A Qualitative Study of Barriers to Enrollment into Free HIV Care:Perspectives of Never-in-Care HIV-Positive Patients and Providers in Rakai, Uganda
Joint Authors
Atuyambe, Lynn
Makumbi, Fredrick E.
Nakyanjo, Neema
Kigozi, Godfrey
Kiggundu, Valerian
Serwadda, David
Gray, Ronald H.
Kamya, Moses R.
Nalugoda, Fred
Wawer, Maria
Nakigozi, Gertrude
Chang, Larry W.
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-08-22
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Early entry into HIV care is low in Sub-Saharan Africa.
In Rakai, about a third (31.5%) of HIV-positive clients who knew their serostatus did not enroll into free care services.
This qualitative study explored barriers to entry into care from HIV-positive clients who had never enrolled in care and HIV care providers.
Methods.
We conducted 48 in-depth interviews among HIV-infected individuals aged 15–49 years, who had not entered care within six months of result receipt and referral for free care.
Key-informant interviews were conducted with 12 providers.
Interviews were audio-recorded and transcripts subjected to thematic content analysis based on the health belief model.
Results.
Barriers to using HIV care included fear of stigma and HIV disclosure, women’s lack of support from male partners, demanding work schedules, and high transport costs.
Programmatic barriers included fear of antiretroviral drug side effects, long waiting and travel times, and inadequate staff respect for patients.
Denial of HIV status, belief in spiritual healing, and absence of AIDS symptoms were also barriers.
Conclusion.
Targeted interventions to combat stigma, strengthen couple counseling and health education programs, address gender inequalities, and implement patient-friendly and flexible clinic service hours are needed to address barriers to HIV care.
American Psychological Association (APA)
Nakigozi, Gertrude& Atuyambe, Lynn& Kamya, Moses R.& Makumbi, Fredrick E.& Chang, Larry W.& Nakyanjo, Neema…[et al.]. 2013. A Qualitative Study of Barriers to Enrollment into Free HIV Care:Perspectives of Never-in-Care HIV-Positive Patients and Providers in Rakai, Uganda. BioMed Research International،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1030573
Modern Language Association (MLA)
Nakigozi, Gertrude…[et al.]. A Qualitative Study of Barriers to Enrollment into Free HIV Care:Perspectives of Never-in-Care HIV-Positive Patients and Providers in Rakai, Uganda. BioMed Research International No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-1030573
American Medical Association (AMA)
Nakigozi, Gertrude& Atuyambe, Lynn& Kamya, Moses R.& Makumbi, Fredrick E.& Chang, Larry W.& Nakyanjo, Neema…[et al.]. A Qualitative Study of Barriers to Enrollment into Free HIV Care:Perspectives of Never-in-Care HIV-Positive Patients and Providers in Rakai, Uganda. BioMed Research International. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1030573
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1030573