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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Knowing But Not Knowing: Providing Maternity Care in the Context of HIV/AIDS in Rural Zimbabwe
Authors:Mathole, Thubelihle
Lindmark, Gunilla
Ahlberg, Beth MainaISNI
Periodical:African Journal of AIDS Research
Geographic term:Zimbabwe
Subjects:health personnel
maternal and child health care
occupational safety
Health, Nutrition, and Medicine
Labor and Employment
External link:https://www.tandfonline.com/doi/abs/10.2989/16085900609490373
Abstract:Individual interviews with 25 nurses and midwives, held between 2000 and 2002 in Gutu District, Masvingo Province, revealed their experiences with providing maternity care in rural Zimbabwe. These first-hand accounts especially illuminate the complexities of providing maternity care in the context of HIV/AIDS. The caregivers described feeling troubled by knowing statistics about the magnitude and high prevalence of HIV (from official sources and the media) while they witnessed the increase in disease and the deaths of women, children and colleagues around them. They expressed frustration with a lack of information regarding the HIV status of their female patients - a situation exacerbated by HIV stigma and poor health care organization. The social relationships between the caregivers and women in the study area sometimes meant that the caregivers did not effectively apply universal precautions, such as use of gloves during births. The situation described by the caregivers emphasizes that contextual factors must be addressed to meet the increased demands and challenges of providing maternal health care in endemic HIV/AIDS countries such as Zimbabwe. Bibliogr., sum. [Journal abstract]