XVIII International AIDS Conference

Abstract

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The interface between pregnancy motherhood and the adherence to antiretroviral treatment for mothers with HIV/AIDS

W. Santos1, M. Medeiros2, L. Oliveira3

1Federal University of Goias, Catalão, Brazil, 2Federal University of Goias, Goiânia, Brazil, 3Non-governmental Organization, Goiânia, Brazil

Background: The pregnancy during the HIV/AIDS presents obstacles related to women physiological aspects, vertical transmission and impact of antiretroviral therapy(ARVT) in the women's body and the fetus.This is a relevant issue since UNAIDS(2006) reported that half the people in the world infected with HIV/AIDS in the age among 15 and 49 years old are women. In this research we sought to understand the interrelations about health-disease process and the meanings of life granted by women who became mothers after diagnosis of HIV/AIDS.
Methods: Qualitative approach of social research developed in a non-governmental institution that supports children, adolescents and women with HIV/AIDS in a Brazilian state capital. Ten HIV/AIDS woman who got pregnant after they knew their positive infection result, participate in this research. Data were collected through semi-structured interviews and photographs as a supportive material. The recorded interviews were transcript by researcher and analyzed through content analysis method.
Results: The women's age was from 28 to 42 years old and five of them are single and live in their relative's home. All of them knew about HIV/AIDS infection about two years at least before pregnancy. From interviews supported by pictures emerged two categories: “collateral effects of ARVT” and “treatment adherence after pregnancy/motherhood”.All participants reported that pregnancy make possible to realize the importance of ARVT therapy for HIV vertical infection prevention, and also that in despite of ARVT's collateral effects they stay the continuous using, and even feeling the effects of the medication, remained with their continued use because being mothers with HIV/AIDS include experiences that reward the negative aspects related to that medications.
Conclusions: Thus, pregnancy is a key time for health actions implementation aiming antiretroviral treatment adherence, and to know the complexity of this issue will help health professionals to assist assertively women with HIV/AIDS in the health-disease process.


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