Being HIV positive

Root, R.K.

doi:10.4324/9780203795880-3

Cited by 3 publications

(2 citation statements)

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“…CLs see that religious values are combined with tensions and contradictions between culture and HIV which is commonplace within the literature ( Ochillo et al, 2017 ). HIV prevention in Eswatini can only be understood when considering the colonial history, the global political economy of HIV funding and activism, and the unique epidemiology of HIV and culture, religion, local traditions, and discourses ( Root, 2014 ). Eswatini is a country where much of a generation was lost to AIDS, taking with it customs, practices, and norms, at a time when the political landscape was changing and much of the post-colonial African region was ideologically opposed to acceptance of support from ‘indirect rule’ ( Prinsloo, 2007 ).…”

Section: Discussionmentioning

confidence: 99%

“…For HIV prevention, this unique reach that embodies culturally appropriate and context-specific messaging is particularly important due to the social complexities and phenomena that have arisen from HIV and AIDS ( Root, 2014 ). Culture is defined as a complex and dynamic concept that “ is learned, shared, transmitted intergenerationally, and reflected in a group’s values, beliefs, norms, practices, patterns of communication, familial roles, and other social regularities ” ( Kreuter & McClure, 2004 p. 440).…”

Section: Introductionmentioning

confidence: 99%

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‘We Should Not Be Quiet but We Should Talk’: Qualitative Accounts of Community-Based Communication of HIV Pre-Exposure Prophylaxis

Goymann

Mavuso²,

McMahon

et al. 2023

Qual Health Res

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Community leaders play an important role in the acceptance of public health services, but little is known about their willingness to facilitate HIV pre-exposure prophylaxis (PrEP) roll-out in Eswatini. We conducted in-depth interviews ( n = 25) with purposefully selected male and female community leaders in Eswatini. We analysed our data inductively using a thematic analysis approach. Community leaders feel they are important communicators of culturally appropriate PrEP messaging. Our participants described a complex social space within their communities influenced by religion, tradition, values, and HIV stigma. Community leaders use their position to provide leverage for unique, effective, and easily accessible messages and platforms to reach the community in a manner that ensures trust, relatability, familiarity, and shared faith. Community leaders feel that they are trusted and see trust manifesting in the conversations they are able to engage in, and have a reach that extends beyond formal health services. Existing PrEP programming should embed community leader participation in PrEP programming and engage the trust, knowledge, and potential of community leaders to support PrEP uptake and acceptance.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

‘We Should Not Be Quiet but We Should Talk’: Qualitative Accounts of Community-Based Communication of HIV Pre-Exposure Prophylaxis

Goymann

Mavuso²,

McMahon

et al. 2023

Qual Health Res

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Access for all: contextualising HIV treatment as prevention in Swaziland

Vernooij

Hardon

et al. 2016

AIDS Care

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This article explores how notions of the individual and population are evoked in two ongoing HIV treatment as prevention (TasP) implementation studies in Swaziland. By contrasting policy discourses with lived kinship experiences of people living with HIV, we seek to understand how TasP unfolds in the Swazi context. Data collection consisted of eight focus group discussions with people living with HIV who were members of support groups to examine their perspectives about TasP. In addition, 18 key informant interviews were conducted with study team members, national-level policy-makers and NGO representatives involved in the design of health communication messages about TasP in Swaziland. Thematic analysis was used to identify recurrent themes in transcripts and field notes. Policy-makers and people living with HIV actively resisted framing HIV treatment as a prevention technology but promoted it as (earlier) access to treatment for all. TasP was not conceptualised in terms of individual or societal benefits, which are characteristic of international public health debates; rather its locally situated meanings were embedded in kinship experiences, concerns about taking responsibility for one's own health and others, local biomedical knowledge about drug resistance, and secrecy. The findings from this study suggest that more attention is needed to understand how the global discourse of TasP becomes shaped in practice in different cultural contexts. ARTICLE HISTORY

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‘Worse than HIV’: The logics of cancer screening avoidance in Swaziland

Malambo

Erikson

2017

Global Public Health

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This article shows the consequences of competing global health agendas within differential clinical and social worlds. Specifically, it examines how HIV's prominence in local clinical programming in Swaziland influences cervical cancer screening rates. Drawing on 2014 ethnographic research conducted in a semi-urban town in Swaziland, the interview and participant observation data show the relative scarcity of cervical cancer care and the consequences of HIV/AIDS funding and programming dominance. 20 women and 7 health workers were interviewed in homes, clinics and small businesses. Data were analysed using frameworks of medicoscapes and therapeutic citizenship. Results show that women's patterns of screening avoidance were based on lengthy diagnostic procedures, treatment expense, therapeutic travel to neighbouring South Africa, and frequent therapeutic failure. In sum, avoidance of cervical screening in Swaziland has structural components, and is a product of organisational and political choices at local and global levels. This study challenges culturalist assumptions about African women's avoidance of cervical cancer screening. In the future, delivering successful cervical cancer screening in Swaziland will depend on expanding cancer screening and treatment, which should be informed by perceptions of clinical care held by the very women public health practitioners aim to keep healthy.

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Being HIV positive

Cited by 3 publications

References 0 publications

‘We Should Not Be Quiet but We Should Talk’: Qualitative Accounts of Community-Based Communication of HIV Pre-Exposure Prophylaxis

‘We Should Not Be Quiet but We Should Talk’: Qualitative Accounts of Community-Based Communication of HIV Pre-Exposure Prophylaxis

Access for all: contextualising HIV treatment as prevention in Swaziland

‘Worse than HIV’: The logics of cancer screening avoidance in Swaziland

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