Cargando…

Caregivers' Barriers to Disclosing the HIV Diagnosis to Infected Children on Antiretroviral Therapy in a Resource-Limited District in South Africa: A Grounded Theory Study

We used a grounded theory approach to explore how a sample of caregivers of children on antiretroviral treatment (ART) experience HIV disclosure to their infected children. This paper explores caregivers' barriers to disclosing HIV to infected children. Caregivers of children aged 6–13 years wh...

Descripción completa

Detalles Bibliográficos
Autores principales: Madiba, Sphiwe, Mokwena, Kebogile
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3523405/
https://www.ncbi.nlm.nih.gov/pubmed/23304469
http://dx.doi.org/10.1155/2012/402403
_version_ 1782253195937972224
author Madiba, Sphiwe
Mokwena, Kebogile
author_facet Madiba, Sphiwe
Mokwena, Kebogile
author_sort Madiba, Sphiwe
collection PubMed
description We used a grounded theory approach to explore how a sample of caregivers of children on antiretroviral treatment (ART) experience HIV disclosure to their infected children. This paper explores caregivers' barriers to disclosing HIV to infected children. Caregivers of children aged 6–13 years who were receiving ART participated in four focus-group interviews. Three main themes, caregiver readiness to tell, right time to tell, and the context of disclosure, emerged. Disclosure was delayed because caregivers had to first deal with personal fears which influenced their readiness to disclose; disclosure was also delayed because caregivers did not know how to tell. Caregivers lacked disclosure skills because they had not been trained on how to tell their children about their diagnosis, on how to talk to their children about HIV, and on how to deal with a child who reacts negatively to the disclosure. Caregivers feared that the child might tell others about the diagnosis and would be discriminated and socially rejected and that children would live in fear of death and dying. Health care providers have a critical role to play in HIV disclosure to infected children, considering the caregivers' expressed desire to be trained and prepared for the disclosure.
format Online
Article
Text
id pubmed-3523405
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-35234052013-01-09 Caregivers' Barriers to Disclosing the HIV Diagnosis to Infected Children on Antiretroviral Therapy in a Resource-Limited District in South Africa: A Grounded Theory Study Madiba, Sphiwe Mokwena, Kebogile AIDS Res Treat Research Article We used a grounded theory approach to explore how a sample of caregivers of children on antiretroviral treatment (ART) experience HIV disclosure to their infected children. This paper explores caregivers' barriers to disclosing HIV to infected children. Caregivers of children aged 6–13 years who were receiving ART participated in four focus-group interviews. Three main themes, caregiver readiness to tell, right time to tell, and the context of disclosure, emerged. Disclosure was delayed because caregivers had to first deal with personal fears which influenced their readiness to disclose; disclosure was also delayed because caregivers did not know how to tell. Caregivers lacked disclosure skills because they had not been trained on how to tell their children about their diagnosis, on how to talk to their children about HIV, and on how to deal with a child who reacts negatively to the disclosure. Caregivers feared that the child might tell others about the diagnosis and would be discriminated and socially rejected and that children would live in fear of death and dying. Health care providers have a critical role to play in HIV disclosure to infected children, considering the caregivers' expressed desire to be trained and prepared for the disclosure. Hindawi Publishing Corporation 2012 2012-12-10 /pmc/articles/PMC3523405/ /pubmed/23304469 http://dx.doi.org/10.1155/2012/402403 Text en Copyright © 2012 S. Madiba and K. Mokwena. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Madiba, Sphiwe
Mokwena, Kebogile
Caregivers' Barriers to Disclosing the HIV Diagnosis to Infected Children on Antiretroviral Therapy in a Resource-Limited District in South Africa: A Grounded Theory Study
title Caregivers' Barriers to Disclosing the HIV Diagnosis to Infected Children on Antiretroviral Therapy in a Resource-Limited District in South Africa: A Grounded Theory Study
title_full Caregivers' Barriers to Disclosing the HIV Diagnosis to Infected Children on Antiretroviral Therapy in a Resource-Limited District in South Africa: A Grounded Theory Study
title_fullStr Caregivers' Barriers to Disclosing the HIV Diagnosis to Infected Children on Antiretroviral Therapy in a Resource-Limited District in South Africa: A Grounded Theory Study
title_full_unstemmed Caregivers' Barriers to Disclosing the HIV Diagnosis to Infected Children on Antiretroviral Therapy in a Resource-Limited District in South Africa: A Grounded Theory Study
title_short Caregivers' Barriers to Disclosing the HIV Diagnosis to Infected Children on Antiretroviral Therapy in a Resource-Limited District in South Africa: A Grounded Theory Study
title_sort caregivers' barriers to disclosing the hiv diagnosis to infected children on antiretroviral therapy in a resource-limited district in south africa: a grounded theory study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3523405/
https://www.ncbi.nlm.nih.gov/pubmed/23304469
http://dx.doi.org/10.1155/2012/402403
work_keys_str_mv AT madibasphiwe caregiversbarrierstodisclosingthehivdiagnosistoinfectedchildrenonantiretroviraltherapyinaresourcelimiteddistrictinsouthafricaagroundedtheorystudy
AT mokwenakebogile caregiversbarrierstodisclosingthehivdiagnosistoinfectedchildrenonantiretroviraltherapyinaresourcelimiteddistrictinsouthafricaagroundedtheorystudy