Adolescent Girls and Young Women’s Experiences of Living with HIV in the Context of Patriarchal Culture in Sub-Saharan Africa: A Scoping Review

Mhungu, Alington; Sixsmith, Judith; Burnett, Emma

doi:10.1007/s10461-022-03872-6

Cited by 5 publications

(3 citation statements)

References 136 publications

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“…These findings concur with the results of other studies. HIV infection causes food insecurity by reducing agricultural production, reducing income, and increasing medical expenses, leading to a reduced capacity to procure or produce food [26,35,36].…”

Section: Discussionmentioning

confidence: 99%

Structural, Familial, and Psychosocial Factors Affecting Long-Term Antiretroviral Treatment Adherence amongst Adolescents Living with Perinatally Acquired HIV in Limpopo, South Africa

Mabasa,

Madiba,

Mothiba

2023

IJERPH

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After more than two decades of the expansion of antiretroviral treatment (ART) in adolescents living with perinatal HIV (APHIV) in sub-Saharan Africa, there is still poorly sustained long-term adherence to ART due to multifactorial factors with the consequence of increased mortality and morbidity. There are little data available on the familial and structural factors which affect sustenance to long-term adherence to ART. A qualitative exploratory design was used to conduct in-depth interviews with 21 APHIV attending HIV care and management in the rural health facilities of Vhembe district in Limpopo Province, South Africa. Transcripts were translated verbatim into English, and data were analyzed using Tesch’s eight steps of qualitative data analysis. The sample consisted of APHIV 10–19 years old who were aware of their HIV status, and all had received ART for more than 5 years. They lived in extended, disrupted, grandparent- and child-headed households. They experienced food insecurities due to poverty or orphanhood, as well as living in disrupted households, which deterred them from long-term adherence. In addition, dependency on social support grants to sustain their livelihoods affected long-term adherence. APHIV had challenges with structural factors such as inconsistent clinic attendance, clashes between school activities and clinic appointments, and the lack of transport fare to the clinic, which affected adherence. Although APHIV were on one-pill fixed-dose ART, they were not able to sustain long-term adherence due to various familial, structural, and psychosocial challenges. In addition to institution-based interventions, there is a need for family, community-based, and multi-sectorial interventions to support long-term ART adherence among APHIV.

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Section: Discussionmentioning

confidence: 99%

Structural, Familial, and Psychosocial Factors Affecting Long-Term Antiretroviral Treatment Adherence amongst Adolescents Living with Perinatally Acquired HIV in Limpopo, South Africa

Mabasa,

Madiba,

Mothiba

2023

IJERPH

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“…Social and cultural factors increase the prevalence level of HIV/AIDS in developing countries. Some undesirable cultural practices such as child marriage, sociocultural gender, power, economic disparities, and sex at an earlier age [21][22][23] increase the prevalence of HIV/AIDS. The patriarchal culture in most African communities denies women equal opportunities for education, power, and employment and exposes them to early marriages.…”

Section: Hiv/aidsmentioning

confidence: 99%

Community Engagement to Enhance Environmental Health Education to Reduce Communicable Diseases in Developing Countries

Mwangi

2024

Environmental Health Literacy Update - New Evidence, Methodologies and Perspectives

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This chapter describes increasing and sustaining environmental health literacy (EHL) within the less disadvantaged and minority communities in third-world countries. People from developing countries experience systemic barriers to quality and affordable health due to economic disadvantages and lower educational attainment levels. Traditional cultural practices in developing economies reflect values and beliefs held by members for periods spanning generations. However, harmful conventional methods include female genital mutilation (FGM), forced feeding of women, early marriages, taboos, and religious beliefs that prevent women from controlling their fertility, nutritional taboos and traditional birth practices, early pregnancy, and bride price, among others. These undesirable practices affect public health negatively and increase the risk of otherwise preventable diseases. This chapter discusses community-based education approaches to promote healthy living styles and improve attitudes toward clinical interventions and treatments. The chapter contains examples of community-engaged education initiatives to promote EHL in various contexts, like community-initiated training that creates public awareness. Community-based education systems can contribute to building and sustaining equitable access to professional health and partnership between communities and stakeholders in the health sectors, emphasizing mutual co-learning and knowledge co-creation to meet unique existing and emerging needs.

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“…However, research studies across SSA have shown that adolescents with perinatal HIV (APHIV) are at greater risk of HIV-related stigma than adults LHIV [5,16,17]. In addition, APHIV are likely to report most forms of stigma [5,15,18] due to associative stigma arising from their mothers' HIV status.…”

Section: Introductionmentioning

confidence: 99%

Community Perceptions of HIV Stigma, Discriminatory Attitudes, and Disclosure Concerns: A Health Facility-Based Study in Selected Health Districts of South Africa

Mokgatle

Madiba

2023

IJERPH

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Research data about HIV stigma perceptions and discriminatory attitudes among the general population are limited. Furthermore, the willingness of HIV-negative individuals to engage with HIV prevention and disclosure interventions has not been established in South Africa. The study investigated community perceptions of stigma as well as discriminatory attitudes towards HIV disclosure to understand if and how these perceptions might influence the uptake of disclosure interventions. This facility-based study used a validated questionnaire to measure the four constructs of HIV stigma among 670 adults recruited from health districts of two provinces of South Africa. Of these, 72% were female, 87% had ever been tested for HIV, and 31% knew someone who has HIV. Stigma towards people living with HIV (PLHIV) is widespread in the general population. A high proportion (75%) endorsed disclosure concerns, 75% perceived stigma to be common, and 56% endorsed negative statements indicating perceived stigma in communities. Fear, moral and social judgement, and rejection underlined their perceptions about PLHIV. Almost half (45.7%) were unwilling to care for family members sick with AIDS, suggesting negative distancing reactions and discriminatory attitudes towards PLHIV. The widespread discriminatory attitudes and the perceived stigma that is evident in the general population might heighten the disclosure concerns endorsed, promote non-disclosure, and increase HIV transmission. To design interventions, it is crucial to be cognisant of disclosure concerns, discriminatory attitudes, and perceived stigma evident in communities. Thus, the findings underscore the need to increase efforts to challenge and reduce community drivers of negative discriminatory attitudes and perceived stigma.

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Adolescent Girls and Young Women’s Experiences of Living with HIV in the Context of Patriarchal Culture in Sub-Saharan Africa: A Scoping Review

Cited by 5 publications

References 136 publications

Structural, Familial, and Psychosocial Factors Affecting Long-Term Antiretroviral Treatment Adherence amongst Adolescents Living with Perinatally Acquired HIV in Limpopo, South Africa

Structural, Familial, and Psychosocial Factors Affecting Long-Term Antiretroviral Treatment Adherence amongst Adolescents Living with Perinatally Acquired HIV in Limpopo, South Africa

Community Engagement to Enhance Environmental Health Education to Reduce Communicable Diseases in Developing Countries

Community Perceptions of HIV Stigma, Discriminatory Attitudes, and Disclosure Concerns: A Health Facility-Based Study in Selected Health Districts of South Africa

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