scholarly journals First Nations health policy and funding: consequences for those living With HIV/AIDS

2021 ◽  
Author(s):  
Sean A. Hillier
Keyword(s):  
Access To Care ◽  
First Nations ◽  
Indigenous Peoples ◽  
Healthcare Services ◽  
People Living With Hiv ◽  
Hiv Education ◽  
Treatment Services ◽  
Living With Hiv ◽  
The Impact ◽  
Hiv Aids

In 2014-2015 Indigenous Peoples represented 17.5% of all HIV infections in Canada, yet accounted for only 4.3% of the population. In 2008, Indigenous Peoples accounted for an estimated 3.2% of people living with HIV in Ontario, while comprising 2.4% of the population. From 2009 to 2011, 2.7% of new HIV diagnoses in Ontario were Indigenous Peoples, of whom 7.2% were women. This research study sought to assess the efficacy of funding for HIV/AIDS treatment, services, programming, and care within Ontario First Nations communities. This research will improve understanding of services available to people and communities affected by the HIV/AIDS epidemic. The Indigenous based method of storytelling and freedom of information requests were used to capture data. Ontario First Nations people who were at least 16 years of age and living with HIV/AIDS (n=29) participated. Participants were asked five open-ended questions related to their use of and access to healthcare services. Stories were transcribed and analysed using NVivo. Transcriptions also form the bases of re-written first-person stories, detailing the life and experiences of the participants and their experiences of living with HIV/AIDS and accessing treatment, services, programming, and care. It was found that the federal government drastically underfunds HIV/AIDS treatment and services. This is given context by powerful stories of the impact limited funding has on Indigenous people living with HIV/AIDS. Participants experienced issues with access to care and supports with many forced to leave their northern communities, either permanently or temporarily, due to limited access to care. HIV-related stigma played a role in access to prevention, testing, and care. Participants indicated difficulties with HIV education either in understanding their own HIV status or in the lack of education within the broader community. Historical traumas (residential schooling and the 60s scoop) and discrimination were central themes to many stories, seriously affecting the lives of participants and their overall health outcomes. The dissertation/project culminates in a list of recommendations aimed at informing a process to improve access and quality of health care for Indigenous Peoples living with HIV/AIDS. Greater access to community-based, holistic care in northern First Nations communities is urgently required.

scholarly journals First Nations health policy and funding: consequences for those living With HIV/AIDS

2021 ◽  
Author(s):  
Sean A. Hillier
Keyword(s):  
Access To Care ◽  
First Nations ◽  
Indigenous Peoples ◽  
Healthcare Services ◽  
People Living With Hiv ◽  
Hiv Education ◽  
Treatment Services ◽  
Living With Hiv ◽  
The Impact ◽  
Hiv Aids

In 2014-2015 Indigenous Peoples represented 17.5% of all HIV infections in Canada, yet accounted for only 4.3% of the population. In 2008, Indigenous Peoples accounted for an estimated 3.2% of people living with HIV in Ontario, while comprising 2.4% of the population. From 2009 to 2011, 2.7% of new HIV diagnoses in Ontario were Indigenous Peoples, of whom 7.2% were women. This research study sought to assess the efficacy of funding for HIV/AIDS treatment, services, programming, and care within Ontario First Nations communities. This research will improve understanding of services available to people and communities affected by the HIV/AIDS epidemic. The Indigenous based method of storytelling and freedom of information requests were used to capture data. Ontario First Nations people who were at least 16 years of age and living with HIV/AIDS (n=29) participated. Participants were asked five open-ended questions related to their use of and access to healthcare services. Stories were transcribed and analysed using NVivo. Transcriptions also form the bases of re-written first-person stories, detailing the life and experiences of the participants and their experiences of living with HIV/AIDS and accessing treatment, services, programming, and care. It was found that the federal government drastically underfunds HIV/AIDS treatment and services. This is given context by powerful stories of the impact limited funding has on Indigenous people living with HIV/AIDS. Participants experienced issues with access to care and supports with many forced to leave their northern communities, either permanently or temporarily, due to limited access to care. HIV-related stigma played a role in access to prevention, testing, and care. Participants indicated difficulties with HIV education either in understanding their own HIV status or in the lack of education within the broader community. Historical traumas (residential schooling and the 60s scoop) and discrimination were central themes to many stories, seriously affecting the lives of participants and their overall health outcomes. The dissertation/project culminates in a list of recommendations aimed at informing a process to improve access and quality of health care for Indigenous Peoples living with HIV/AIDS. Greater access to community-based, holistic care in northern First Nations communities is urgently required.

scholarly journals Assessing the Impact of Food Assistance on Stigma Among People Living with HIV in Uganda Using the HIV/AIDS Stigma Instrument-PLWA (HASI-P)

2016 ◽  
Vol 21 (3) ◽  
pp. 766-782 ◽  
Author(s):  
John A. Maluccio ◽  
Fan Wu ◽  
Redwan B. Rokon ◽  
Rahul Rawat ◽  
Suneetha Kadiyala
Keyword(s):  
Food Assistance ◽  
People Living With Hiv ◽  
Aids Stigma ◽  
Living With Hiv ◽  
The Impact ◽  
Hiv Aids

scholarly journals HIV/AIDS STIGMA AND DISCRIMINATION AMONG THE GENERAL PUBLIC IN SELECTED RURAL COMMUNITY, KANCHEEPRAM DISTRICT, INDIA.

2016 ◽  
Vol 9 (6) ◽  
pp. 132
Author(s):  
Hema Malini
Keyword(s):  
General Public ◽  
Rating Scale ◽  
People Living With Hiv ◽  
Descriptive Research ◽  
Stigma And Discrimination ◽  
Treatment Services ◽  
Aids Stigma ◽  
Point Rating Scale ◽  
Living With Hiv ◽  
Hiv Aids

Community-level stigma and discrimination towards people living with HIV is found all over the world, with people forced to leave their home, change their daily activities such as shopping, socializing or schooling, face rejection and verbal and physical abuse. The objective of the study was to assess the HIV/AIDS stigma among the general public. Quantitative approach  and descriptive research design was adopted for the  present study. The study was conducted in Vallancherry a selected rural village of Kattankulathur . The sample size for the present study was 300. Three point rating scale  was used to assess the HIV/STIGMA and discrimination.The present study findings revealed that among 300 samples none of them reported severe stigma ,50 (16.7%)  participants reported moderate stigma and 250 (83.3%)  participants reported  low stigma. Stigma blocks access to HIV testing and treatment services, making onwards transmission more likely. The removal of barriers to these services is key to end the global HIV epidemic.Key Words : HIV, AIDS, Stigma, Discrimination, Rejection

scholarly journals The Impact of Stigma and Discrimination on Adherence to Medication amongst People Living with HIV in Tiv Land, North Central Nigeria

2019 ◽  
pp. 1-9
Author(s):  
Godwin Aondohemba Timiun ◽  
Timothy J. Scrase
Keyword(s):  
People Living With Hiv ◽  
Structured Interviews ◽  
Hiv Patients ◽  
Stigma And Discrimination ◽  
Treatment Services ◽  
Adherence To Medication ◽  
Multi Stage ◽  
Living With Hiv ◽  
And Control ◽  
The Impact

In spite the identification of stigma as a factor impeding public utilisation of HIV counselling, testing, and treatment services in Nigeria, gaps still exist in knowledge on the impact of stigma, and discrimination on adherence to medication amongst people living with HIV (PLWH). This study adopted mixed methods to examine the impact of stigma and discrimination on adherence to medication amongst PLWH in Nigeria.  A sample of 1,621 respondents was collected using multi-stage and purposive sampling methods. Structured interviews using questionnaires and in-depth interviews (using a guide) were utilised for data collection. SPSS (version 21) was used for quantitative data analysis while the qualitative data was analysed thematically. There are 46.3% men and 53.7% women respondents. Generally, their income is low, 70.7% are earning less than N25, 000 (approximately $125 USD) per month. Some of the HIV patients are stigmatised. In reaction, they avoid public places, travel long distances away from their immediate community to collect drugs and to avoid been noticed around the centers. They sometimes miss taking drugs regularly as prescribed, suffer depression and die. Stigma and discrimination impede adherence to medication amongst PLHW in Nigeria. More efforts should be made to create awareness to reduce stigma and discrimination of HIV patients, while augmenting their income to meet up with the challenges of adherence to medication. The overall benefits would be enhanced mechanism of HIV prevention, treatment and control in the study area.

scholarly journals Systematic identification and referral of smokers attending HIV ambulatory care highlights the failure of current service provision in an at-risk population

2019 ◽  
Vol 6 (1) ◽  
pp. e000395
Author(s):  
James Brown ◽  
Christianna Kyriacou ◽  
Elisha Pickett ◽  
Kelly Edwards ◽  
Hemal Joshi ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Smoking Status ◽  
Healthcare Services ◽  
Lifestyle Changes ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Smoking Cessation Services ◽  
Living With Hiv ◽  
Systematic Identification ◽  
The Impact

IntroductionPeople living with HIV (PLWH) are more likely to smoke than the general population and are at greater risk of smoking-related illness. Healthcare services need to address this burden of preventable disease.MethodsWe evaluated the impact of a brief intervention that asked service users about smoking when they attended for ambulatory HIV care in London, UK, and offered referral to smoking cessation.ResultsOverall, 1548 HIV-positive individuals were asked about their smoking status over a 12-month period. Of this group, 385 (25%) reported that they were current smokers, 372 (97%) were offered referral to smoking cessation services and 154 (40%) accepted this. We established an outcome of referral for 114 (74%) individuals. A total of 36 (10% of smokers) attended stop smoking clinics and 16 (4%) individuals were recorded as having quit smoking.DiscussionThe simple intervention of asking PLWH about tobacco smoking and offering referral to smoking cessation services rapidly identified current smokers, 40% of whom accepted referral to smoking cessation services. This highlights the importance of promoting behaviour and lifestyle changes with every contact with health services. However, a large proportion of those referred were either not seen in local services or the outcome of referral could not be ascertained. If the risk of smoking-related morbidity among PLWH is to be reduced, more sustainable referral pathways and ways of improving uptake of smoking cessation services must be developed.

scholarly journals Impact of Socioeconomic Inequality on Access, Adherence, and Outcomes of Antiretroviral Treatment Services for People Living with HIV/AIDS in Vietnam

PLoS ONE ◽  
2016 ◽  
Vol 11 (12) ◽  
pp. e0168687 ◽  
Author(s):  
Bach Xuan Tran ◽  
Jongnam Hwang ◽  
Long Hoang Nguyen ◽  
Anh Tuan Nguyen ◽  
Noah Reed Knowlton Latkin ◽  
...  
Keyword(s):  
Antiretroviral Treatment ◽  
Socioeconomic Inequality ◽  
People Living With Hiv ◽  
Treatment Services ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals How Do People Living With HIV Acquire HIV Related Information: A Qualitative Evaluation of Jakarta Setting

Jurnal NERS ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 126
Author(s):  
Mahathir Mahathir ◽  
Wiwin Wiarsih ◽  
Henny Permatasari
Keyword(s):  
Qualitative Study ◽  
Qualitative Evaluation ◽  
Healthcare Services ◽  
Healthcare Personnel ◽  
People Living With Hiv ◽  
Sufficient Information ◽  
Hiv Education ◽  
Hiv Knowledge ◽  
Treat All ◽  
Living With Hiv

Introduction: People living with HIV are fully aware of their risk behavior and future threats that might arise. The rapid progress of HIV serves the population with many options of healthcare services and treatments. Insufficient knowledge and information will only lower the outcomes of HIV eradication efforts. The ultimate goals to eradicate HIV are to upscale status notification and treat all with appropriate antiretroviral and viral suppression, but it needs sufficient information to administer. Programs and interventions have already been proposed, but an inquiry is needed to ensure all the information is actually there. The study aimed to explore the experience of people living with HIV acquiring HIV-related information.Methods: This study used phenomenological qualitative study and in-depth interviews were conducted to 12 people living with HIV. Semi-structured questions were delivered to all participants which explored their tangible experience in terms of nurturing sufficient HIV-related information.Results: The study found four consequential themes:  non-government organizations play a major role in HIV education, peers are a comfortable platform to discuss, it is all over the media and healthcare personnel are a source of knowledge. Conclusion: The distribution of HIV information and knowledge is now widespread. This situation marks   part of the success in fighting HIV. Remarkable attempts can be maintained by optimizing the viable option of information delivery.  Keyword: HIV knowledge; people living with HIV; qualitative study

scholarly journals Impact of Mental wellbeing and Quality of Life on Depression, Anxiety and Stress among people living with HIV/AIDS (PLWHA)

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Bhavna Mukund ◽  
Rejani Thudalikunil Gopalan
Keyword(s):  
Quality Of Life ◽  
Well Being ◽  
Mental Wellbeing ◽  
People Living With Hiv ◽  
Depression And Anxiety ◽  
Living With Hiv ◽  
The Impact ◽  
Mental Well Being ◽  
Hiv Aids

Background: People living with HIV/AIDS (PLWHA) manifest a wide range of stress responses ranging from disbelief, denial, fear to extreme conditions of anxiety disorders, depression and even suicidal thoughts. These complications can have a significant impact on daily functioning and greatly diminish quality of life. Mental wellbeing and Quality of Life can help in better management of stress and facilitate adaptive coping among PLWHA. Aim: The research examined the impact of mental wellbeing and Quality of Life on Depression, Anxiety and Stress among people living with HIV/AIDS infection. Research Design: Cross sectional survey design was used. Sample: A sample of 60 people (males and females of equal number) over the age of 18 years and with the diagnosis for HIV/AIDS for more than six months participated in the study. Tools used: To assess the depression, anxiety and stress among PLWHA, DASS scale was used and to assess their psychological wellbeing, Warwick Edinburgh Mental Well-Being scale was used. In order to assess their present status of QOL regarding the illness, WHO’s QOL HIV-BREF Scale was used. Results: Majority of the PLWHA had moderate level of anxiety and mild level of depression after being diagnosed. Most of the participants have positive mental well-being and had enhanced quality of life. Conclusion: A direct effect of mental wellbeing has been found on the depression, anxiety and stress among PLWHA indicating that higher the mental wellbeing of the PLWHA, the greater is the likelihood that they do not suffer from depression, exhibit less anxiety and are living a stress free life and vice versa. The study also found direct impact of QOL on psychological distress, depression and anxiety among PLWHA i.e. poor QOL of PLWHA makes them more prone to and vulnerable to stress, depression and anxiety and vice versa.

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