Stigma gets in my way: Factors affecting client-provider communication regarding childbearing among people living with HIV in Uganda

Abstract Background: HIV/AIDS pandemic seriously ravaged the world for the past three decades. It left the world with full of complicated social, economic and political problems. The problem has continued as major health problems for most developing countries, including Ethiopia. Socio-cultural practices which are predominantly determining the life of most of these peoples have structured the spread of HIV/AIDS. The aim of this study was to investigate how socio-cultural factors are affecting patients' adherence at ART clinics in Hawassa and Yirgalem Referral Hospitals. Methods: Qualitative and quantitative designs were used to collect the data. Results: The findings have shown that for fear of stigma and discrimination at family and community levels forced patients' affected adherence at ART clinics. People living with HIV were forced to travel long distance to get rid of social exclusion and isolation that resulting in drug interruptions and drop outs. The findings have also shown that most of the followers of protestant religion make believe that HIV could be cured and boycotted them from taking ART drugs. Moreover, confidentiality of information about HIV positive children living with care givers and newly tested patients found to be resistant to start or continue their drugs. Sense of wellbeing elicited form long term ART drugs effects made patients to imagine complete healing thereby dropping their treatment. Conclusions: The findings made clear that multidimensional socio-cultural factors structure and restructure adherence problems at the ART clinics in the study hospitals. Interventions targeting to change socio-cultural factors play crucial roles to prevent and control new infections, occurrence of drug resistant strains, and social and economic repercussions in the society.

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P5-S6.36 Factors affecting quality of life of people living with HIV In Karnataka, India

Sexually Transmitted Infections ◽

10.1136/sextrans-2011-050108.592 ◽

2011 ◽

Vol 87 (Suppl 1) ◽

pp. A340-A341 ◽

Cited By ~ 1

Author(s):

P. Banandur ◽

M. L. Becker ◽

L. Garady ◽

A. Yallappa ◽

S. Isaac ◽

...

Keyword(s):

Quality Of Life ◽

People Living With Hiv ◽

Factors Affecting ◽

Living With Hiv

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Factors Associated with Anemia among People Living with HIV/AIDS Taking ART in Ethiopia

Advances in Hematology ◽

10.1155/2019/9614205 ◽

2019 ◽

Vol 2019 ◽

pp. 1-8 ◽

Cited By ~ 5

Author(s):

Ketema Bizuwork Gebremedhin ◽

Tadesse Bedada Haye

Keyword(s):

Addis Ababa ◽

Clinical Stage ◽

Public Health Problem ◽

People Living With Hiv ◽

Major Public Health Problem ◽

Cross Sectional ◽

Factors Affecting ◽

Factors Associated ◽

Living With Hiv ◽

Hiv Aids

Background. Globally, anemia, among people living with HIV/AIDS, is a major public health problem. It has a significant effect on the progression of HIV/AIDS to advanced stages and there are a number of factors that often affect anemia. However, there is little insight regarding factors affecting anemia among HIV/AIDS patients in developing countries, including Ethiopia. Objective. This study aimed at investigating factors affecting anemia among people living with HIV/AIDS taking ART drug at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods. A hospital based cross-sectional study design was used to assess factors affecting anemia among people living with HIV/AIDS. Structured checklist was used to gather information from charts of patients selected by simple random sampling method. We analyzed the data to identify factors associated with anemia among people with HIV/AIDS using logistic regression models. Results. A total of 301 selected charts were reviewed. The median age was 38 ± 10.38. The majority (62.5%) of the patients were taking ZDV-containing ART drug (ZDV/3TC/NVP). The overall anemia prevalence was 34.6%, while about 5%, 15.6%, and 14% of the patients had severe, moderate, and mild prevalence of anemia, respectively. Factors that were found to affect anemia among these patients include gender (OR = 2.26 [95% CI: 1.22, 4.16]), occupation (OR: 0.57 [95%CI: 0.35, 0.92]), WBC count (OR = 2.30 [95% CI: 1.29, 4.09]), platelet count (OR = 2.89 [95% CI: 0.99, 8.41]), nutritional status (OR = 2.05 [95% CI: 0.69, 6.02]), and WHO clinical stage of HIV/AIDS (OR = 3.69 [95% CI: 1.86, 7.31]). Conclusions. About one in three patients was found to be anemic. Intervention aimed at diagnosing and treating anemia among people living with HIV/AIDS should be considered.

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Socio-economic Factors Affecting Discriminatory Attitudes towards People Living with HIV/AIDS in Lagos State, Nigeria

The International Journal of Interdisciplinary Social Sciences Annual Review ◽

10.18848/1833-1882/cgp/v04i10/53010 ◽

2009 ◽

Vol 4 (10) ◽

pp. 121-138

Author(s):

Felicia Adedoyin Dur Oyekanmi ◽

Chinwe Rosabelle Nwanna

Keyword(s):

People Living With Hiv ◽

Economic Factors ◽

Factors Affecting ◽

Lagos State ◽

Living With Hiv ◽

Socio Economic Factors ◽

Hiv Aids

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Adherence to Antiretroviral Therapy and Factors affecting among People Living with HIV/AIDS and Taking Antiretroviral Therapy, Dire Dawa Town, Eastern Ethiopia

Journal of Infectious Diseases and Treatment ◽

10.21767/2472-1093.100032 ◽

2017 ◽

Vol 03 (01) ◽

Cited By ~ 2

Author(s):

Lemma Negesa

Keyword(s):

Antiretroviral Therapy ◽

People Living With Hiv ◽

Eastern Ethiopia ◽

Factors Affecting ◽

Dire Dawa ◽

Living With Hiv ◽

Hiv Aids

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Patient-Provider Text Messaging and Video Calling Among Case-Managed Patients Living With HIV: Formative Acceptability and Feasibility Study (Preprint)

10.2196/preprints.22513 ◽

2020 ◽

Author(s):

Virginia A Fonner ◽

Samuel Kennedy ◽

Rohan Desai ◽

Christie Eichberg ◽

Lisa Martin ◽

...

Keyword(s):

Mobile Health ◽

Text Messaging ◽

People Living With Hiv ◽

Provider Communication ◽

Provider Perspectives ◽

Adherence Support ◽

Patient Provider Communication ◽

Communication Modalities ◽

Video Calling ◽

Living With Hiv

BACKGROUND Patient-provider communication is critical for engaging and retaining people living with HIV in care, especially among medically case-managed patients in need of service coordination and adherence support. Expanding patient-provider communication channels to include mobile health modalities, such as text messaging and video calling, has the potential to facilitate communication and ultimately improve clinical outcomes. However, the implementation of these communication modalities in clinical settings has not been well characterized. OBJECTIVE The purpose of this study is to understand patient and provider perspectives on the acceptability of and preferences for using text messaging and video calling as a means of communication; perceived factors relevant to adoption, appropriateness, and feasibility; and organizational perspectives on implementation within an HIV clinic in South Carolina. METHODS We conducted 26 semistructured in-depth interviews among patients receiving case management services (n=12) and clinic providers (n=14) using interview guides and content analysis informed by the Proctor taxonomy of implementation outcomes and the Consolidated Framework for Implementation Research. Participants were purposefully sampled to obtain maximum variation in terms of age and gender for patients and clinic roles for providers. The data were analyzed using quantitative and qualitative content analyses. RESULTS Most patients (11/12, 92%) and providers (12/14, 86%) agreed that they should have the capacity to text message and/or video call each other. Although consensus was not reached, most preferred using a secure messaging app rather than standard text messaging because of the enhanced security features. Perceived benefits to adoption included the added convenience of text messaging, and potential barriers included the cost and access of smartphone-based technology for patients. From an organizational perspective, some providers were concerned that offering text messaging could lead to unreasonable expectations of instant access and increased workload. CONCLUSIONS Patients and providers perceived text messaging and video calling as acceptable, appropriate, and feasible and felt that these expanded modes of communication could help meet patients’ needs while being safe and not excessively burdensome. Although patients and providers mostly agreed on implementation barriers and facilitators, several differences emerged. Taking both perspectives into account when using implementation frameworks is critical for expanding mobile health–based communication, especially as implementation requires active participation from providers and patients. CLINICALTRIAL

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Healthcare Providers’ Perspectives and Role in Improving Patient Engagement in HIV Treatment and Care in Almaty, Kazakhstan

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182212138 ◽

2021 ◽

Vol 18 (22) ◽

pp. 12138

Author(s):

Elizabeth J. King ◽

Ainur Zh. Kussainova ◽

Jangul Erlon-Baurjan ◽

Zhamilya S. Nugmanova

Keyword(s):

Healthcare Providers ◽

Hiv Treatment ◽

People Living With Hiv ◽

Provider Communication ◽

Patient Provider Communication ◽

Living With Hiv ◽

Communication Interventions ◽

The City ◽

Depth Interviews ◽

Improve Patient

The HIV epidemic continues to grow in Eastern Europe and Central Asia. At the same time, there are major gaps in engagement in HIV treatment and care among people living with HIV (PLHIV) in the region, including Kazakhstan. Healthcare providers may have the potential to improve patients’ initiation of and adherence to HIV treatment; however, their perspectives and experiences are often overlooked in the research from Kazakhstan. The purpose of our study was to gain an in-depth understanding of how providers perceive the factors influencing PLHIV’s engagement in HIV treatment and care and to identify opportunities for expanding the role that providers can have in improving patient initiation and adherence to treatment in Kazakhstan. Through purposive sampling, we conducted in-depth interviews with 14 healthcare providers at the City AIDS Center in Almaty. We used team-based coding and thematic analysis in order to analyze the data. Quotes from providers were translated from Kazakh and Russian to English to illustrate the themes. Our results show that providers currently view their role as the need to break down myths around ART medications, and to educate and motivate patients to accept their diagnosis and learn to live with HIV. The need to address stigma and social isolation among PLHIV, the risk of overworked providers, and the need to improve patient-provider communication strategies are areas to consider for further interventions. Patient-provider communication interventions are needed in Kazakhstan in order to help meet the country’s 90-90-90 HIV targets.

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