{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T16:53:17Z","timestamp":1782492797268,"version":"3.54.5"},"reference-count":44,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2008,6,1]],"date-time":"2008-06-01T00:00:00Z","timestamp":1212278400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Qual Health Res"],"published-print":{"date-parts":[[2008,6]]},"abstract":"<jats:p>In this article, we examine barriers to HIV testing uptake and participation in prevention of mother-to-child HIV transmission (PMTCT) services among adolescent mothers aged 15 to 19 years in rural and urban Limpopo Province, South Africa. We used the narrative research method involving key informants constructing typical case studies of adolescent experiences with HIV testing and entry into PMTCT. Case studies formed the basis of a community-based questionnaire and focus group discussions with adolescent mothers. Client\u2014counselor dynamics during pretest counseling were pivotal in determining uptake and participation, and counselor profile strongly influenced the nature of the interaction. Other factors found to influence adherence to PMTCT recommendations included HIV and early premarital pregnancy stigma, fear of a positive test result, and concerns over confidentiality and poor treatment by health care providers. Adolescents described elaborate strategies to avoid HIV disclosure to labor and delivery staff, despite knowing this would mean no antiretroviral therapy for their newborn infants. Theoretical, methodological, and programmatic implications of study findings are also discussed.<\/jats:p>","DOI":"10.1177\/1049732308318449","type":"journal-article","created":{"date-parts":[[2008,5,23]],"date-time":"2008-05-23T19:17:47Z","timestamp":1211570267000},"page":"786-802","source":"Crossref","is-referenced-by-count":54,"title":["Factors Influencing Teen Mothers' Enrollment and Participation in Prevention of Mother-to-Child HIV Transmission Services in Limpopo Province, South Africa"],"prefix":"10.1177","volume":"18","author":[{"given":"Christine","family":"Varga","sequence":"first","affiliation":[{"name":"Nozizwe Consulting and Human Sciences Research Council, Durban, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Brookes","sequence":"additional","affiliation":[{"name":"University of Johannesburg, Johannesburg, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2008,6,1]]},"reference":[{"key":"atypb1","volume-title":"Risk and protection: Youth and HIV\/AIDS in sub-Saharan Africa","author":"Bankole, A.","year":"2004"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.92.3.347"},{"issue":"2","key":"atypb3","first-page":"489","volume":"12","author":"Cartoux, M.","year":"1998","journal-title":"AIDS"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2005.tb03080.x"},{"key":"atypb5","volume-title":"Epi info version 6.1: A word processing, database and statistics program for epidemiology on microcomputers","author":"Dean, A.G.","year":"1994"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(02)00088-5"},{"key":"atypb7","volume-title":"South Africa demographic and health survey 1998, full report","author":"Department of Health.","year":"1999"},{"key":"atypb8","volume-title":"South Africa demographic and health survey 1998, full report","author":"Department of Health.","year":"2002"},{"key":"atypb9","volume-title":"National HIV and syphilis antenatal sero-prevalence survey in South Africa, 2004","author":"Department of Health.","year":"2005"},{"key":"atypb10","volume-title":"National HIV and Syphilis Antenatal Sero-Prevalence Survey in South Africa 2005","author":"Department of Health.","year":"2006"},{"key":"atypb11","volume-title":"An evaluation of prevention of mother to child HIV transmission (PMTCT) of HIV initiative in South Africa-Lessons and key recommendations","author":"Doherty, T.","year":"2003"},{"issue":"3","key":"atypb12","first-page":"213","volume":"5","author":"Doherty, T.","year":"2005","journal-title":"African Health Sciences"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305281597"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2004.11.014"},{"key":"atypb15","volume-title":"An assessment of services for adolescents in prevention of mother-to-child transmission programs (Youth Research Working Paper Series, No. 4.)","author":"Family Health International.","year":"2006"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1016\/1054-139X(92)90026-8"},{"issue":"1","key":"atypb17","first-page":"46","volume":"1995","author":"Friedman, H.L.","year":"1995","journal-title":"Planned Parenthood Challenges"},{"key":"atypb18","volume-title":"Factors influencing women's uptake of PMTCT interventions in Georgetown, Guyana","author":"Henry, R.","year":"2005"},{"key":"atypb19","volume-title":"HIV voluntary counseling and testing among youth ages 14 to 21: Results from an exploratory study in Nairobi, Kenya and Kampala and Masaka, Uganda","author":"Horizons.","year":"2001"},{"key":"atypb20","first-page":"65","volume":"38","author":"Lemeshow, S.","year":"1985","journal-title":"World Health Statistics Quarterly"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2005.01526.x"},{"key":"atypb22","volume-title":"Interim findings on the national PMTCT pilot sites: Lessons and recommendations","author":"McCoy, D.","year":"2002"},{"key":"atypb23","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276752"},{"key":"atypb24","unstructured":"Meyers, T.M., Moultrie, H., Sherman, G.G., Cotton, M.F. & Eley, B. 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