Maternal Health, HIV, and AIDS: Examining Research Through a Programmatic Lens
Ethical and medical considerations and issues
Anna Coutsoudis, University of Kwazulu Natal
Coutsoudis noted that from the programmers’ perspective Option B+ is easier to implement than other options. However, Coutsoudis still questions the B+ Option as it doesn’t seem more effective at reducing vertical transmission than Option B or A and while it is accepted that ARV treatment offers significant benefits for individuals with CD4 counts under 350. She stated that we must look at the side effects of ARV treatment and antiretroviral resistance. Coutsoudis questioned whether Option B+ is the best intervention, as it might result in women receiving insufficient information, coercion to take treatment, and underdeveloped skills to deal with their HIV-positive status.
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