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Background: When diagnosed HIV-positive women might experience emotional turmoil which could affect their ability to disclose their HIV-positive status to significant others. Unless women manage to disclose their HIV-positive status, their partners/husbands would remain ignorant about this issue and thus unable to provide support to these women. Without their husbands’/partners’ support women are unlikely to use condoms consistently while pregnant and breastfeeding, adhere to their anti-retroviral treatment and implement appropriate infant feeding options. These aspects could have detrimental effects on the women’s lives and increase the risk of mother-to-child transmission of HIV to their infants. Method: Structured interviews were conducted with 200 women who had used prevention of mother-to-child services in one province of South Africa. Findings: Almost all women experienced emotional turmoil when learning about their HIV-positive status and were surprised that they tested HIV-positive. Some women took months before disclosing their HIV-positive status to their husbands/partners and a few never did so. Conclusions: Pre and post-test counselling remain vitally important to help newly diagnosed HIV-positive persons to cope with their emotional experiences and to assist them to disclose their HIV-positive status to significant others, especially to their husbands/partners. Unless prevention of mother-to-child transmission of HIV programmes address the interrelated issues of emotional turmoil and disclosure, the outcomes of these programmes might be jeopardised.

Emotional and Disclosure Experiences of South African HivPositive Women using Prevention of Mother-To-Child Transmission of Hiv Services