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“Life is so easy on ART, once you accept it”: Acceptance, denial and linkage to HIV care in Shiselweni, Swaziland

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  • Horter, Shona
  • Thabede, Zanele
  • Dlamini, Velibanti
  • Bernays, Sarah
  • Stringer, Beverley
  • Mazibuko, Sikhathele
  • Dube, Lenhle
  • Rusch, Barbara
  • Jobanputra, Kiran

Abstract

Timely uptake of antiretroviral therapy, adherence and retention in care for people living with HIV (PLHIV) can improve health outcomes and reduce transmission. Médecins Sans Frontières and the Swaziland Ministry of Health provide community-based HIV testing services (HTS) in Shiselweni, Swaziland, with high HTS coverage but sub-optimal linkage to HIV care. This qualitative study examined factors influencing linkage to HIV care for PLHIV diagnosed by community-based HTS.

Suggested Citation

  • Horter, Shona & Thabede, Zanele & Dlamini, Velibanti & Bernays, Sarah & Stringer, Beverley & Mazibuko, Sikhathele & Dube, Lenhle & Rusch, Barbara & Jobanputra, Kiran, 2017. "“Life is so easy on ART, once you accept it”: Acceptance, denial and linkage to HIV care in Shiselweni, Swaziland," Social Science & Medicine, Elsevier, vol. 176(C), pages 52-59.
    • Handle: RePEc:eee:socmed:v:176:y:2017:i:c:p:52-59
    DOI: 10.1016/j.socscimed.2017.01.006
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    References listed on IDEAS

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    1. Russell, Steven & Seeley, Janet, 2010. "The transition to living with HIV as a chronic condition in rural Uganda: Working to create order and control when on antiretroviral therapy," Social Science & Medicine, Elsevier, vol. 70(3), pages 375-382, February.
    2. Nam, Sara L. & Fielding, Katherine & Avalos, Ava & Dickinson, Diana & Gaolathe, Tendani & Geissler, P. Wenzel, 2008. "The relationship of acceptance or denial of HIV-status to antiretroviral adherence among adult HIV patients in urban Botswana," Social Science & Medicine, Elsevier, vol. 67(2), pages 301-310, July.
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    Cited by:

    1. Jamie Albright & Cynthia D. Fair, 2018. "“Now I Know I Love Me†: The Trajectory to Self-Acceptance Among HIV Positive Adults in a Southeastern U.S. Community Center," SAGE Open, , vol. 8(3), pages 21582440188, October.
    2. Hurley, Emily A. & Odeny, Beryne & Wexler, Catherine & Brown, Melinda & MacKenzie, Alexander & Goggin, Kathy & Maloba, May & Gautney, Brad & Finocchario-Kessler, Sarah, 2020. "“It was my obligation as mother”: 18-Month completion of Early Infant Diagnosis as identity control for mothers living with HIV in Kenya," Social Science & Medicine, Elsevier, vol. 250(C).
    3. Ahmed, Shahira & Autrey, Jessica & Katz, Ingrid T. & Fox, Matthew P. & Rosen, Sydney & Onoya, Dorina & Bärnighausen, Till & Mayer, Kenneth H. & Bor, Jacob, 2018. "Why do people living with HIV not initiate treatment? A systematic review of qualitative evidence from low- and middle-income countries," Social Science & Medicine, Elsevier, vol. 213(C), pages 72-84.
    4. Mary Wambui Mwaura & Dr. Henry Tucholski & Dr. Cosmas Kagwe & Dr. Rose Gichuki, 2022. "Effect of Psychological Counselling on Self-Acceptance Among Persons Living with HIV and AIDS in Mathare Constituency, Nairobi County," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 6(10), pages 42-49, October.

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