Mamekhaya: A pilot study combining a cognitive-behavioral intervention and mentor mothers with PMTCT services in South Africa

Donna C. Futterman, Jawaya Shea, Mitchell Besser, Stephen Stafford, Katherine Desmond, W. Scott Comulada, Erin Greco

Research output: Contribution to journalArticle

86 Citations (Scopus)

Abstract

Nearly 30% of pregnant women in South Africa are estimated to be HIV seropositive, yet adherence to guidelines for the prevention of mother-to-child transmission of HIV (PMTCT) is often low. A pilot study was developed to see whether PMTCT services provided by the South African Government could be enhanced by the Mamekhaya program, a combination of the mothers2mothers peer-mentoring program and a culturally adapted cognitive-behavioral intervention (CBI) from the USA. Pregnant women attending two maternity clinics offering PMTCT in Gugulethu and Vanguard Townships, Cape Town, South Africa, were invited to participate in the study. Women at the intervention site (Gugulethu) received the support of a mentor mother and also attended an eight-session Mamekhaya CBI. At the control site (Vanguard), women received standard services provided by midwives and counselors. Baseline assessments were completed by all participants at enrollment (n=160), and follow-ups were completed six months later by 44% of participants. Self-reports of adherence to PMTCT practices were high across both sites (90% or more engaging in the core practices). Women at the Mamekhaya site showed significantly greater improvement in establishing social support and reducing depression scores than women at the control site. Mamekhaya participants also showed trends for better attendance at follow-up medical visits, and greater improvements in positive coping. The greatest effect of the Mamekhaya program was to increase HIV knowledge scores, particularly with regard to understanding the meaning and importance of viral load and CD4 test results. Results from this pilot study show promise that augmenting basic PMTCT services with mentor mothers and a culturally adapted CBI can be effective in conveying information and in improving the emotional outlook and hopefulness of HIV-positive pregnant women in South Africa.

Original languageEnglish (US)
Pages (from-to)1093-1100
Number of pages8
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume22
Issue number9
DOIs
StatePublished - Sep 2010

Fingerprint

Mentors
South Africa
Mothers
HIV
Pregnant Women
Hope
Guideline Adherence
midwife
counselor
mentoring
Midwifery
Viral Load
social support
Social Support
coping
Self Report
town
Depression
trend
knowledge

Keywords

  • HIV
  • intervention
  • mentor mothers
  • mother-to-child transmission
  • South Africa

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Social Psychology

Cite this

Mamekhaya : A pilot study combining a cognitive-behavioral intervention and mentor mothers with PMTCT services in South Africa. / Futterman, Donna C.; Shea, Jawaya; Besser, Mitchell; Stafford, Stephen; Desmond, Katherine; Comulada, W. Scott; Greco, Erin.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 22, No. 9, 09.2010, p. 1093-1100.

Research output: Contribution to journalArticle

Futterman, Donna C. ; Shea, Jawaya ; Besser, Mitchell ; Stafford, Stephen ; Desmond, Katherine ; Comulada, W. Scott ; Greco, Erin. / Mamekhaya : A pilot study combining a cognitive-behavioral intervention and mentor mothers with PMTCT services in South Africa. In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2010 ; Vol. 22, No. 9. pp. 1093-1100.
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