PMID- 15973262
OWN - NLM
STAT- MEDLINE
DCOM- 20070201
LR  - 20091119
IS  - 1542-2011 (Electronic)
IS  - 1526-9523 (Linking)
VI  - 50
IP  - 4
DP  - 2005 Jul-Aug
TI  - Mothers, midwives, and HIV/AIDS in Sub-Saharan Africa.
PG  - 275-82
AB  - This article reviews clinical and program issues in the prevention of mother to 
      child transmission (PMTCT) of HIV in sub-Saharan Africa. Topics include 
      prevention of infection, voluntary counseling and testing, prenatal care, labor 
      and birth, postpartum, family planning, infant feeding, and the role of 
      traditional birth attendants. Programs providing short-course antiretroviral 
      therapy to prevent infant infection are contrasted with comprehensive programs 
      offering antiretroviral therapy and medical care to mothers, children, and 
      families. Feminization of the epidemic is related to gender inequalities that 
      facilitate the spread of HIV and make pregnant women an especially vulnerable 
      group. Nurses and midwives are the primary health care providers for most of the 
      population in sub-Saharan Africa. They are the backbone of the new PMTCT programs 
      and will be the largest group of health workers available to diagnose and treat 
      opportunistic infections and dispense antiretroviral therapy. But they have 
      received little training and support to provide AIDS care and treatment and are 
      rarely consulted when plans are made about workforce issues and capacity 
      development in the health sector. Clinical training, leadership skills, salary 
      support, expansion of the nursing workforce, and development of expanded roles 
      for nurses and midwives in AIDS care are needed to help them turn the tide of the 
      epidemic.
FAU - Raisler, Jeanne
AU  - Raisler J
AD  - University of Michigan School of Nursing, Ann Arbor, MI 48109-0482, USA. 
      jraisler@umich.edu
FAU - Cohn, Jonathan
AU  - Cohn J
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - J Midwifery Womens Health
JT  - Journal of midwifery & women's health
JID - 100909407
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Africa South of the Sahara/epidemiology
MH  - Antiretroviral Therapy, Highly Active/nursing
MH  - Child Nutrition Sciences
MH  - Contraception Behavior
MH  - Female
MH  - HIV Infections/diagnosis/drug therapy/epidemiology/*prevention & 
      control/*transmission
MH  - Health Education/organization & administration
MH  - Health Planning/methods
MH  - Humans
MH  - Infant Nutritional Physiological Phenomena
MH  - Infant, Newborn
MH  - Infectious Disease Transmission, Vertical/*prevention & control
MH  - Mass Screening/nursing
MH  - Maternal Health Services/organization & administration
MH  - Midwifery/*methods/organization & administration
MH  - Nurse's Role
MH  - Perinatal Care/methods
MH  - Pregnancy
MH  - Pregnancy Complications, Infectious/diagnosis/drug 
      therapy/epidemiology/*prevention & control
MH  - Prenatal Care/methods/organization & administration
MH  - Prevalence
MH  - Risk Factors
MH  - Sex Distribution
RF  - 53
EDAT- 2005/06/24 09:00
MHDA- 2007/02/03 09:00
CRDT- 2005/06/24 09:00
PHST- 2005/06/24 09:00 [pubmed]
PHST- 2007/02/03 09:00 [medline]
PHST- 2005/06/24 09:00 [entrez]
AID - S1526952305001443 [pii]
AID - 10.1016/j.jmwh.2005.03.021 [doi]
PST - ppublish
SO  - J Midwifery Womens Health. 2005 Jul-Aug;50(4):275-82. doi: 
      10.1016/j.jmwh.2005.03.021.