scholarly journals Parental obligations, care and HIV treatment: How care for others motivates self-care in Zimbabwe

2018 ◽  
Vol 25 (13-14) ◽  
pp. 2178-2187 ◽  
Author(s):  
Morten Skovdal ◽  
Rufurwokuda Maswera ◽  
Noah Kadzura ◽  
Constance Nyamukapa ◽  
Rebecca Rhead ◽  
...  
Keyword(s):  
Qualitative Data ◽  
Treatment Initiation ◽  
Self Care ◽  
Care Ethics ◽  
Hiv Treatment ◽  
Treatment Seeking ◽  
Hiv Services ◽  
Parental Obligations ◽  
Theories Of Practice ◽  
Sense Of Obligation

This article examines how parental obligations of care intersect with HIV treatment-seeking behaviours and retention. It draws on qualitative data from eastern Zimbabwe, produced from 65 interviews. Drawing on theories of practice and care ethics, our analysis revealed that norms of parental obligation and care acted as key motivators for ongoing engagement with HIV services and treatment. Parents’ attentiveness to the future needs of their children ( caring about), and sense of obligation ( taking care of) and improved ability to care ( caregiving) following treatment initiation, emerged as central to understanding their drive for self-care and engagement with HIV services.

scholarly journals Bottlenecks and Opportunities towards Achieving the Targeted 95-95-95 HIV Services in a Rural District in Eastern Uganda

2021 ◽  
Author(s):  
Monkya Samuel Namenkere ◽  
Ayaa Mary Stella ◽  
Sukuku Linda ◽  
Kharono Juliet ◽  
Mugabi Charles ◽  
...  
Keyword(s):  
Viral Load ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Health Workers ◽  
Antiretroviral Drugs ◽  
Hiv Treatment ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Close Monitoring ◽  
Hiv Services

Abstract Background: There are 1.3 million people living with HIV in Uganda of which 73% know their HIV-positive status, 67% of the HIV-positive patients on ART, and 60% are viral load suppressed. Uganda has made progress in reducing the HIV prevalence from 7.3% in 2011 to 6% in 2017, however, more needs to be done to meet the WHO target of 95% of the population knowing their HIV status, 95% enrolled on treatment and 95% achieving viral suppression. This study aimed to assess the bottlenecks and opportunities towards achieving the 95 95 95 targeted HIV services in Bukedea district. Methods: A mixed-methods cross-sectional study was conducted in Bukedea district covering males and females aged 18-65 years who had consented to participate in the study. We used a purposive sampling procedure to select our study participants. Qualitative data was collected through focus group discussions, key informant interviews, and document reviews for quantitative data. Quantitative data were analyzed using STATA v 14 whereas qualitative data were analyzed using the thematic analysis approach. Results: The challenges were grouped as patient-related, medication-related, and facility-related challenges. The patient-related challenges were stigma, fear to take the drugs, poor nutrition, long distances, alcoholism, busy working schedules, domestic violence. The medication-related 2 challenges were side effects, pill burden. The facility-related challenges were inadequate pretest counseling, stockouts. The use of anti-retroviral drugs was common in piggery and poultry and the sources of these drugs were reported to be the people on ART and the health workers. The opportunities included home-based counseling, organizing more outreaches, counseling and health education, targeted testing, and strengthening the VHT networks. Conclusion: The study revealed that the major challenges towards achieving the targeted 95-95- 95 HIV services were stigma, inadequate pre-test counseling, fear of disclosure, and poor adherence due to alcoholism, sharing of drugs with animals and partners. The use of Antiretroviral drugs in animal husbandry was common in Bukedea District. Continuous sensitization about HIV and the importance of adherence to drugs, continuous and adequate counseling of the clients on ART, and close monitoring of their viral load could help to improve enrollment into care, adherence to HIV treatment, and HIV viral load suppression.

Recently diagnosed gay men talk about HIV treatment decisions

Sexual Health ◽  
2014 ◽  
Vol 11 (2) ◽  
pp. 200 ◽  
Author(s):  
Ian Down ◽  
Garrett Prestage ◽  
Kathy Triffitt ◽  
Graham Brown ◽  
Jack Bradley ◽  
...  
Keyword(s):  
Gay Men ◽  
Qualitative Data ◽  
Hiv Treatment ◽  
Early Initiation ◽  
Sense Of Control ◽  
Bisexual Men ◽  
Treatment Results ◽  
Semistructured Interviews ◽  
Hiv Seroconversion

Background In recent years, there has been increasing evidence that early initiation of antiretroviral therapy (ART) may provide health benefits for those infected with HIV. There has also been significant discussion about the role of HIV treatment in preventing onward transmission of the virus. Early provision and uptake of ART to people recently diagnosed with HIV could achieve both individual and public health outcomes. The success of such an initiative relies, in part, on the preparedness of those recently diagnosed with HIV to engage with the therapy. Methods: The HIV Seroconversion Study collects both quantitative and qualitative data from people in Australia who have recently been diagnosed with HIV. During 2011–2012, 53 gay or bisexual men recruited across Australia took part in semistructured interviews as part of the study. The men were asked about their knowledge and experience of, and their decisions about whether or not to commence, HIV treatment. Results: The interviews identified differing levels of knowledge about HIV treatments and divergent views about the health and prevention benefits of ART. For some, treatments provided a sense of control over the virus; others were apprehensive and distrustful, and preferred to resist commencing treatments for as long as possible. Conclusions: If early initiation of treatment is to be encouraged, appropriate measures must be in place to ensure recently diagnosed individuals have access to the appropriate information and the support they need to enable them to make informed choices and, if necessary, to address their fears.

scholarly journals Longitudinal Analysis of HIV Disclosure Intention: The Implication of Duration of Diagnosis Knowledge and CD4 Counts Among Asymptomatic Treatment-seeking People Living with HIV/AIDS

2020 ◽  
Vol 14 (1) ◽  
pp. 84-89
Author(s):  
A. O. Olaseni
Keyword(s):  
Immune Deficiency Syndrome ◽  
Hiv Treatment ◽  
Hiv Disclosure ◽  
World Health ◽  
Treatment Seeking ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Self Disclosure ◽  
Cd4 Counts ◽  
Hiv Aids

Introduction: The spate of non-disclosure among individuals diagnosed with Human-Immunodeficiency-Virus and Acquired-Immune-Deficiency-Syndrome (HIV/AIDS) has continually been a primary global concern, especially in developing countries. Meta-analysis findings in Nigeria reported poor disclosure rates of 12.5% - 39.5%, which were far below the average disclosure benchmark of 79.0% standard stipulated for developing nations by the World Health Organization. There is no consensus regarding the roles of CD4 counts in disclosure intention. In Nigeria, there is a paucity of literature providing detailed understanding of the predictors of disclosure intention by the duration of diagnosis knowledge and CD4 counts. Methods: This study, therefore, investigated the implication of duration of diagnosis knowledge and CD4 counts in the prediction of HIV disclosure intention among people seeking HIV treatment. Longitudinal survey research designs were adopted. 390 participants were purposively selected to respond to HIV Self-Disclosure Intention Index (α=0.92), while information on CD4 counts and Duration of Diagnosis Knowledge was obtained from the selected respondents’ case files periodically. Binomial logistic regression analysis was used to analyze data at 0.05. Respondents’ mean age was 39.5±10.5 years. Results: Findings revealed that the duration of diagnosis knowledge and CD4 counts interactively predicted the outcome of disclosure intention among treatment-seeking PLHIV. (χ2 = 12.78, df = 2, p < 0.001) and further showed that the likelihood of disclosing HIV positive status increases by 13% between Time 1 (OR = -0.49, p < 0.01; 95%CI = 01.14-12.74) and Time 2 (OR = -0.36, p < 0.05; 95%CI = 01.11-10.93). Increase in CD4 counts was also found to increase the likelihood of HIV self-disclosure by 15% between Time 1 (OR = - 0.84, p < 0.01; 95%CI = 01.09-03.06) and Time 2 (OR = - 0.99, p < 0.01; 95%CI = 00.29-03.06). Conclusion: It was concluded that the duration of diagnosis knowledge and CD4 counts have significant implications in determining the intention to disclose HIV positive status. The study limitations and recommendations were further discussed.

scholarly journals Acceptability of Mobile Phone-Based Nurse-Delivered Counseling Intervention to Improve HIV Treatment Adherence and Self-Care Behaviors Among HIV-Positive Women in India

2018 ◽  
Vol 32 (9) ◽  
pp. 349-359 ◽  
Author(s):  
Mona Duggal ◽  
Venkatesan Chakrapani ◽  
Lauren Liberti ◽  
Veena Satyanarayna ◽  
Meiya Varghese ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Treatment Adherence ◽  
Self Care ◽  
Hiv Treatment ◽  
Hiv Positive ◽  
Counseling Intervention ◽  
Hiv Positive Women ◽  
Women In India

scholarly journals Simplified clinical algorithm for identifying patients eligible for same-day HIV treatment initiation (SLATE): Results from an individually randomized trial in South Africa and Kenya

PLoS Medicine ◽  
2019 ◽  
Vol 16 (9) ◽  
pp. e1002912 ◽  
Author(s):  
Sydney Rosen ◽  
Mhairi Maskew ◽  
Bruce A. Larson ◽  
Alana T. Brennan ◽  
Isaac Tsikhutsu ◽  
...  
Keyword(s):  
South Africa ◽  
Randomized Trial ◽  
Treatment Initiation ◽  
Hiv Treatment ◽  
Clinical Algorithm

scholarly journals Perencanaan Memiliki Anak pada Wanita dengan HIV Positif di Kota Semarang

2019 ◽  
Vol 14 (2) ◽  
pp. 108
Author(s):  
Nastiti Bandari Pratiwi ◽  
Zahroh Shaluhiyah ◽  
Antono Suryoputro
Keyword(s):  
Pregnant Women ◽  
Quantitative Research ◽  
Qualitative Data ◽  
Hiv Treatment ◽  
Hiv Positive ◽  
Cross Sectional ◽  
Cd4 Cell Count ◽  
Hiv Positive Women ◽  
Women With Hiv ◽  
Fertile Women

Background: Pregnant women with HIV positive is potential risk to transmit the virus to their infants. Prevention Mother to Child Transmittion (PMTCT) program is a solution for HIV women if they want to have children. However, most pregnant women detected HIV positive when they have been pregnant for more than 6 months through Provider initiated test and counselling (PITC). On the other hand, the data shows that the increasing number of HIV positive women who have been willing to have children.  This research aims to identify and examine the factors influence the plan of having children among HIV-positive women who access HIV treatment in Kariadi Hospital Semarang. Method: This study employs a quantitative research design with cross sectional approach, followed by qualitative study to explore the feeling and attitudes of women with HIV positive to plan of having children. There were 31 women involved in this study, selected with the criteria of fertile women HIV positive who have been taking antiretroviral therapy in Kariadi Hospital and willing to participate in this study. Qualitative data collected from two women who has been planning to have children. Quantitative data were analyzed by univariate, Chi-Square and multiple logistic regression. Whilst, qualitative data employ content analysis.Results: There were 16% of women with HIV positive who have been intending to have children in this study. The rest have not planned it because they worried if their pregnancy and delivery could transmit HIV to their infants. CD4 cell count, ARV access and women’s attitudes have significant correlation to the intention of having children among women with HIV positive. Comprehensive information about PMTCT and ARV were needed to deliver to fertile women with HIV positive.

A Qualitative Exploration of Family, Work, Community, and Health Service Influences on HIV Treatment Uptake and Adherence Among Female Sex Workers in Three Cities in Indonesia

2020 ◽  
Vol 32 (3) ◽  
pp. 243-259
Author(s):  
Elke Mitchell ◽  
Elan Lazuardi ◽  
Irma Anintya ◽  
Emily Rowe ◽  
Kate Whitford ◽  
...  
Keyword(s):  
Support Groups ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Treatment Initiation ◽  
Geographical Location ◽  
Hiv Treatment ◽  
Hiv Care ◽  
Community Based ◽  
Female Sex ◽  
Outreach Workers

Qualitative data were collected from 34 Indonesian female sex workers to understand their engagement with HIV treatment. Influences that enhanced treatment initiation and adherence included women's desires to stay healthy to continue working to provide for families; awareness of the biomedical benefits of treatment; support from bosses, outreach workers, and peer support groups; and flexible, nonjudgmental HIV service provision. Influences inhibiting treatment initiation and adherence included concerns about unwanted disclosure in the workplace and side effects of medication on women's capacity to earn money through sex work; geographical location of services; discrimination and confidentiality concerns in HIV care services. To improve HIV treatment initiation and adherence among Indonesian female sex workers, future responses should explore health promotion messages that engage with women's family and livelihood obligations; increased funding for community-based peer outreach workers; community-based treatment initiation and supply; and advocacy in work environments to secure support for treatment initiatives.

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