“I would love if there was a young woman to encourage us, to ease our anxiety which we would have if we were alone”: Adapting the Mothers2Mothers Mentor Mother Model for adolescent mothers living with HIV in Malawi

Carbone, Nicole; Njala, Joseph; Jackson, Debra; Eliya, Michael; Chilangwa, Chileshe; Tseka, Jennifer; Zulu, Tasila; Chinkonde, Jacqueline; Sherman, Judith; Zimba, Chifundo; Mofolo, Innocent; Herce, Michael E

doi:10.1371/journal.pone.0217693

Cited by 42 publications

(60 citation statements)

References 34 publications

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“…Safety and violence exposure A lack of social and psychosocial support has been reported as a barrier for engagement with PMTCT and maternal and child health services (Carbone et al, 2019;Kumar et al, 2018), highlighting how social support intersects with multiple domains for adolescent mothers. Pregnant and parenting adolescents are at a greater risk of intimate partner violence (IPV) compared to their nonpregnant, non-parenting peers (Closson et al, 2019).…”

Section: Health and Well-being Of Adolescent Mothers Affected By Hiv mentioning

confidence: 99%

“…Uptake and repeat pregnancy prevention interventions have tried to replace the success of adult adherence clubs and peer support groups, but with limited success (Kossow et al, 2012;Orne-Gliemann et al, 2017). Emerging qualitative evidence on programming designed specifically for adolescent mothers is promising, although quantitative evidence is not yet available for these initiatives (Carbone et al, 2019;Kossow et al, 2012).…”

Section: Programmes Reaching Adolescent Mothers Affected By Hiv and Tmentioning

confidence: 99%

“…Adolescent mothers living with HIV and their children are at the intersection of two vulnerabilities. They often report dual exclusion, stigma, and discrimination (Carbone et al, 2019). For adolescent mothers who are not HIV-infected but live in high-HIV contexts, this exclusion can also be keenly felt (Human Rights Watch, 2016a;UNESCO, 2017).…”

Section: Implications Of These Findingsmentioning

confidence: 99%

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Adolescent mothers affected by HIV and their children: A scoping review of evidence and experiences from sub-Saharan Africa

Toska

Laurenzi

Roberts

et al. 2020

Global Public Health

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While adolescents have received increasing attention in the global HIV response and international strategies and commitments, adolescent mothers and their children remain largely overlooked in research, funding and, programming for health-related outcomes. We conducted an extensive scoping review of current evidence on the experiences of adolescent mothers affected by HIV and their children in this region. We included published literature and conference abstracts, complemented by consultations with key stakeholders, and a review of documents through grey literature searching. First, we summarise the experiences of adolescent mothers and their children related to HIV and key health and development indicators. The syndemic of early motherhood and HIV in sub-Saharan Africa increases the vulnerability of adolescent mothers and their children. We then highlight lessons from a series of promising programmes focused on supporting adolescent mothers through novel approaches. In sub-Saharan Africa, supporting adolescent mothers living in high HIV-risk communities is critical not only to eliminate HIV/AIDS, but also to attain the Sustainable Development Goals. While research on and programming for adolescent mothers and their children is growing, the complex needs for this vulnerable group remain unmet. We conclude with evidence gaps and programming priorities for adolescent mothers affected by HIV and their children.

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Section: Health and Well-being Of Adolescent Mothers Affected By Hiv mentioning

confidence: 99%

Section: Programmes Reaching Adolescent Mothers Affected By Hiv and Tmentioning

confidence: 99%

Section: Implications Of These Findingsmentioning

confidence: 99%

See 1 more Smart Citation

Adolescent mothers affected by HIV and their children: A scoping review of evidence and experiences from sub-Saharan Africa

Toska

Laurenzi

Roberts

et al. 2020

Global Public Health

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“…Other studies have shown that peer‐centred approaches can effectively be combined with other interventions [72] and encourage other reproductive health behaviours [73]. These trial findings are largely supported by qualitative research, which confirm the overall feasibility and acceptability of the intervention [74‐76], including among adolescents [77]. For widespread implementation, however, adaptations may be required to fully optimize the role of peer supporters within the health system [78].…”

Section: Resultsmentioning

confidence: 73%

Accelerating progress towards the elimination of mother‐to‐child transmission of HIV: a narrative review

et al. 2020

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Introduction Findings from biomedical, behavioural and implementation studies provide a rich foundation to guide programmatic efforts for the prevention of mother‐to‐child HIV transmission (PMTCT). Methods We summarized the current evidence base to support policy makers, programme managers, funding agencies and other stakeholders in designing and optimizing PMTCT programmes. We searched the scientific literature for PMTCT interventions in the era of universal antiretroviral therapy for pregnant and breastfeeding women (i.e. 2013 onward). Where evidence was sparse, relevant studies from the general HIV treatment literature or from prior eras of PMTCT programme implementation were also considered. Studies were organized into six categories: HIV prevention services for women, timely access to HIV testing, timely access to ART, programme retention and adherence support, timely engagement in antenatal care and services for infants at highest risk of HIV acquisition. These were mapped to specific missed opportunities identified by the UNAIDS Spectrum model and embedded in UNICEF operational guidance to optimize PMTCT services. Results and discussion From May to November 2019, we identified numerous promising, evidence‐based strategies that, properly tailored and adopted, could contribute to population reductions in vertical HIV transmission. These spanned the HIV and maternal and child health literature, emphasizing the importance of continued alignment and integration of services. We observed overlap between several intervention domains, suggesting potential for synergies and increased downstream impact. Common themes included integration of facility‐based healthcare; decentralization of health services from facilities to communities; and engagement of partners, peers and lay workers for social support. Approaches to ensure early HIV diagnosis and treatment prior to pregnancy would strengthen care across the maternal lifespan and should be promoted in the context of PMTCT. Conclusions A wide range of effective strategies exist to improve PMTCT access, uptake and retention. Programmes should carefully consider, prioritize and plan those that are most appropriate for the local setting and best address existing gaps in PMTCT health services.

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“…Income generation was the most stated topic and was related to participants' inability to continue their education and thus nd employment to support themselves and their families. Similarly, Carbone and colleagues (2019) used FGDs with adolescent mothers aged 15-19 in Malawi to inform the development of a program to educate on the prevention of mother-to-child transmission of HIV (39). Adolescent mothers in their study requested education on subjects not directly related to transmission, such as poverty, food insecurity, economic disempowerment and nancial dependence, which were often cited as barriers to care.…”

Section: Discussionmentioning

confidence: 99%

Community-Based Peer Support Intervention to Mitigate Social Isolation and Stigma of Adolescent Motherhood in Harare, Zimbabwe

Tinago

Frongillo

Warren

et al. 2020

Preprint

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Background Adolescent mothers in Zimbabwe often experience stigma, isolation and lack coping skills and resources to successfully navigate motherhood. Social isolation and stigma are linked to poor mental health outcomes. No interventions currently address mental health of adolescent mothers in Zimbabwe. Peer support groups in other contexts have been effective at increasing social connectedness, self-esteem, and self-efficacy, providing coping mechanisms to manage stigma experiences, in addition to empowering and improving mental health or adolescents and adolescent mothers. To develop a community-based peer support intervention, we need to understand the unique needs of adolescent mothers and how peer support groups could address those needs. Methods Focus group discussions were conducted with 85 adolescent mothers aged 14-18 years, 24 community health workers, and 25 key community stakeholders in a low-income high-density community in Harare. Data were analyzed thematically using NVivo 12 software.Results Participants described adolescent mother experiences with stigma and social isolation, in addition to challenges including gossip, lack of employment and educational opportunities and gaps in services and programming. Peer support groups for adolescent mothers were welcomed to improve mental health, social support, knowledge sharing and skills building. Participants identified varying preferred frequency and duration of group sessions addressing topics including income generation, mental health, and gossip, facilitated by community health workers at health and community centers. Use of WhatsApp Messenger to support intervention efforts was welcomed as an affordable and user-friendly platform to share information.Conclusions Participants supported peer support groups to empower, meet needs, and improve the health of adolescent mothers.

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“I would love if there was a young woman to encourage us, to ease our anxiety which we would have if we were alone”: Adapting the Mothers2Mothers Mentor Mother Model for adolescent mothers living with HIV in Malawi

Cited by 42 publications

References 34 publications

Adolescent mothers affected by HIV and their children: A scoping review of evidence and experiences from sub-Saharan Africa

Adolescent mothers affected by HIV and their children: A scoping review of evidence and experiences from sub-Saharan Africa

Accelerating progress towards the elimination of mother‐to‐child transmission of HIV: a narrative review

Community-Based Peer Support Intervention to Mitigate Social Isolation and Stigma of Adolescent Motherhood in Harare, Zimbabwe

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