IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i11p6879-d831604.html
   My bibliography  Save this article

Mental Health Challenges and the Associated Factors in Women Living with HIV Who Have Children Living with HIV in Indonesia: A Qualitative Study

Author

Listed:
  • Nelsensius Klau Fauk

    (Research Centre for Public Health Policy, Torrens University Australia, Adelaide, SA 5000, Australia
    Institute of Resource Governance and Social Change, Kupang 85227, Indonesia)

  • Maria Silvia Merry

    (Medicine Faculty, Duta Wacana Christian University, Yogyakarta 55224, Indonesia)

  • Lillian Mwanri

    (Research Centre for Public Health Policy, Torrens University Australia, Adelaide, SA 5000, Australia)

  • Karen Hawke

    (Infectious Disease—Aboriginal Health, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia)

  • Paul Russell Ward

    (Research Centre for Public Health Policy, Torrens University Australia, Adelaide, SA 5000, Australia)

Abstract

Women living with HIV (WLHIV) are vulnerable to various mental health challenges. However, there is a paucity of studies globally and in the Indonesian context that have specifically explored mental health challenges among mothers living with HIV who also have children living with HIV (CLHIV). This qualitative study explored mental health challenges and the associated factors in mothers living with HIV who have CLHIV in Yogyakarta, Indonesia. In-depth interviews were employed to collect data from the participants (N = 23) who were recruited using the snowball sampling technique. A qualitative data analysis framework was used to guide the analysis of the findings. The findings showed that the mothers experienced a range of mental health issues due to their own, and their child’s diagnoses of stress, depression, anxiety, fear, sadness, and guilt. Lack of knowledge about HIV, fear of death, shame, not knowing whom to talk with and what to do after their own HIV diagnosis, and the HIV diagnosis of their children were factors that challenged their mental health. Difficulties in dealing with daily life or social activities of their CLHIV, dilemmas in addressing questions and complaints of their CLHIV about HIV treatment, and concerns about the health condition of their CLHIV and how their children cope with any potential negative social impacts also impacted the mothers’ mental health. Social factors such as unsympathetic expressions from friends towards them and their CLHIV and negatively worded religious-related advice from parents and relatives also contributed to their poor mental health. Our findings indicate the need for intervention programs that support mothers living with HIV and their CLHIV. Future large-scale studies involving mothers living with HIV who have CLHIV in Indonesia and other settings globally are needed to obtain a comprehensive understanding of mental health challenges and the associated factors they face.

Suggested Citation

  • Nelsensius Klau Fauk & Maria Silvia Merry & Lillian Mwanri & Karen Hawke & Paul Russell Ward, 2022. "Mental Health Challenges and the Associated Factors in Women Living with HIV Who Have Children Living with HIV in Indonesia: A Qualitative Study," IJERPH, MDPI, vol. 19(11), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6879-:d:831604
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/11/6879/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/11/6879/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Nelsensius Klau Fauk & Lillian Mwanri & Karen Hawke & Leila Mohammadi & Paul Russell Ward, 2022. "Psychological and Social Impact of HIV on Women Living with HIV and Their Families in Low- and Middle-Income Asian Countries: A Systematic Search and Critical Review," IJERPH, MDPI, vol. 19(11), pages 1-25, May.
    2. Nelsensius Klau Fauk & Karen Hawke & Lillian Mwanri & Paul Russell Ward, 2021. "Stigma and Discrimination towards People Living with HIV in the Context of Families, Communities, and Healthcare Settings: A Qualitative Study in Indonesia," IJERPH, MDPI, vol. 18(10), pages 1-17, May.
    3. Ingrid Eshun-Wilson & Anke Rohwer & Lynn Hendricks & Sandy Oliver & Paul Garner, 2019. "Being HIV positive and staying on antiretroviral therapy in Africa: A qualitative systematic review and theoretical model," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-30, January.
    4. Dionius B. Mahamboro & Nelsensius K. Fauk & Paul R. Ward & Maria S. Merry & Theodorus A. Siri & Lillian Mwanri, 2020. "HIV Stigma and Moral Judgement: Qualitative Exploration of the Experiences of HIV Stigma and Discrimination among Married Men Living with HIV in Yogyakarta," IJERPH, MDPI, vol. 17(2), pages 1-15, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nelsensius Klau Fauk & Lillian Mwanri & Karen Hawke & Leila Mohammadi & Paul Russell Ward, 2022. "Psychological and Social Impact of HIV on Women Living with HIV and Their Families in Low- and Middle-Income Asian Countries: A Systematic Search and Critical Review," IJERPH, MDPI, vol. 19(11), pages 1-25, May.
    2. Nelsensius Klau Fauk & Gregorius Abanit Asa & Caitlan McLean & Paul Russell Ward, 2023. "“I Was Very Shocked, I Wanted It to Be Over”: A Qualitative Exploration of Suicidal Ideation and Attempts among Women Living with HIV in Indonesia," IJERPH, MDPI, vol. 21(1), pages 1-14, December.
    3. Gede Benny Setia Wirawan & Brigitta Dhyah K. Wardhani & Putu Erma Pradnyani & Afriana Nurhalina & Nurjannah Sulaiman & Evi Sukmaningrum & Luh Putu Lila Wulandari & Pande Putu Januraga, 2022. "Behavioral Changes, Adaptation, and Supports among Indonesian Female Sex Workers Facing Dual Risk of COVID-19 and HIV in a Pandemic," IJERPH, MDPI, vol. 19(3), pages 1-14, January.
    4. Nelsensius Klau Fauk & Lillian Mwanri & Hailay Abrha Gesesew & Paul Russell Ward, 2023. "Biographical Reinvention: An Asset-Based Approach to Understanding the World of Men Living with HIV in Indonesia," IJERPH, MDPI, vol. 20(16), pages 1-16, August.
    5. Darawan Thapinta & Kriengkrai Srithanaviboonchai & Penpaktr Uthis & Sunisa Suktrakul & Rangsima Wiwatwongnawa & Arunrat Tangmunkongvorakul & Saranya Wannachaiyakul & Patumrat Sripan, 2022. "Association between Internalized Stigma and Depression among People Living with HIV in Thailand," IJERPH, MDPI, vol. 19(8), pages 1-9, April.
    6. Nelsensius Klau Fauk & Karen Hawke & Lillian Mwanri & Paul Russell Ward, 2021. "Stigma and Discrimination towards People Living with HIV in the Context of Families, Communities, and Healthcare Settings: A Qualitative Study in Indonesia," IJERPH, MDPI, vol. 18(10), pages 1-17, May.
    7. Ali Mirzazadeh & Ingrid Eshun-Wilson & Ryan R Thompson & Atousa Bonyani & James G Kahn & Stefan D Baral & Sheree Schwartz & George Rutherford & Elvin H Geng, 2022. "Interventions to reengage people living with HIV who are lost to follow-up from HIV treatment programs: A systematic review and meta-analysis," PLOS Medicine, Public Library of Science, vol. 19(3), pages 1-26, March.
    8. Mathildah Mokgatle & Sphiwe Madiba, 2023. "Community Perceptions of HIV Stigma, Discriminatory Attitudes, and Disclosure Concerns: A Health Facility-Based Study in Selected Health Districts of South Africa," IJERPH, MDPI, vol. 20(14), pages 1-15, July.
    9. Nelsensius Klau Fauk & Hailay Abrha Gesesew & Alfonsa Liquory Seran & Christopher Raymond & Roheena Tahir & Paul Russell Ward, 2022. "Barriers to Accessing HIV Care Services in Host Low and Middle Income Countries: Views and Experiences of Indonesian Male Ex-Migrant Workers Living with HIV," IJERPH, MDPI, vol. 19(21), pages 1-14, November.
    10. Lazare Manirankunda & Aletha Wallace & Charles Ddungu & Christiana Nöstlinger, 2021. "Stigma Mechanisms and Outcomes among Sub-Saharan African Descendants in Belgium—Contextualizing the HIV Stigma Framework," IJERPH, MDPI, vol. 18(16), pages 1-17, August.
    11. Emmanuel F. Koku, 2024. "The Effect of Stigma and Social Networks on Role Expectations among African Immigrants Living with HIV," IJERPH, MDPI, vol. 21(6), pages 1-16, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6879-:d:831604. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.