Perception of Patients With HIV/AIDS From Stigma and Discrimination

Saki, Mandana; Kermanshahi, Sima Mohammad Khan; Mohammadi, Eesa; Mohraz, Minoo

doi:10.5812/ircmj.25831v2

Cited by 21 publications

(28 citation statements)

References 29 publications

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“…The obstacles to HIV care have been previously reported as individual, community, and health system factors. On an individual level, we found that our patients faced common barriers to HIV care such as poverty, inadequate food supplies, and denial of HIV status and confirms the barriers identified by several authors including Merten's meta-ethnography [5,11,12,15,30]. Initial use of alternative care providers as an individual obstacle to conventional HIV care in our population has been discussed before [5,7,11].…”

Section: Discussionsupporting

confidence: 84%

Qualitative exploration of perceived benefits of care and barriers influencing HIV care in trans Nzoia, Kenya

Naanyu

Ruff

Goodrich

et al. 2020

BMC Health Serv Res

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Background: Substantial efforts have been made to ensure people living with HIV (PLHIV) are linked to and retained in care but many challenges deter care utilization. We report perceived benefits of seeking HIV care and barriers to HIV care that were identified through a formative assessment conducted to advise the development of an alternative care model to deliver antiretroviral treatment therapy (ART) in Trans Nzoia County, Kenya. Methods: Data were collected in 2015 through key informant interviews (KIIs), in-depth interviews (IDIs), and focus group discussions (FGDs). The study involved 55 participants of whom 53% were female. Ten KIIs provided community contextual information and viewpoints on the HIV epidemic in Trans Nzoia County while 20 PLHIV (10 male and 10 female) participated in IDIs. Twenty-five individuals living with HIV participated in four FGDs-two groups for men and two for women. Key informants were purposively selected, while every third patient above 18 years at the Kitale HIV Clinic was invited to share their HIV care experience through IDIs or FGDs. Trained research assistants moderated all sessions and audio recordings were transcribed and analyzed thematically. Results: Findings showed that PLHIV in Trans Nzoia County used both conventional and complementary alternative care for HIV; however, public health facilities were preferred. Popular perceived benefits of adopting care were relief from symptoms and the chance to live longer. Benefits of care uptake included weight gain, renewed energy, and positive behavior change. Individual-level barriers to HIV care included lack of money and food, use of alternative care, negative side effects of ART, denial, and disclosure difficulties. At the community level, stigma, limited social support for conventional HIV treatment, and poor means of transport were reported. The health system barriers were limited supplies and staff, long distance to conventional HIV care, and unprofessional providers. Conclusions: Diverse individual, community and health system barriers continue to affect HIV care-seeking efforts in Kenya. Appreciation of context and lived experiences allows for development of realistic care models.

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Section: Discussionsupporting

confidence: 84%

Qualitative exploration of perceived benefits of care and barriers influencing HIV care in trans Nzoia, Kenya

Naanyu

Ruff

Goodrich

et al. 2020

BMC Health Serv Res

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“…As stated by Ogbanna K, Govender I, Tumbo J, "The high levels of knowledge of the PMTCT program and generally satisfactory implementation" or better practice is predicated on adequate knowledge" meaning that the health provider's negative attitude to the disease made the patients, especially women, reluctant to do antenatal care. 19 An overview of the effects of stigma on access to and utilization of care and prevention services is also felt by people living with HIV (PLWH). 20 However, in this study, these variables were not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

Midwife’s Role in the Mother-to-Child Transmission Prevention Program in Primary Health Care in Yogyakarta

Meilani¹,

Setiyawati²,

Barasa

2019

Kesmas: National Public Health Journal

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Curing and eradicating Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) are to the core principles of the United Nations’ Sustainable Development Goals (SDGs). The incidence of HIV in the world remains high. Although midwives play a pivotal role in PMTCT implementation, the factors associated with midwives’ role in its implementation are not well understood. The aim of this study was to determine factors associated with midwives’ role in implementation of PMTCT. This study used a cross-sectional design. The subjects were 80 midwives at 14 primary health care in Yogyakarta City, Indonesia. The study was conducted from April to August 2017. Data were analyzed through univariate, bivariate with chi-square and Fisher’s exact test, multivariate with logistic regression. The results showed that 47.5% of midwives were in the poor category regarding implementation of PMTCT. Information availability through socialization (p-value = 0.047) and knowledge level (p-value = 0.016) were found to be related to PMTCT implementation. There was no relationship between age, length of work, education level, marital status, availability of information, midwife’s attitude, perception of the availability of facilities and institutional support with midwife behavior in PMTCT implementation. Multivariate analysis showed that level of knowledge was the most dominant factor affecting PMTCT implementation (OR:6.2; CI 95% = 1.8-21.4). We recommend that efforts should be made to continuously improve the knowledge of midwives on PMTCT implementation through peer support and training in order to achieve sustainable development goals.

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“…The integration approach would allow the primary health care system of the public sector to test more HIV patients, place more patients on ARVs faster and more efficiently, thereby reducing the number of patients lost to follow-up and achieving greater geographical coverage of care versus vertical model [28,30,31]. It is therefore clear that the low representation of other districts in the region can be explained by the low level of recruitment of PLHIV and the geographical inaccessibility of these populations to ART [23,32]. Creating more care units in these districts would not only facilitate easier access to ART, but also a large recruitment of PLHIV with as immediate consequence the control of this target population and even a reduction in long-term of health expenditure [23,27,28].…”

Section: Discussionmentioning

confidence: 99%

Geographical Distribution of HIV-patients with Respect to HIV-treatment Units in Cameroon: A Cross-sectional Study

Goura¹

2019

IJHPEBS

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The treatment of HIV-patients is a key component to HIV/aids control strategies. Since 2007, Cameroon is treating HIV-patients for free within decentralized treatment units created in functional health districts. This study aimed to map the geographical distribution of HIV-patients with respect to that of treatment units in Cameroon. We conducted a cross-sectional study in which functional health districts with HIV-treatment units were exhaustively sampled to map the local access to antiretroviral care in the Cameroon West region. Patients from these units were randomly selected and recruited during their monthly period of receiving antiretroviral drugs. Four hundred and seventy-two patients were included. The mean age of participants was 42 (± 10) years with a sex ratio male/female of 1/3. Fourteen units were distributed in 09 health districts (45% coverage) and 11/20 districts had no Treatment unit. Sixty two percent (294/472) of participants resided in the health district of their screening and 65% (308/472) were follow up in the health district of residence. Nine of ten patients resided in their treatment health region. Less than 10% of patients travel from health districts with no HIV-treatment unit. Close to 1/5 (74/382) patient migrated from local health district with treatment unit to another local health district for follow up. Second line treatment was not available except in one public and one private treatment unit. The distribution of HIV-treatment units is strongly linked to the geographical distribution of HIV-patients across health districts. We therefore believe that the creation of treatment units in health districts still lacking them can significantly increase screening and treatment of patients in this region.

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Perception of Patients With HIV/AIDS From Stigma and Discrimination

Cited by 21 publications

References 29 publications

Qualitative exploration of perceived benefits of care and barriers influencing HIV care in trans Nzoia, Kenya

Qualitative exploration of perceived benefits of care and barriers influencing HIV care in trans Nzoia, Kenya

Midwife’s Role in the Mother-to-Child Transmission Prevention Program in Primary Health Care in Yogyakarta

Geographical Distribution of HIV-patients with Respect to HIV-treatment Units in Cameroon: A Cross-sectional Study

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