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Women text messaging art3/16/2024 ![]() ![]() However, challenges engaging and retaining women in the pre- and post-natal cascade of care remain due to stigma and discrimination, limited facility resources, poor male partner support, gender inequality and economic marginalization. In Eastern and Southern Africa, perinatal HIV infection has declined from 18% in 2010 to 9% in 2018. Ĭonsequently, PMTCT programs have prevented an estimated 1.4 million pediatric HIV infections globally between 20. Such programs support ART initiation and adherence, encourage antenatal care and safe childbirth practices, and provide HIV virologic testing for infants exposed to HIV. Prevention of mother to child transmission of HIV (PMTCT) programs are key to providing the range of services needed for women and infants to reduce perinatal HIV infection. Without intervention, transmission rates of HIV can be as high as 15–45%, but with antiretroviral therapy (ART) rates can be reduced to as low as 5% during pregnancy, delivery, and breastfeeding periods. Globally, 90% of pediatric HIV infections result from perinatal HIV transmission. Overall, participants favored content that was brief, cheerful, and emotionally appealing. For retention, participants preferred messages with high verbal immediacy-direct appointment reminders and references to the baby-sent infrequently from a clinical source. Unlike other studies, low message immediacy was prioritized over customization of message content. Respondents wanted ART adherence messages that were low in verbal immediacy (ambiguous), came from an anonymous source, and were customized in timing and frequency. The principles of message design informed message development. This study reports on the results of focus groups conducted with pre and postnatal women living with HIV (5 groups, n = 40) and their male partners (3 groups, n = 33) to elicit feedback and develop messages to support HIV+ women’s adherence to ART medication, ANC appointments and a facility-based birth. Prevention of mother-to-child HIV transmission (PMTCT) services in Kenya can be strengthened through the delivery of relevant and culturally appropriate SMS messages. ![]()
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