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The development of Maisha, a video-assisted counseling intervention to address HIV stigma at entry into antenatal care in Tanzania.

Publication ,  Journal Article
Watt, MH; Knettel, BA; Knippler, ET; Kisigo, G; Ngocho, JS; Renju, J; Rogathi, J; Sao, SS; Minja, L; Osaki, H; Mwamba, RN; Mmbaga, BT
Published in: Evaluation and program planning
December 2020

HIV stigma has a profound impact on clinical outcomes and undermines the quality of life of people living with HIV (PLWH). Among HIV-negative individuals, misinformation and prejudicial attitudes about HIV can fuel stigma and contribute to discrimination against PLWH. Antenatal care (ANC), with its focus on universal HIV testing, provides a unique entry point to address HIV stigma. This study describes the development of a counseling intervention to address HIV stigma among women and their partners attending a first ANC appointment in Tanzania. Formative work to inform the intervention consisted of qualitative interviews with 32 pregnant and postpartum women (both women living with HIV and HIV-negative women) and 20 healthcare workers. Data were analyzed iteratively, using a thematic analysis approach, to identify intervention targets. The resulting intervention, Maisha (Swahili for "Life"), includes three sessions informed by the HIV Stigma Framework and Cognitive-Behavioral Therapy: a video and brief counseling session prior to HIV testing and, for those who test seropositive for HIV, two additional sessions building on the video content. A pilot test of the intervention is in process. Addressing HIV stigma at the first ANC visit can help individuals living with HIV to overcome stigma-related barriers to the initiation and maintenance of HIV care, and can reduce stigmatizing attitudes among those who test negative for HIV.

Duke Scholars

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Published In

Evaluation and program planning

DOI

EISSN

1873-7870

ISSN

0149-7189

Publication Date

December 2020

Volume

83

Start / End Page

101859

Related Subject Headings

  • Tanzania
  • Social Sciences Methods
  • Quality of Life
  • Program Evaluation
  • Prenatal Care
  • Pregnancy
  • Infectious Disease Transmission, Vertical
  • Humans
  • HIV Infections
  • Female
 

Citation

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Watt, M. H., Knettel, B. A., Knippler, E. T., Kisigo, G., Ngocho, J. S., Renju, J., … Mmbaga, B. T. (2020). The development of Maisha, a video-assisted counseling intervention to address HIV stigma at entry into antenatal care in Tanzania. Evaluation and Program Planning, 83, 101859. https://doi.org/10.1016/j.evalprogplan.2020.101859
Watt, Melissa H., Brandon A. Knettel, Elizabeth T. Knippler, Godfrey Kisigo, James S. Ngocho, Jenny Renju, Jane Rogathi, et al. “The development of Maisha, a video-assisted counseling intervention to address HIV stigma at entry into antenatal care in Tanzania.Evaluation and Program Planning 83 (December 2020): 101859. https://doi.org/10.1016/j.evalprogplan.2020.101859.
Watt MH, Knettel BA, Knippler ET, Kisigo G, Ngocho JS, Renju J, et al. The development of Maisha, a video-assisted counseling intervention to address HIV stigma at entry into antenatal care in Tanzania. Evaluation and program planning. 2020 Dec;83:101859.
Watt, Melissa H., et al. “The development of Maisha, a video-assisted counseling intervention to address HIV stigma at entry into antenatal care in Tanzania.Evaluation and Program Planning, vol. 83, Dec. 2020, p. 101859. Epmc, doi:10.1016/j.evalprogplan.2020.101859.
Watt MH, Knettel BA, Knippler ET, Kisigo G, Ngocho JS, Renju J, Rogathi J, Sao SS, Minja L, Osaki H, Mwamba RN, Mmbaga BT. The development of Maisha, a video-assisted counseling intervention to address HIV stigma at entry into antenatal care in Tanzania. Evaluation and program planning. 2020 Dec;83:101859.
Journal cover image

Published In

Evaluation and program planning

DOI

EISSN

1873-7870

ISSN

0149-7189

Publication Date

December 2020

Volume

83

Start / End Page

101859

Related Subject Headings

  • Tanzania
  • Social Sciences Methods
  • Quality of Life
  • Program Evaluation
  • Prenatal Care
  • Pregnancy
  • Infectious Disease Transmission, Vertical
  • Humans
  • HIV Infections
  • Female