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“It was my obligation as mother”: 18-Month completion of Early Infant Diagnosis as identity control for mothers living with HIV in Kenya

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  • Hurley, Emily A.
  • Odeny, Beryne
  • Wexler, Catherine
  • Brown, Melinda
  • MacKenzie, Alexander
  • Goggin, Kathy
  • Maloba, May
  • Gautney, Brad
  • Finocchario-Kessler, Sarah

Abstract

Early Infant Diagnosis (EID) is critical to timely identification of HIV and rapid treatment initiation for infants found to be infected. Completing the EID cascade involves a series of age-specific tests between birth and 18 months and can be challenging for mother- infant pairs in low-resource settings. Even prior to recent increases in Kenya's testing recommendations, approximately 22% of mother-infant pairs enrolled in EID were lost to follow-up. As EID cascades become increasingly complex, identifying strategies to maximize retention becomes even more essential. Despite ongoing health system improvements, we still lack a framework for understanding the individual-level, psychosocial processes underlying EID completion—insight that could be essential for shaping strategies to support patients and close gaps in retention.

Suggested Citation

  • Hurley, Emily A. & Odeny, Beryne & Wexler, Catherine & Brown, Melinda & MacKenzie, Alexander & Goggin, Kathy & Maloba, May & Gautney, Brad & Finocchario-Kessler, Sarah, 2020. "“It was my obligation as mother”: 18-Month completion of Early Infant Diagnosis as identity control for mothers living with HIV in Kenya," Social Science & Medicine, Elsevier, vol. 250(C).
    • Handle: RePEc:eee:socmed:v:250:y:2020:i:c:s027795362030085x
    DOI: 10.1016/j.socscimed.2020.112866
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    References listed on IDEAS

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    1. Horter, Shona & Thabede, Zanele & Dlamini, Velibanti & Bernays, Sarah & Stringer, Beverley & Mazibuko, Sikhathele & Dube, Lenhle & Rusch, Barbara & Jobanputra, Kiran, 2017. "“Life is so easy on ART, once you accept it”: Acceptance, denial and linkage to HIV care in Shiselweni, Swaziland," Social Science & Medicine, Elsevier, vol. 176(C), pages 52-59.
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    3. Salmen, Charles R. & Hickey, Matthew D. & Fiorella, Kathryn J. & Omollo, Dan & Ouma, Gor & Zoughbie, Daniel & Salmen, Marcus R. & Magerenge, Richard & Tessler, Robert & Campbell, Harold & Geng, Elvin , 2015. "“Wan Kanyakla” (We are together): Community transformations in Kenya following a social network intervention for HIV care," Social Science & Medicine, Elsevier, vol. 147(C), pages 332-340.
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    1. Hampanda, K. & Matenga, T.F.L. & Nkwemu, S. & Shankalala, P. & Chi, B.H. & Darbes, L.A. & Turan, J.M. & Mutale, W. & Bull, S. & Abuogi, L., 2021. "Designing a couple-based relationship strengthening and health enhancing intervention for pregnant women living with HIV and their male partners in Zambia: Interview findings from the target community," Social Science & Medicine, Elsevier, vol. 283(C).

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