scholarly journals “I Wish to Continue Receiving the Reminder Short Messaging Service”: A Mixed Methods Study on the Acceptability of Digital Adherence Tools Among Adults Living with HIV on Antiretroviral Treatment in Tanzania

2021 ◽  
Vol Volume 15 ◽  
pp. 559-568
Author(s):  
Kennedy Ngowi ◽  
Francis Pima ◽  
Blandina Theophil Mmbaga ◽  
Rob E Aarnoutse ◽  
Peter Reiss ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Antiretroviral Treatment ◽  
Mixed Methods Study ◽  
Short Messaging Service ◽  
Living With Hiv

scholarly journals Uptake of routine viral load testing among people living with HIV and its implementation challenges in Yangon region of Myanmar: a mixed-methods study

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e032678
Author(s):  
Khine Khine Thinn ◽  
Pruthu Thekkur ◽  
Nang Thu Thu Kyaw ◽  
Nyein Su Aye ◽  
Tin Maung Zaw ◽  
...  
Keyword(s):  
Viral Load ◽  
Mixed Methods ◽  
Clinical Stage ◽  
Virological Suppression ◽  
Mixed Methods Study ◽  
People Living With Hiv ◽  
Sample Collection ◽  
Implementation Challenges ◽  
Wage Loss ◽  
Living With Hiv

ObjectivesIn 2017, Myanmar implemented routine viral load (VL) monitoring for assessing the response to antiretroviral therapy (ART) among people living with HIV (PLHIV). The performance of routine VL testing and implementation challenges has not yet assessed. We aimed to determine the uptake of VL testing and factors associated with it among PLHIV initiated on ART during 2017 in ART clinics of Yangon region and to explore the implementation challenges as perceived by the healthcare providers.DesignAn explanatory mixed-methods study was conducted. The quantitative component was a cohort study, and the qualitative part was a descriptive study with in-depth interviews.SettingSix ART clinics operated by AIDS/sexually transmitted infection teams under the National AIDS Programme.Primary outcome measures(1) The proportion who underwent VL testing by 30 March 2019 and the proportion with virological suppression (plasma VL <1000 copies/mL); (2) association between patient characteristics and ‘not tested’ was assessed using log binomial regression and (3) qualitative codes on implementation challenges.ResultsOf the 567 PLHIV started on ART, 498 (87.8%) retained in care for more than 6 months and were eligible for VL testing. 288 (57.8%, 95% CI: 53.3% to 62.2%) PLHIV underwent VL testing, of which 263 (91.3%, 95% CI: 87.1% to 94.4%) had virological suppression. PLHIV with WHO clinical stage 4 had significantly higher rates of ‘not being tested’ for VL. Collection of sample for VL testing only twice a month, difficulties in sample collection and transportation, limited trained workforce, wage loss and out-of-pocket expenditure for patients due to added visits were major implementation challenges.ConclusionsThe VL test uptake was low, with only six out of ten PLHIV tested. The VL testing uptake needs to be improved by strengthening sample collection and transportation, adopting point-of-care VL tests, increasing trained workforce, providing compensation to patients for wage loss and travel costs for additional visits.

scholarly journals The secret life of young adolescents living with HIV in northern Mozambique - a mixed methods study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Joana Falcão ◽  
Allison Zerbe ◽  
Claude Ann Mellins ◽  
Joanne Mantell ◽  
Kirsty Brittain ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Reproductive Health ◽  
Peer Support ◽  
Antiretroviral Treatment ◽  
Sexual And Reproductive Health ◽  
Hiv Care ◽  
Hiv Status ◽  
Care Needs ◽  
Caregiver Support ◽  
Living With Hiv

Abstract Background In Mozambique, HIV infection remains a leading cause of adolescent mortality. With advances in antiretroviral treatment (ART), the population of adolescents living with vertically-acquired HIV is growing. Most studies of adolescents living with HIV (ALHIV) focus on older youth with horizontal infection. As part of a larger study, we examined the characteristics and health care needs of younger ALHIV, including those with vertically-acquired infection to inform preventive interventions. Methods We used a convergent mixed-methods design and recruited ALHIV aged 12–14 years who were enrolled in HIV care in three health clinics in Nampula, Mozambique. From 11/2019–3/2020, we conducted 61 quantitative surveys and 14 in-depth interviews with a purposively selected subset of ALHIV who were aware of their HIV status. Descriptive statistical analysis was conducted for quantitative data. Qualitative data were transcribed and analyzed using thematic analysis. Results The median age of ALHIV was 13 years, 50% were female, 67% lived with ≥1 parent, 70% had lost a parent, 100% were in school; 10% were in a relationship, and 3% had initiated sexual activity. Among 31 ALHIV aware of their serostatus, the median age of antiretroviral treatment (ART) initiation was 8 years (IQR: 6–11); 55% received caregiver support for ART management; 35% reported missing ≥1 ART dose in the last 30 days; 6% had disclosed their HIV-status to friends and 48% reported no one to talk to about HIV-specific issues. Four main themes emerged from the qualitative interviews with ALHIV: a) learning one’s HIV-positive status as the beginning of a secret life; b) importance of caregivers’ support for ART management; c) high value of ALHIV peer support to overcome isolation, increase HIV literacy, and support adherence; and d) unmet needs for sexual and reproductive health education. Conclusion HIV-related secrecy prevails among ALHIV, a situation exacerbated by caregivers and healthcare providers. Caregivers play a major role in supporting adherence among young ALHIV, yet ALHIV could also benefit from adolescent-friendly services, including peer support, sexual and reproductive health services and preparation for independent health management. Integrating such programs into ART services in Mozambique may be critical to promoting ALHIV health.

Predictors of COVID-19 vaccine acceptability among patients living with HIV in northern Nigeria: A mixed methods study

2021 ◽  
Vol 19 ◽  
Author(s):  
Zubairu Iliyasu ◽  
Aminatu A. Kwaku ◽  
Amina A. Umar ◽  
Fatimah Tsiga-Ahmed ◽  
Nafisa S. Nass ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Risk Perception ◽  
Antiretroviral Treatment ◽  
Antiretroviral Drugs ◽  
Vaccine Uptake ◽  
Vaccine Hesitancy ◽  
People Living With Hiv ◽  
Northern Nigeria ◽  
Vaccine Acceptance ◽  
Living With Hiv

Background: People living with HIV (PLHIV) are at increased risk of COVID-19 acquisition, severe disease, and poor outcomes. Yet, little is known about COVID-19 vaccine hesitancy among PLHIV in high HIV burden countries such as Nigeria. Objective: This study aims to assess the acceptability of the COVID-19 vaccine and identify predictors and reasons for vaccine hesitancy among patients living with HIV and attending a tertiary hospital in Kano, northern Nigeria. Methods: Using a mixed-methods design, structured questionnaires were administered to a clinic-based sample of patients living with HIV (n=344), followed by 20 in-depth interviews with a sub-sample. Logistic regression and the framework approach were used to analyze the data. Results: Less than half (46.2%, n=159) of the respondents were willing to take the COVID-19 vaccine. Vaccine acceptance was higher among non-Muslim PLHIV (Adjusted Odds Ratio (aOR)=1.26, 95% Confidence Interval (95%CI): 1.10-4.00), persons with high-risk perception (aOR=2.43, 95%CI:1.18-5.00), those who were not worried about infertility-related rumors (aOR=13.54, 95%CI:7.07-25.94) and persons who perceived antiretroviral drugs are protective against COVID-19 (aOR = 2.76, 95%CI: 1.48-5.14). In contrast, vaccine acceptance was lower among persons who were not more concerned about the potential effects of COVID-19-HIV co-infection (aOR=0.20, 95%CI:0.10-0.39). The most common reasons for vaccine hesitancy included doubts about the existence of COVID-19, low-risk perception, anxiety about antiretroviral treatment-vaccine interactions, safety concerns, and infertility-related rumors. Conclusion: Covid-19 vaccine acceptance was low among PLHIV. COVID-19 vaccine acceptance was associated with respondents’ faith, risk perception, perception of the protective effects of antiretroviral treatment, concerns about COVID-19-HIV co-infection, and infertility-related rumors. Vaccination counseling should be integrated into HIV treatment services to improve COVID-19 vaccine uptake among PLHIV in Kano and similar settings.

Health outcomes and healthcare utilization of Native Hawaiians and other Pacific Islanders living with HIV in Hawai‘i: A mixed-methods study

2021 ◽  
pp. 1-18
Author(s):  
Misty Pacheco ◽  
Joy Lynn Agner ◽  
Tara K. Myers ◽  
Jeena Franco ◽  
John P. Barile ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Health Outcomes ◽  
Healthcare Utilization ◽  
Pacific Islanders ◽  
Mixed Methods Study ◽  
Native Hawaiians ◽  
Living With Hiv

scholarly journals Fertility Desires among Men and Women Living with HIV/AIDS in Nairobi Slums: A Mixed Methods Study

PLoS ONE ◽  
2014 ◽  
Vol 9 (8) ◽  
pp. e106292 ◽  
Author(s):  
Eliud Wekesa ◽  
Ernestina Coast
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
Men And Women ◽  
Fertility Desires ◽  
Women Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals To start or to complete? – Challenges in implementing tuberculosis preventive therapy among people living with HIV: a mixed-methods study from Karnataka, India

2020 ◽  
Vol 13 (1) ◽  
pp. 1704540
Author(s):  
Mahendra M. Reddy ◽  
Pruthu Thekkur ◽  
Nagesh Ramya ◽  
Prasanna B. T. Kamath ◽  
Suresh G. Shastri ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Preventive Therapy ◽  
Mixed Methods Study ◽  
People Living With Hiv ◽  
Living With Hiv

scholarly journals Why Counseling Intervention Fails to Improve Compliance towards Antiretroviral Therapy: Findings from a Mixed-Methods Study among People Living with HIV in Bali Province, Indonesia

2021 ◽  
Vol 13 (1) ◽  
pp. 136-147
Author(s):  
Anak Agung Sagung Sawitri ◽  
I Nyoman Sutarsa ◽  
Ketut Tuti Parwati Merati ◽  
I Made Bakta ◽  
Dewa Nyoman Wirawan
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
People Living With Hiv ◽  
Hiv Counseling ◽  
Counseling Intervention ◽  
Art Initiation ◽  
Improve Compliance ◽  
Key Issues ◽  
Study Participants ◽  
Living With Hiv

This study explores the contribution of counseling to improving acceptance of and adherence to anti-retroviral therapy (ART) among people living with HIV (PLHIV) and identifies key issues associated with its implementation. We conducted a longitudinal mixed-methods study in Bali Province between 2015 and 2017. The study participants were 170 newly diagnosed PLHIV and 17 outreach-counselor workers (OWs). We interviewed PLHIV for their experiences in receiving counseling, and acceptance of and adherence to ART. We surveyed four counseling domains (privacy, contents, frequency, and duration) and explored the key findings through in-depth interviews. In addition, 24 exit interviews and record reviews were performed. Quantitative data were analyzed descriptively, and qualitative data were analyzed thematically. Out of 170 PLHIV who received the counseling program, 139 (81.76%) accepted ART, and 52 (37.4%) discontinued ART in six months of follow up. Although counselors covered most of the content (16/17 components), the median time and frequency of counseling were insufficient. Despite a high score of HIV counseling provided to PLHIV in our study location, the overall acceptance of and adherence to ART remains fair or moderate. Our study suggests that counseling before ART initiation is inadequate for improving acceptance and adherence to ART in Bali Province. This reduced effectiveness is influenced by internal issues (interpersonal skills, limited technical capacity) and external factors both from PLHIV and society (stigma, disclosure, discrimination).

scholarly journals Understanding Variations in the Framing of People Living With HIV: A Mixed-Methods Study of Photos in Chinese News

2021 ◽  
Vol 98 (1) ◽  
pp. 200-220
Author(s):  
Viorela Dan ◽  
Chunbo Ren
Keyword(s):  
Content Analysis ◽  
Community Structure ◽  
Mixed Methods ◽  
Qualitative Interviews ◽  
Mixed Methods Study ◽  
People Living With Hiv ◽  
Quantitative Content Analysis ◽  
Quantitative Content ◽  
Living With Hiv ◽  
Q Sort

We explore the framing of people living with HIV in news photos from China through two studies. Study 1 consists of a Q-sort exercise and post-sorting qualitative interviews with 10 Chinese individuals. Insights are used to develop operational definitions of visual frames for use in Study 2, a quantitative content analysis. News photos of 290 people living with HIV are analyzed in Study 2 (2000–2015). Results reveal unique features of Chinese news photos, such as blurring and pixelation despite positive framing. They also suggest variations in news framing by region (community structure).

Breaking Down Barriers to Tell: A Mixed Methods Study of Health Worker Involvement in Disclosing to Children That They Are Living with HIV in Rural South Africa

2018 ◽  
Vol 29 (6) ◽  
pp. 902-913 ◽  
Author(s):  
Hanlie Myburgh ◽  
Esmé Calitz ◽  
Jean P. Railton ◽  
Christina Maluleke ◽  
Elizabeth Mashao ◽  
...  
Keyword(s):  
South Africa ◽  
Mixed Methods ◽  
Health Worker ◽  
Mixed Methods Study ◽  
Rural South ◽  
Living With Hiv ◽  
Rural South Africa
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