PMID- 35969024
OWN - NLM
STAT- MEDLINE
DCOM- 20220816
LR  - 20220827
IS  - 1654-9880 (Electronic)
IS  - 1654-9716 (Print)
IS  - 1654-9880 (Linking)
VI  - 15
IP  - 1
DP  - 2022 Dec 31
TI  - Addressing the migrant gap: maternal healthcare perspectives on utilising 
      prevention of mother to child transmission (PMTCT) services during the COVID-19 
      pandemic, South Africa.
PG  - 2100602
LID - 10.1080/16549716.2022.2100602 [doi]
LID - 2100602
AB  - BACKGROUND: The COVID-19 pandemic has interrupted the prevention of 
      mother-to-child transmission of HIV (PMTCT) programming in South Africa. In 2020, 
      it was estimated that there were 4 million cross-border migrants in South Africa, 
      some of whom are women living with HIV (WLWH), who are highly mobile and located 
      within peripheral and urban areas of Johannesburg. Little is known about the 
      mobility typologies of these women associated with different movement patterns, 
      the impact of the COVID-19 pandemic on mobility typologies of women utilising 
      PMTCT services and on how changes to services might have affected adherence. 
      OBJECTIVE: To qualitatively explore experiences of different mobility typologies 
      of migrant women utilising PMTCT services in a high mobility context of 
      Johannesburg and how belonging to a specific typology might have affected the 
      health care received and their overall experiences during the COVID-19 pandemic. 
      METHODS: Qualitative semi-structured interviews with 40 pregnant migrant WLWH 
      were conducted from June 2020-June 2021. Participants were recruited through 
      purposive sampling at a public hospital in Johannesburg. A thematic approach was 
      used to analyse interviews. RESULTS: Forty interviews were conducted with 22 
      cross-border and 18 internal migrants. Women in cross-border migration patterns 
      compared to interprovincial and intraregional mobility experienced barriers of 
      documentation, language availability, mistreatment, education and counselling. 
      Due to border closures, they were unable to receive ART interrupting adherence 
      and relied on SMS reminders to adhere to ART during the pandemic. All 40 women 
      struggled to understand the importance of adherence because of the lack of 
      infrastructure to support social distancing protocols and to provide PMTCT 
      education. CONCLUSIONS: COVID-19 amplified existing challenges for cross-border 
      migrant women to utilise PMTCT services. Future pandemic preparedness should be 
      addressed with differentiated service delivery including multi-month dispensing 
      of ARVs, virtual educational care, and language-sensitive information, responsive 
      to the needs of mobile women to alleviate the burden on the healthcare system.
FAU - Bisnauth, Melanie A
AU  - Bisnauth MA
AUID- ORCID: 0000-0002-0846-8738
AD  - School of Public Health Faculty of Health Sciences, University of the 
      Witwatersrand, Johannesburg, South Africa.
AD  - School of Clinical Medicine, Faculty of Health Sciences, University of the 
      Witwatersrand, Johannesburg, South Africa.
AD  - Charlotte Maxeke Johannesburg Hospital and Department of Community Health, School 
      of Public Health, University of Witwatersrand, Johannesburg, South Africa.
FAU - Coovadia, Ashraf
AU  - Coovadia A
AUID- ORCID: 0000-0002-6372-8846
AD  - School of Clinical Medicine, Faculty of Health Sciences, University of the 
      Witwatersrand, Johannesburg, South Africa.
FAU - Kawonga, Mary
AU  - Kawonga M
AUID- ORCID: 0000-0001-9807-7847
AD  - School of Public Health Faculty of Health Sciences, University of the 
      Witwatersrand, Johannesburg, South Africa.
AD  - Charlotte Maxeke Johannesburg Hospital and Department of Community Health, School 
      of Public Health, University of Witwatersrand, Johannesburg, South Africa.
FAU - Vearey, Jo
AU  - Vearey J
AUID- ORCID: 0000-0002-6636-1322
AD  - African Centre for Migration and Society, Faculty of Social Sciences, University 
      of Witwatersrand, Johannesburg, South Africa.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Glob Health Action
JT  - Global health action
JID - 101496665
SB  - IM
MH  - *COVID-19/prevention & control
MH  - Delivery of Health Care
MH  - Female
MH  - *HIV Infections/epidemiology
MH  - Humans
MH  - Infectious Disease Transmission, Vertical/prevention & control
MH  - Male
MH  - Pandemics/prevention & control
MH  - Pregnancy
MH  - *Pregnancy Complications, Infectious/epidemiology/prevention & control
MH  - Prenatal Care/methods
MH  - South Africa/epidemiology
MH  - *Transients and Migrants
PMC - PMC9389928
OTO - NOTNLM
OT  - COVID-19
OT  - HIV/AIDS
OT  - PMTCT
OT  - South Africa
OT  - migration
COIS- The data are owned and governed by the Human Research Ethics Committee at the 
      University of Witwatersrand, Johannesburg, South Africa. All data are stored in 
      the central research team repository. Data consist of interview transcripts that 
      contain human identifying information and cannot be shared publicly for 
      confidentiality reasons. Requests for further data may be sent to 
      melaniebisnauth@gmail.com.
EDAT- 2022/08/16 06:00
MHDA- 2022/08/17 06:00
PMCR- 2022/08/15
CRDT- 2022/08/15 08:42
PHST- 2022/08/15 08:42 [entrez]
PHST- 2022/08/16 06:00 [pubmed]
PHST- 2022/08/17 06:00 [medline]
PHST- 2022/08/15 00:00 [pmc-release]
AID - 2100602 [pii]
AID - 10.1080/16549716.2022.2100602 [doi]
PST - ppublish
SO  - Glob Health Action. 2022 Dec 31;15(1):2100602. doi: 
      10.1080/16549716.2022.2100602.