The intersection of antiretroviral therapy, peer support programmes, and economic empowerment with HIV stigma among HIV-positive women in West Nile Uganda

Autor: Nicole Coffey Kellett, Katherine Gnauck
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Adult
Counseling
Employment
Gerontology
Social stigma
media_common.quotation_subject
Social Stigma
education
Population
Stigma (botany)
HIV Infections
Peer support
Social issues
Hope
03 medical and health sciences
0302 clinical medicine
Acquired immunodeficiency syndrome (AIDS)
Virology
Humans
Medicine
Uganda
030212 general & internal medicine
Empowerment
Qualitative Research
media_common
education.field_of_study
030505 public health
business.industry
Public Health
Environmental and Occupational Health

virus diseases
General Medicine
antiretroviral therapy
economic empowerment
HIV stigma
hope
peer support
psychological well-being

medicine.disease
Self-Help Groups
Infectious Diseases
Anti-Retroviral Agents
Social Isolation
Income
Female
Social exclusion
0305 other medical science
business
Clinical psychology
Zdroj: African Journal of AIDS Research; Vol 15, No 4 (2016)
ISSN: 1727-9445
1608-5906
Popis: HIV stigma remains a major problem of the AIDS epidemic in sub-Saharan Africa. Women fear impending social stigma including blame, isolation and abuse. HIV infection and HIV stigma interact cyclically, creating and reinforcing economic and social exclusion for individuals living with HIV. Evidence suggests that interventions for people living with HIV infection that include, in combination, antiretroviral therapy (ART), peer support and economic empowerment are likely to be more effective than if used alone. We report a qualitative study in West Nile Uganda that explored perceptions of HIV stigma among fifty-four HIV-positive women who had similar access to ART and HIV peer support programmes, but varying levels of participation (full-time, intermittent, none) in economic empowerment programmes. Our study found that access to ART, peer support groups, and economic empowerment programmes helped to curb perceptions of deep-seated HIV stigma for participants. More expressions of usefulness, hope and psychological well-being prevailed with participants who had increased participation in economic empowerment programmes. Our findings underscore the value of HIV outreach programmes which combine ART, peer support and economic empowerment to alleviate HIV stigma. Further research to quantify the interaction of these factors is warranted.Keywords: antiretroviral therapy , economic empowerment, HIV stigma, hope, peer support, psychological well-being
Databáze: OpenAIRE