The role of social support on HIV testing and treatment adherence: A qualitative study of HIV-infected refugees in southwestern Uganda

Rouhani, Shada A.; O’Laughlin, Kelli N.; Faustin, Zikama; Tsai, Alexander C.; Kasozi, Julius; Ware, Norma C.

doi:10.1080/17441692.2015.1132472

Cited by 38 publications

(32 citation statements)

References 45 publications

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“…Overcoming Barriers Through Disclosure (Social) Life in Nakivale is communal and social. Refugee and Ugandan nationals more easily overcame barriers to engagement in HIV clinic when they had help [31]. For instance, friends and family provided money for transport or child care while the client traveled to clinic.…”

Section: Disclosurementioning

confidence: 99%

A Social-Ecological Framework to Understand Barriers to HIV Clinic Attendance in Nakivale Refugee Settlement in Uganda: a Qualitative Study

et al. 2020

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The social-ecological model proposes that efforts to modify health behaviors are influenced by constraints and facilitators at multiple levels. We conducted semi-structured interviews with 47 clients in HIV care and 8 HIV clinic staff to explore how such constraints and facilitators (individual, social environment, physical environment, and policies) affect engaging in HIV clinical care in Nakivale Refugee Settlement in Uganda. Thematic analysis revealed that participants were motivated to attend the HIV clinic because of the perceived quality of services and the belief that antiretroviral therapy improves health. Barriers to clinic attendance included distance, cost, unemployment, and climate. Those that disclosed their status had help in overcoming barriers to HIV care. Nondisclosure and stigma disrupted community support in overcoming these obstacles. Interventions to facilitate safe disclosure, mobilize social support, and provide more flexible HIV services may help overcome barriers to HIV care in this setting.

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Section: Disclosurementioning

confidence: 99%

A Social-Ecological Framework to Understand Barriers to HIV Clinic Attendance in Nakivale Refugee Settlement in Uganda: a Qualitative Study

et al. 2020

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“…Further, they are disproportionately impacted by economic, legal, and social disadvantage, food insecurity and unequal distribution of goods. Women from a refugee background might also experience a lack of social connectedness and emotional support in their host country (Rouhani et al, 2017), which can increase the stress of family responsibilities. Moreover, women from a refugee background are not always able to flee to safety with their children (Smith, 2015) and this separation increases loss and grief (Schweitzer, Vromans, Ranke, & Griffin, 2014).…”

Section: Challenges Of Women From Refugee Background Living With Hivmentioning

confidence: 99%

Exploring the effectiveness of the Tree of Life in promoting the therapeutic growth or refugee women living with HIV

Vitale

Khawaja

Ryde³

2019

The Arts in Psychotherapy

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The current study aimed to understand the experiences of refugee women living with HIV as they participated in the Tree of Life (ToL), a group-based narrative intervention. A qualitative case study methodology was used. Five African refugee women took part in the study. The ToL consisted of seven two-hourly sessions conducted on weekly basis. Further, participants completed a feedback form after each session, and they were individually interviewed on completion of the ToL. The researchers kept detailed field notes. The data indicated that participants were motivated to attend the intervention in order to overcome their psychological distress, isolation and negative thoughts associated with their situation. Participants found the intervention beneficial. In a safe and supportive setting, and through the art making process, they were able to reflect on their painful past and current issues associated with their migratory stressors and with living with HIV. They identified personal strengths and qualities that enabled them to cope and build their resilience. The art making process and the discussion of the tree empowered them to re-author their life narratives. Finally, they related to each other and they developed a sense of connectedness. The findings indicate the Tree of Life as a promising intervention that can be used with refugees living with HIV. Implications and future directions are discussed.

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“…Various authors [4] [6] [7] [8] [9] proposed methods to explain why the uptake of HIV testing is still below expected levels among youth. Some of these authors identified a lack of knowledge about where to obtain the test, distance to testing site, or financial problems as some key risk factors that hinder HIV testing.…”

Section: Introductionmentioning

confidence: 99%

HIV Testing Decision and Determining Factors in Ghana

Iddrisu¹,

Opoku-Ameyaw²,

Bukari³

et al. 2019

WJA

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Knowledge on individual's HIV/AIDS status provides a tool to reduce or avoid HIV transmission, spread and mortalities due to HIV-related illness. However, most people still do not know their HIV status because they are not willing to test for HIV/AIDS due to various reasons. Hence the aim of this paper is to investigate the effects of various risk factors that are likely to influence decision to ever test for HIV/AIDS. The data used in this paper were obtained from the Ghana Demographic and Health Survey (n = 1828 observations and 32 risk factors). We applied the Chi-Square test statistic and the logistic regression model to the data in order to study the effects of these risk factors on one's decision to ever test for HIV. STATA version 14.1 and R version 3.5.2 were used to carry out the statistical analyses. Generally, the results show that education, especially higher education significantly (OR = 0.53, 95% = 0.230, 0.837) increases the likelihood to ever test for HIV. Also, the younger the age groups the higher the effect and significance in the likelihood to ever test for HIV. We found that HIV-TB co-infection (OR = 0.53, 95% = 0.165, 0.893), use of condom anytime one has sex (OR = 0.31, 95% = 0.054, 0.573), wealth index (OR = 0.46, 95% = 0.137, 0.791), awareness of HIV transmission during child-delivery, number of partners significantly affect HIV testing. Those with many partners are less likely (OR = −0.26, 95% = −0.504, −0.007) to ever test for HIV and those who know that healthy person may have HIV are more likely (OR = 0.41, 95% = 0.137, 0.679) to ever test for HIV. Age is the common significant risk factor of ever tested for HIV across the 10 regions in Ghana. Resources should be allocated for more education on these significant risk factors in order to help in the fight against HIV-Health related issues.

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The role of social support on HIV testing and treatment adherence: A qualitative study of HIV-infected refugees in southwestern Uganda

Cited by 38 publications

References 45 publications

A Social-Ecological Framework to Understand Barriers to HIV Clinic Attendance in Nakivale Refugee Settlement in Uganda: a Qualitative Study

A Social-Ecological Framework to Understand Barriers to HIV Clinic Attendance in Nakivale Refugee Settlement in Uganda: a Qualitative Study

Exploring the effectiveness of the Tree of Life in promoting the therapeutic growth or refugee women living with HIV

HIV Testing Decision and Determining Factors in Ghana

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