{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:02:01Z","timestamp":1787238121072,"version":"build-2736575974"},"reference-count":78,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T00:00:00Z","timestamp":1637280000000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Community\u2010based mentor mothers (cMMs) are women living with HIV who provide peer support to pregnant\/postpartum women living with HIV (PWLWH) to enhance antiretroviral therapy (ART) adherence, retention in care and prevent perinatal transmission of HIV. The goal of this study was to explore the experiences, perceptions, mechanisms and health impact of cMMs on PWLWH in Kenya from the perspective of cMMs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a prospective mixed\u2010methods study in southwestern Kenya in 2015\u20132018. In the qualitative phase, we completed in\u2010depth interviews with cMMs to explore their perceptions and experiences in supporting PWLWH. Transcripts were broad\u2010coded according to identified themes, then fine\u2010coded using an inductive approach. In the quantitative phase, we analysed medical record data from PWLWH who were randomized in the cMM intervention to examine the impact of cMM visits on optimal prevention of mother\u2010to\u2010child transmission (PMTCT). We used cluster\u2010adjusted generalized estimating equation models to examine relationships with a composite outcome (facility delivery, infant HIV testing, ART adherence and undetectable viral load at 6 weeks postpartum). Finally, qualitative and quantitative results were integrated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Convergence of findings from cMM interviews (\n                      <jats:italic>n<\/jats:italic>\n                      = 24) and PWLWH medical data (\n                      <jats:italic>n<\/jats:italic>\n                      = 589) revealed: (1) The cMM intervention was utilized and perceived as acceptable. PWLWH received, on average, 6.2 of 8 intended home visits through 6 weeks postpartum. (2) The cMMs reported serving as role models and confidantes, supporting PWLWH's acceptance of their HIV status, providing assurances about PMTCT and assisting with male partner disclosure and communication. cMMs also described benefits for themselves, including empowerment and increased income. (3) The cMM visits supported PWLWH's completion of PMTCT steps. Having \u22654 cMM home visits up to 6 weeks postpartum, as compared to &lt;4 visits, was associated with higher likelihood of an optimal PMTCT composite outcome (adjusted relative risk 1.42,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.044).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We found that peer support from cMMs during pregnancy through 6 weeks postpartum was associated with improved uptake of critical PMTCT services and health behaviours and was perceived as beneficial for cMMs themselves. CMM support of PWLWH may be valuable for other low\u2010resource settings to improve engagement with lifelong ART and HIV services among PWLWH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jia2.25843","type":"journal-article","created":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T14:13:29Z","timestamp":1637331209000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Experiences, perceptions and potential impact of community\u2010based mentor mothers supporting pregnant and postpartum women with HIV in Kenya: a mixed\u2010methods study"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2177-756X","authenticated-orcid":false,"given":"Anna","family":"Helova","sequence":"first","affiliation":[{"name":"Department of Health Care Organization and Policy and Sparkman Center for Global Health, School of Public Health The University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6847-8762","authenticated-orcid":false,"given":"Maricianah","family":"Onono","sequence":"additional","affiliation":[{"name":"Centre for Microbiology Research Kenya Medical Research Institute Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa L.","family":"Abuogi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine University of Colorado Denver Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7577-5500","authenticated-orcid":false,"given":"Karen","family":"Hampanda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Colorado Denver, Anschutz Medical Campus Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Owuor","sequence":"additional","affiliation":[{"name":"Centre for Microbiology Research Kenya Medical Research Institute Nairobi Kenya"},{"name":"Department of Biostatistics, School of Public Health The University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Odwar","sequence":"additional","affiliation":[{"name":"Centre for Microbiology Research Kenya Medical Research Institute Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandhya","family":"Krishna","sequence":"additional","affiliation":[{"name":"Department of Health Care Organization and Policy and Sparkman Center for Global Health, School of Public Health The University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gladys","family":"Odhiambo","sequence":"additional","affiliation":[{"name":"Centre for Microbiology Research Kenya Medical Research Institute Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1644-2378","authenticated-orcid":false,"given":"Thomas","family":"Odeny","sequence":"additional","affiliation":[{"name":"Centre for Microbiology Research Kenya Medical Research Institute Nairobi Kenya"},{"name":"Department of Medicine University of Missouri Kansas City Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet M.","family":"Turan","sequence":"additional","affiliation":[{"name":"Department of Health Care Organization and Policy and Sparkman Center for Global Health, School of Public Health The University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,11,19]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Guidelines on the use of antiretroviral drugs for treating and preventing HIV infection","year":"2014"},{"key":"e_1_2_11_3_1","volume-title":"Strategic framework 2012\u20132015. 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