Nael Kamel Eltewacy, Hossam Tharwat Ali, Tarek A Owais, Souad Alkanj, Mahmoud A Ebada
Unveiling blood donation knowledge, attitude, and practices among 12,606 university students: a cross-sectional study across 16 countries
Scientific reports
despite progress reducing maternal mortality hivrelated maternal deaths remain high accounting example 24 percent pregnancyrelated deaths subsaharan africa antiretroviral therapy art effective improving outcomes among hivinfected pregnant postpartum women yet rates initiation adherence retention remain low systematic literature review synthesized evidence individual contextual factors affecting art use among hivinfected pregnant postpartum womensearches conducted studies addressing population hivinfected pregnant postpartum women intervention art outcomes interest initiation adherence retention quantitative qualitative studies published english since january 2008 included individual contextual enablers barriers art use extracted organized thematically within framework individual interpersonal community structural categoriesthirtyfour studies included review individuallevel factors included within outside womans awareness control eg commitment childs health age individuallevel barriers included poor understanding hiv art prevention mothertochild transmission difficulty managing practical demands art interpersonal level disclosure spouse spousal involvement treatment associated improved initiation adherence retention fear negative consequences barrier disclosure community level stigma major barrier key structural barriers enablers related health system use engagement including access services health worker attitudesto successful programs seeking expand access continued use art integrating maternal health hiv services must identify address relevant barriers enablers context described review research population including drop never access health services needed inform effective implementation