Marseille 2007
Marseille 2007
Abstract book
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Abstract #482  -  Females and AIDS: familial relationships and relationships with care providers in Burkina Faso
Session:
  6.56: Posters A (Poster) on Monday   in  Chaired by
Authors:
  Presenting Author:   Mrs Fatoumata Ouattara - IRD, Burkina Faso
 
  Additional Authors:   
Aim:
The first objective is to understand how familial relationships, specially within women and their partners, contribute to make infected pregnant women access to care and treatment observance more difficult. The second objective focuses on analysing how confidentiality is managed by care providers as well as its implication in the medical monitoring of mothers/Childs at birth in the context of HIV infection.
 
Method / Issue:
This is an anthropological study conducted in three towns in Burkina Faso, West Africa. Data were collected through semi direct individual interviews with infected women, men and care providers working in maternities. In addition, observations were made during focus groups and during individual consultation within health centers.
 
Results / Comments:
HIV testing acceptance is generally motivated by someones intervention while sharing a positive result depends on an expected support. Support within family in the context of HIV infection is highly selective and depends on the level of affection prior to the infection situation. Within the couple, social representations on the origin of the disease negatively influence the supportive behaviour of male to the HIV-infected female. For women, economic dependence and social representations on their status within the community, brake the announcement of their infection status to men. As far as medical care is concerned, health workers implication in counselling for testing and care provided to mothers and Childs depends on their status as well as the training they received. Information on women infection status is not shared within care providers. This silence strongly personalizes relationships between the infected woman and the care provider who announced the testing result; this doesnt help for a better visibility of women during delivery.
 
Discussion:
Economic support within a family is linked to affective support. The familial support is less due to the filling of the familial link than the affective link built under reciprocity. The confusion between keeping a secret and the notion of professional secret can be an obstacle to an efficient medical monitoring of mothers and Childs.
 
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