Health, January 2015
DOI 10.1186/s12889-014-1336-3
Pubmed ID
Authors

Selena J An, Asha S George, Amnesty LeFevre, Rose Mpembeni, Idda Mosha, Diwakar Mohan, Ann Yang, Joy Chebet, Chrisostom Lipingu, Japhet Killewo, Peter Winch, Abdullah H Baqui, Charles Kilewo

Abstract

BackgroundWomen and children in sub-Saharan Africa bear a disproportionate burden of HIV/AIDS. Integration of HIV with maternal and child services aims to reduce the impact of HIV/AIDS. To assess the potential gains and risks of such integration, this paper considers pregnant women¿s and providers¿ perceptions about the effects of integrated HIV testing and counselling on care seeking by pregnant women during antenatal care in Tanzania.MethodsFrom a larger evaluation of an integrated maternal and newborn health care program in Morogoro, Tanzania, this analysis included a subset of information from 203 observations of antenatal care and interviews with 57 providers and 190 pregnant women from 18 public health centers in rural and peri-urban settings. Qualitative data were analyzed manually and with Atlas.ti using a framework approach, and quantitative data of respondents¿ demographic information were analyzed with Stata 12.0.ResultsPerceptions of integrating HIV testing with routine antenatal care from women and health providers were generally positive. Respondents felt that integration increased coverage of HIV testing, particularly among difficult-to-reach populations, and improved convenience, efficiency, and confidentiality for women while reducing stigma. Pregnant women believed that early detection of HIV protected their own health and that of their children. Despite these positive views, challenges remained. Providers and women perceived opt out HIV testing and counselling during antenatal services to be compulsory. A sense of powerlessness and anxiety pervaded some women¿s responses, reflecting the unequal relations, lack of supportive communications and breaches in confidentiality between women and providers. Lastly, stigma surrounding HIV was reported to lead some women to discontinue services or seek care through other access points in the health system.ConclusionWhile providers and pregnant women view program synergies from integrating HIV services into antenatal care positively, lack of supportive provider-patient relationships, lack of trust resulting from harsh treatment or breaches in confidentiality, and stigma still inhibit women¿s care seeking. As countries continue rollout of Option B+, social relations between patients and providers must be understood and addressed to ensure that integrated delivery of HIV counselling and services encourages women¿s care seeking in order to improve maternal and child health.

Twitter Demographics

The data shown below were collected from the profiles of 7 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 201 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Ghana 1 <1%
Switzerland 1 <1%
Unknown 199 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 48 24%
Researcher 37 18%
Student > Ph. D. Student 30 15%
Student > Bachelor 17 8%
Student > Doctoral Student 13 6%
Other 32 16%
Unknown 24 12%
Readers by discipline Count As %
Medicine and Dentistry 56 28%
Social Sciences 49 24%
Nursing and Health Professions 32 16%
Psychology 15 7%
Agricultural and Biological Sciences 3 1%
Other 13 6%
Unknown 33 16%

Attention Score in Context

This research output has an Altmetric Attention Score of 6. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 February 2015.
All research outputs
#2,252,984
of 11,191,781 outputs
Outputs from BMC Public Health
#2,391
of 7,706 outputs
Outputs of similar age
#53,136
of 251,733 outputs
Outputs of similar age from BMC Public Health
#73
of 172 outputs
Altmetric has tracked 11,191,781 research outputs across all sources so far. Compared to these this one has done well and is in the 79th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 7,706 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.1. This one has gotten more attention than average, scoring higher than 68% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 251,733 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 78% of its contemporaries.
We're also able to compare this research output to 172 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 56% of its contemporaries.