Papers by Motlatso Mlambo
ABTRACT The aim of this study was to assess with a narrative interview HIV sero-status disclosure... more ABTRACT The aim of this study was to assess with a narrative interview HIV sero-status disclosure and sexual behaviour pattern among 90 purposeful selected antiretroviral treatment (ART) patients in a public hospital in Mpumalanga province, South Africa. Results indicate that participants were either in sero-concordant (21%), sero-discordant (13%) or in relationships with a partner of unknown HIV status (53%). A conceptual framework on HIV disclosure and sexual behaviour found that among sero-concordant and sero-discordant partners, the motivation for HIV disclosure included poor health, pregnancy, death and sero-sorting. Actions taken were categorized into (1) condom use, (2) partner testing or (3) abstinence. Challenges to HIV disclosing included (1) partner separation, (2) partner togetherness and (3) sero-sorting. As a conclusion, HIV disclosure was found to be complex and needing supportive counselling, and a great deal of HIV risk sexual behaviour was observed needing HIV risk...
Health SA Gesondheid, 2014
Acta Paediatrica, 2010
To identify factors that influence adherence to antiretroviral (ARV) prophylaxis by HIV positive ... more To identify factors that influence adherence to antiretroviral (ARV) prophylaxis by HIV positive mothers participating in the HIV prevention of mother to child (PMTCT) programme. Post-delivery 815 HIV-infected mothers aged 18 years and above with babies aged 3-6 months were interviewed in Gert Sibande District, Mpumalanga province, South Africa. Eighty five percent of the mothers indicated that they had been provided with nevirapine and 78.4% took it before or at the onset of labour and infant nevirapine intake was 76.9%. In multivariate analysis it was found that women with better PMTCT knowledge had a higher perceived confidentiality about HIV status at the health facility. They had a term delivery and those who had told their partner about nevirapine had a higher maternal nevirapine adherence. Women who had also told their partner about nevirapine, whose partner was asked for an HIV test and those who knew the HIV status of their infant had higher infant nevirapine adherence. Adherence to maternal and infant ARV prophylaxis was found to be sub-optimal. Health services delivery factors, male involvement, communication and social support contribute to adherence to ARV prophylaxis in this largely rural setting in South Africa.
Acta Paediatrica, 2007
Aim: To assess knowledge, infant-feeding education and practices, factors that affect choice of i... more Aim: To assess knowledge, infant-feeding education and practices, factors that affect choice of infant feeding option, determinants of mixed feeding, psychosocial challenges and attitudes of HIV-positive women with infants between ages 3-6 months who attended prevention of mother-to-child transmission of HIV services in Gert Sibande district.
African journal of primary health care & family medicine, Jan 28, 2017
Most of South Africa's citizens who live in rural or underserved communities rely on the publ... more Most of South Africa's citizens who live in rural or underserved communities rely on the public health care sector to access quality health care. The value of rural exposure through clinical placements is well documented. Medical schools in South Africa have a responsibility to provide solutions that address the prevailing human resources challenges. Despite this commitment, medical students do not necessarily appreciate their role in resolving South Africa's human resources challenges. This study aimed to assess the factors that influenced the choice of clinical learning sites in a self-selection process undertaken by Wits final year medical students for the compulsory 6-week integrated primary care block rotation. Qualitative data related to reasons for choice of service learning site were gathered from 524 pre-placement questionnaires completed by final year medical students entering the rotation over a 3-year period (2012-2014). Thematic analysis was performed using the ...
Background: An important determinant of a student's behaviour and performance is the school's tea... more Background: An important determinant of a student's behaviour and performance is the school's teaching and learning environment. Evaluation of such an environment can explore methods to improve educational curricula and academic atmosphere.
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Papers by Motlatso Mlambo