SidaGhanaV1, Main, Exploration, bibRecord, 000178

Limited accessibility to HIV services for persons with disabilities living with HIV in Ghana, Uganda and Zambia

Identifieur interne : 000178 ( Main/Exploration ); précédent : 000177; suivant : 000179

Limited accessibility to HIV services for persons with disabilities living with HIV in Ghana, Uganda and Zambia

Auteurs : Waimar Tun [États-Unis] ; Jerry Okal [Kenya] ; Katie Schenk [États-Unis] ; Selina Esantsi [Ghana] ; Felix Mutale [Zambie] ; Rita Kusi Kyeremaa [Ghana] ; Edson Ngirabakunzi [Ouganda] ; Hilary Asiah [Ghana] ; Charlotte Mcclain-Nhlapo [États-Unis] ; Grimond Moono [Zambie]

Source :

Journal of the International AIDS Society [ 1758-2652 ] ; 2016.

RBID : PMC:4956734

Abstract

Introduction

Knowledge about experiences in accessing HIV services among persons with disabilities who are living with HIV in sub-Saharan Africa is limited. Although HIV transmission among persons with disabilities in Africa is increasingly acknowledged, there is a need to bring to life the experiences and voices from persons with disabilities living with HIV to raise awareness of programme implementers and policy makers about their barriers in accessing HIV services. This paper explores how the barriers faced by persons with disabilities living with HIV impede their ability to access HIV-related services and manage their disease.

Methods

We conducted focus group discussions with 76 persons (41 females; 35 males) with physical, visual and/or hearing impairments who were living with HIV in Ghana, Uganda and Zambia (2012–2013). We explored challenges and facilitators at different levels (individual, psychosocial and structural) of access to HIV services. Transcripts were analyzed using a framework analysis approach.

Results

Persons with disabilities living with HIV encountered a wide variety of challenges in accessing HIV services. Delays in testing for HIV were common, with most waiting until they were sick to be tested. Reasons for delayed testing included challenges in getting to the health facilities, lack of information about HIV and testing, and HIV- and disability-related stigma. Barriers to HIV-related services, including care and treatment, at health facilities included lack of disability-friendly educational materials and sign interpreters, stigmatizing treatment by providers and other patients, lack of skills to provide tailored services to persons with disabilities living with HIV and physically inaccessible infrastructure, all of which make it extremely difficult for persons with disabilities to initiate and adhere to HIV treatment. Accessibility challenges were greater for women than men due to gender-related roles. Challenges were similar across the three countries. Favourable experiences in accessing HIV services were reported in Uganda and Zambia, where disability-tailored services were offered by non-governmental organizations and government facilities (Uganda only).

Conclusions

Persons with disabilities living with HIV encounter many challenges in accessing HIV testing and continued care and treatment services. Changes are needed at every level to ensure accessibility of HIV services for persons with disabilities.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956734

DOI: 10.7448/IAS.19.5.20829
PubMed: 27443266
PubMed Central: 4956734

Affiliations:

Ghana, Kenya, Ouganda, Zambie, États-Unis
District de Columbia, Région du Grand Accra, Virginie
Accra

Le document en format XML

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<front><div type="abstract" xml:lang="en"><sec id="st1"><title>Introduction</title>
<p>Knowledge about experiences in accessing HIV services among persons with disabilities who are living with HIV in sub-Saharan Africa is limited. Although HIV transmission among persons with disabilities in Africa is increasingly acknowledged, there is a need to bring to life the experiences and voices from persons with disabilities living with HIV to raise awareness of programme implementers and policy makers about their barriers in accessing HIV services. This paper explores how the barriers faced by persons with disabilities living with HIV impede their ability to access HIV-related services and manage their disease.</p>
</sec>
<sec id="st2"><title>Methods</title>
<p>We conducted focus group discussions with 76 persons (41 females; 35 males) with physical, visual and/or hearing impairments who were living with HIV in Ghana, Uganda and Zambia (2012–2013). We explored challenges and facilitators at different levels (individual, psychosocial and structural) of access to HIV services. Transcripts were analyzed using a framework analysis approach.</p>
</sec>
<sec id="st3"><title>Results</title>
<p>Persons with disabilities living with HIV encountered a wide variety of challenges in accessing HIV services. Delays in testing for HIV were common, with most waiting until they were sick to be tested. Reasons for delayed testing included challenges in getting to the health facilities, lack of information about HIV and testing, and HIV- and disability-related stigma. Barriers to HIV-related services, including care and treatment, at health facilities included lack of disability-friendly educational materials and sign interpreters, stigmatizing treatment by providers and other patients, lack of skills to provide tailored services to persons with disabilities living with HIV and physically inaccessible infrastructure, all of which make it extremely difficult for persons with disabilities to initiate and adhere to HIV treatment. Accessibility challenges were greater for women than men due to gender-related roles. Challenges were similar across the three countries. Favourable experiences in accessing HIV services were reported in Uganda and Zambia, where disability-tailored services were offered by non-governmental organizations and government facilities (Uganda only).</p>
</sec>
<sec id="st4"><title>Conclusions</title>
<p>Persons with disabilities living with HIV encounter many challenges in accessing HIV testing and continued care and treatment services. Changes are needed at every level to ensure accessibility of HIV services for persons with disabilities.</p>
</sec>
</div>
</front>
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<author><name sortKey="Strode, A" uniqKey="Strode A">A Strode</name>
</author>
<author><name sortKey="Grant, C" uniqKey="Grant C">C Grant</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Corbin, J" uniqKey="Corbin J">J Corbin</name>
</author>
<author><name sortKey="Strauss, A" uniqKey="Strauss A">A Strauss</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Green, J" uniqKey="Green J">J Green</name>
</author>
<author><name sortKey="Thorogood, N" uniqKey="Thorogood N">N Thorogood</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Richie, J" uniqKey="Richie J">J Richie</name>
</author>
<author><name sortKey="Spencer, L" uniqKey="Spencer L">L Spencer</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Schenk, K" uniqKey="Schenk K">K Schenk</name>
</author>
<author><name sortKey="Tun, W" uniqKey="Tun W">W Tun</name>
</author>
<author><name sortKey="Sheehy, M" uniqKey="Sheehy M">M Sheehy</name>
</author>
<author><name sortKey="Okal, J" uniqKey="Okal J">J Okal</name>
</author>
<author><name sortKey="Kuffour, E" uniqKey="Kuffour E">E Kuffour</name>
</author>
<author><name sortKey="Moono, G" uniqKey="Moono G">G Moono</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Merrick, J" uniqKey="Merrick J">J Merrick</name>
</author>
<author><name sortKey="Talnir, R" uniqKey="Talnir R">R Talnir</name>
</author>
<author><name sortKey="Gross, S" uniqKey="Gross S">S Gross</name>
</author>
<author><name sortKey="Chemtob, D" uniqKey="Chemtob D">D Chemtob</name>
</author>
<author><name sortKey="Aspler, S" uniqKey="Aspler S">S Aspler</name>
</author>
<author><name sortKey="Kandel, I" uniqKey="Kandel I">I Kandel</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<affiliations><list><country><li>Ghana</li>
<li>Kenya</li>
<li>Ouganda</li>
<li>Zambie</li>
<li>États-Unis</li>
</country>
<region><li>District de Columbia</li>
<li>Région du Grand Accra</li>
<li>Virginie</li>
</region>
<settlement><li>Accra</li>
</settlement>
</list>
<tree><country name="États-Unis"><region name="District de Columbia"><name sortKey="Tun, Waimar" sort="Tun, Waimar" uniqKey="Tun W" first="Waimar" last="Tun">Waimar Tun</name>
</region>
<name sortKey="Mcclain Nhlapo, Charlotte" sort="Mcclain Nhlapo, Charlotte" uniqKey="Mcclain Nhlapo C" first="Charlotte" last="Mcclain-Nhlapo">Charlotte Mcclain-Nhlapo</name>
<name sortKey="Schenk, Katie" sort="Schenk, Katie" uniqKey="Schenk K" first="Katie" last="Schenk">Katie Schenk</name>
</country>
<country name="Kenya"><noRegion><name sortKey="Okal, Jerry" sort="Okal, Jerry" uniqKey="Okal J" first="Jerry" last="Okal">Jerry Okal</name>
</noRegion>
</country>
<country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Esantsi, Selina" sort="Esantsi, Selina" uniqKey="Esantsi S" first="Selina" last="Esantsi">Selina Esantsi</name>
</region>
<name sortKey="Asiah, Hilary" sort="Asiah, Hilary" uniqKey="Asiah H" first="Hilary" last="Asiah">Hilary Asiah</name>
<name sortKey="Kyeremaa, Rita Kusi" sort="Kyeremaa, Rita Kusi" uniqKey="Kyeremaa R" first="Rita Kusi" last="Kyeremaa">Rita Kusi Kyeremaa</name>
</country>
<country name="Zambie"><noRegion><name sortKey="Mutale, Felix" sort="Mutale, Felix" uniqKey="Mutale F" first="Felix" last="Mutale">Felix Mutale</name>
</noRegion>
<name sortKey="Moono, Grimond" sort="Moono, Grimond" uniqKey="Moono G" first="Grimond" last="Moono">Grimond Moono</name>
</country>
<country name="Ouganda"><noRegion><name sortKey="Ngirabakunzi, Edson" sort="Ngirabakunzi, Edson" uniqKey="Ngirabakunzi E" first="Edson" last="Ngirabakunzi">Edson Ngirabakunzi</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

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HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000178 | SxmlIndent | more

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{{Explor lien
   |wiki=    Wicri/Sante
   |area=    SidaGhanaV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     PMC:4956734
   |texte=   Limited accessibility to HIV services for persons with disabilities living with HIV in Ghana, Uganda and Zambia
}}

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       | NlmPubMed2Wicri -a SidaGhanaV1

This area was generated with Dilib version V0.6.31.
Data generation: Tue Nov 7 18:07:38 2017. Site generation: Tue Mar 5 15:01:57 2024

Le SIDA au Ghana (serveur d'exploration)

Limited accessibility to HIV services for persons with disabilities living with HIV in Ghana, Uganda and Zambia

Limited accessibility to HIV services for persons with disabilities living with HIV in Ghana, Uganda and Zambia

Source :

Abstract

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Le document en format XML

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	Le SIDA au Ghana (serveur d'exploration)
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.