Childbirth experiences for women living with HIV in Kilimanjaro, Tanzania: a mixed method study on respectful maternity care Article Swipe
Mariam L. Barabara
,
Melissa H. Watt
,
Virginie Marchand
,
Linda Minja
,
Maya J. Stephens
,
Gileard Masenga
,
Blandina T. Mmbaga
,
Susanna R. Cohen
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1093/inthealth/ihaf049
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1093/inthealth/ihaf049
Background Respectful maternity care (RMC) is important for women living with human immunodeficiency virus (WLHIV) to promote their well-being and long-term healthcare engagement. This descriptive mixed-methods study explored the experiences of RMC during childbirth among WLHIV in Tanzania. Methods We conducted a mixed-methods study and recruited 103 WLHIV from six healthcare facilities within 48 h of giving birth. Participants completed a survey using audio computer-assisted self-interview survey technology. In-depth interviews were conducted with 12 pregnant WLHIV and 12 postpartum WLHIV. Results In the survey, self-reported RMC was overall high. The median score on the full RMC scale (possible range 0–100) was 74.4, with the highest scores in the subscale of dignity and respect (83.3), followed by supportive care (77.8) and communication and autonomy (62.9). Qualitative data suggested a general appreciation of the care received, but some participants reported that providers neglected them, avoided physical contact or did not seek their consent for procedures. Conclusions These data suggest an opportunity for additional provider training in clinical empathy and patient-centred practices to address the unique needs of WLHIV and enhance their overall maternity care satisfaction and health outcomes. There is also a need for investments in clinical infrastructure to support the delivery of RMC.
Related Topics
Concepts
Childbirth
Nursing
Tanzania
Dignity
Health care
Qualitative property
Medicine
Qualitative research
Family medicine
Psychology
Pregnancy
Social science
Machine learning
Environmental science
Computer science
Economics
Economic growth
Genetics
Political science
Biology
Environmental planning
Law
Sociology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/inthealth/ihaf049
- OA Status
- gold
- Cited By
- 2
- References
- 35
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4410105854
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4410105854Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/inthealth/ihaf049Digital Object Identifier
- Title
-
Childbirth experiences for women living with HIV in Kilimanjaro, Tanzania: a mixed method study on respectful maternity careWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-04-18Full publication date if available
- Authors
-
Mariam L. Barabara, Melissa H. Watt, Virginie Marchand, Linda Minja, Maya J. Stephens, Gileard Masenga, Blandina T. Mmbaga, Susanna R. CohenList of authors in order
- Landing page
-
https://doi.org/10.1093/inthealth/ihaf049Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1093/inthealth/ihaf049Direct OA link when available
- Concepts
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Childbirth, Nursing, Tanzania, Dignity, Health care, Qualitative property, Medicine, Qualitative research, Family medicine, Psychology, Pregnancy, Social science, Machine learning, Environmental science, Computer science, Economics, Economic growth, Genetics, Political science, Biology, Environmental planning, Law, SociologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
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2025: 2Per-year citation counts (last 5 years)
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35Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.74.4, | 102 |
| abstract_inverted_index.There | 187 |
| abstract_inverted_index.These | 155 |
| abstract_inverted_index.WLHIV | 36, 48, 76, 176 |
| abstract_inverted_index.among | 35 |
| abstract_inverted_index.audio | 64 |
| abstract_inverted_index.high. | 89 |
| abstract_inverted_index.human | 12 |
| abstract_inverted_index.needs | 174 |
| abstract_inverted_index.range | 99 |
| abstract_inverted_index.scale | 97 |
| abstract_inverted_index.score | 92 |
| abstract_inverted_index.study | 27, 44 |
| abstract_inverted_index.their | 18, 150, 179 |
| abstract_inverted_index.them, | 142 |
| abstract_inverted_index.using | 63 |
| abstract_inverted_index.virus | 14 |
| abstract_inverted_index.women | 9 |
| abstract_inverted_index.(77.8) | 119 |
| abstract_inverted_index.WLHIV. | 80 |
| abstract_inverted_index.birth. | 58 |
| abstract_inverted_index.during | 33 |
| abstract_inverted_index.giving | 57 |
| abstract_inverted_index.health | 185 |
| abstract_inverted_index.living | 10 |
| abstract_inverted_index.median | 91 |
| abstract_inverted_index.scores | 106 |
| abstract_inverted_index.survey | 62, 67 |
| abstract_inverted_index.unique | 173 |
| abstract_inverted_index.within | 53 |
| abstract_inverted_index.(62.9). | 124 |
| abstract_inverted_index.(83.3), | 114 |
| abstract_inverted_index.(WLHIV) | 15 |
| abstract_inverted_index.Methods | 39 |
| abstract_inverted_index.Results | 81 |
| abstract_inverted_index.address | 171 |
| abstract_inverted_index.avoided | 143 |
| abstract_inverted_index.consent | 151 |
| abstract_inverted_index.contact | 145 |
| abstract_inverted_index.dignity | 111 |
| abstract_inverted_index.empathy | 166 |
| abstract_inverted_index.enhance | 178 |
| abstract_inverted_index.general | 129 |
| abstract_inverted_index.highest | 105 |
| abstract_inverted_index.overall | 88, 180 |
| abstract_inverted_index.promote | 17 |
| abstract_inverted_index.respect | 113 |
| abstract_inverted_index.suggest | 157 |
| abstract_inverted_index.support | 198 |
| abstract_inverted_index.survey, | 84 |
| abstract_inverted_index.0–100) | 100 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.In-depth | 69 |
| abstract_inverted_index.autonomy | 123 |
| abstract_inverted_index.clinical | 165, 195 |
| abstract_inverted_index.delivery | 200 |
| abstract_inverted_index.explored | 28 |
| abstract_inverted_index.followed | 115 |
| abstract_inverted_index.physical | 144 |
| abstract_inverted_index.pregnant | 75 |
| abstract_inverted_index.provider | 162 |
| abstract_inverted_index.reported | 138 |
| abstract_inverted_index.subscale | 109 |
| abstract_inverted_index.training | 163 |
| abstract_inverted_index.(possible | 98 |
| abstract_inverted_index.Tanzania. | 38 |
| abstract_inverted_index.completed | 60 |
| abstract_inverted_index.conducted | 41, 72 |
| abstract_inverted_index.important | 7 |
| abstract_inverted_index.long-term | 21 |
| abstract_inverted_index.maternity | 3, 181 |
| abstract_inverted_index.neglected | 141 |
| abstract_inverted_index.outcomes. | 186 |
| abstract_inverted_index.practices | 169 |
| abstract_inverted_index.providers | 140 |
| abstract_inverted_index.received, | 134 |
| abstract_inverted_index.recruited | 46 |
| abstract_inverted_index.suggested | 127 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.Respectful | 2 |
| abstract_inverted_index.additional | 161 |
| abstract_inverted_index.childbirth | 34 |
| abstract_inverted_index.facilities | 52 |
| abstract_inverted_index.healthcare | 22, 51 |
| abstract_inverted_index.interviews | 70 |
| abstract_inverted_index.postpartum | 79 |
| abstract_inverted_index.supportive | 117 |
| abstract_inverted_index.well-being | 19 |
| abstract_inverted_index.Conclusions | 154 |
| abstract_inverted_index.Qualitative | 125 |
| abstract_inverted_index.descriptive | 25 |
| abstract_inverted_index.engagement. | 23 |
| abstract_inverted_index.experiences | 30 |
| abstract_inverted_index.investments | 193 |
| abstract_inverted_index.opportunity | 159 |
| abstract_inverted_index.procedures. | 153 |
| abstract_inverted_index.technology. | 68 |
| abstract_inverted_index.Participants | 59 |
| abstract_inverted_index.appreciation | 130 |
| abstract_inverted_index.participants | 137 |
| abstract_inverted_index.satisfaction | 183 |
| abstract_inverted_index.communication | 121 |
| abstract_inverted_index.mixed-methods | 26, 43 |
| abstract_inverted_index.self-reported | 85 |
| abstract_inverted_index.infrastructure | 196 |
| abstract_inverted_index.self-interview | 66 |
| abstract_inverted_index.patient-centred | 168 |
| abstract_inverted_index.immunodeficiency | 13 |
| abstract_inverted_index.computer-assisted | 65 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 95 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 8 |
| citation_normalized_percentile.value | 0.97855848 |
| citation_normalized_percentile.is_in_top_1_percent | True |
| citation_normalized_percentile.is_in_top_10_percent | True |