Addressing the migrant gap: maternal healthcare perspectives on utilising prevention of mother to child transmission (PMTCT) services during the COVID-19 pandemic, South Africa

Figures & data

Figure 1. Regional Map, Region B, Rahima Moosa Mother and Child Hospital

Figure 2. The Utilisation of Prevention of Mother-to-Child Transmission (PMTCT) Services Conceptual Framework

Table 1. Examples of the factors/variables involved in the development of migrant typologies.

Categorical Area	Factors/Variables
Migrant Status	Nationality, documentation status, asylum seeker, refugee status, displaced persons, job-seeker, migrant worker
Geography	Rural to urban migrants, intra-urban migration, inter-regional migration, internal migration, cross-border migration, return migration
Temporality	Time in transit, frequency of trips (weekly/monthly commuting), seasonal migration, contractual migration, short-term migration, location of facilities visited
Socio-demographic status	Age of patient, family structure, household income, employment status, education level
Motivations/causal classifications	Job seeking, family reunification, asylum seeking, refugee resettlement, delivery of baby, studies
Clinical characteristics	Year of HIV diagnosis, attendance rate/number of healthcare facility visits, duration on PMTCT lifelong treatment, date of delivery, outcome of baby (HIV status)

Table 2. Demographics of participants.

Variable (number of responses)	Sub-category	Frequency
Mobility Typologies (40)	Cross-border	22
	Internal	18
	Interprovincial	11
	Intraregional	7
	Non-national permanent residents	17
	Asylum seeker	2
	Displaced individuals	2
	Individuals without form of identification (passport/ID card)	4
Age years (40)	18–24 25-35	6 23
	36–45	11
Highest level of education (40)	Primary to Grade 7	23
	Grade 8–10	3
	Grade 11	8
	Matric/Grade 12	3
	Higher education	2
	Certificate programme	1
Occupation (40)	Employed	14
	Self-employed	3
	Temporary employment	2
	Unemployed	20
	Missing	1
Marital status (40)	Married	14
	Engaged	1
	Single	5
	Co-dependent/living with partner	19
	Missing	1
Number of dependents (not including current pregnancy) (40)	0	11
	1	13
	2	11
	3	4
	>3	1
Place of birth (40)	Other province in SA	11
	In Johannesburg	4
	In Gauteng but outside	3
	Johannesburg	19
	Zimbabwe	2
	Malawi	1
	Mozambique
Residing (40)	With family in Johannesburg	4
	With partner in Johannesburg	33
	Single household	3

Table 3. Themes and subthemes

	Themes	Subthemes
Adherence	Facilitators and barriers for adherence to PMTCT services	Solely for health of the baby Treatment interruption: Relocation and side effects Fear
Access
Availability	Clinical environment for service users	Space PMTCT education and counselling
Affordability	Financial constraints and opportunity costs to receive PMTCT care	Job loss in lockdown Documentation
Acceptability	Interpersonal interactions (between healthcare users and PMTCT service providers)	Mistreatment
Adaptability	Services for different movement patterns	Same day initiation (SDI) Differentiated service delivery (DSD) -Individualised approach