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dc.contributor.advisorSenturia, Kirsten
dc.contributor.authorFairbanks, Jade Margo
dc.date.accessioned2017-08-11T22:56:20Z
dc.date.available2017-08-11T22:56:20Z
dc.date.submitted2017-06
dc.identifier.otherFairbanks_washington_0250O_17159.pdf
dc.identifier.urihttp://hdl.handle.net/1773/40183
dc.descriptionThesis (Master's)--University of Washington, 2017-06
dc.description.abstractBackground: Efficacy of Antiretroviral Therapy (ART) depends largely on treatment adherence, which has been a critical issue among pregnant women in Kenya. Mobile health technologies (mHealth) have been proposed as one approach that may help individuals optimize treatment adherence. Previous studies have shown the efficacy of Short Messaging Services (SMS) to improve ART adherence, but very few studies have looked at the impact of SMS on ART adherence within the context of Prevention of Mother to Child Transmission (PMTCT). Objective: This qualitative study explores women’s preferences for SMS content related to engagement in HIV care, and maternal and child health (MCH), during and after pregnancy. Methods: Ten focus group discussions (FGDs) were conducted with HIV infected pregnant women seeking antenatal care services, or HIV positive postpartum women who had an uninfected child <2 years at three sites in Kenya. All transcripts were coded using Dedoose software. Transcripts were reviewed by three independent reviewers to ensure reliability of data interpretation. Transcripts were analyzed using a combination of deductive and inductive approaches to characterize women’s perceptions of SMS content. Results: Women viewed SMS as an acceptable strategy to facilitate engagement in HIV care. Participants desired message content that was educational, encouraging, and provided reminders to take medication or attend clinic. Participants additionally desired content related to more general maternal and child health categories. Participants indicated that SMS could assist with status acceptance and disclosure, improve patient-provider relationships, and provide support and encouragement while dealing with HIV related challenges. Conclusion: Our results suggest some of the ways SMS could be used to encourage and support HIV infected pregnant and postpartum women remain in care, stay on treatment, and care for themselves and their children. Keywords: HIV, ART, PMTCT, mobile health, SMS, adherence, stigma, disclosure, engagement in care, maternal and child health outcomes
dc.format.mimetypeapplication/pdf
dc.language.isoen_US
dc.relation.haspartCommitteeApproval-Final.docx; text; Committee approval form.
dc.rightsnone
dc.subjectART
dc.subjectHIV
dc.subjectPMTCT
dc.subjectSMS
dc.subjectPublic health
dc.subject.otherHealth services
dc.titlePerceptions of SMS content for Pregnant and Postpartum Kenyan women Infected with HIV
dc.typeThesis
dc.embargo.termsOpen Access


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