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Barriers to HIV service utilisation by people living with HIV in two provinces of Zimbabwe: Results from 2016 baseline assessment
BACKGROUND: The emergence of antiretroviral therapy (ART) transformed HIV from a terminal illness to a chronic disease. However, limited access to health services remains one of many barriers to HIV service utilisation by people living with HIV (PLHIV) in low-resource settings. The goal of this stud...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AOSIS
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6131723/ https://www.ncbi.nlm.nih.gov/pubmed/30214827 http://dx.doi.org/10.4102/hivmed.v19i1.721 |
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author | Tafuma, Taurayi A. Mahachi, Nyikadzino Dziwa, Chengetai Moga, Tafara Baloyi, Paul Muyambo, Gladys Muchedzi, Auxilia Chimbidzikai, Tinashe Ncube, Getrude Murungu, Joseph Nyagura, Tendai Lew, Katherine |
author_facet | Tafuma, Taurayi A. Mahachi, Nyikadzino Dziwa, Chengetai Moga, Tafara Baloyi, Paul Muyambo, Gladys Muchedzi, Auxilia Chimbidzikai, Tinashe Ncube, Getrude Murungu, Joseph Nyagura, Tendai Lew, Katherine |
author_sort | Tafuma, Taurayi A. |
collection | PubMed |
description | BACKGROUND: The emergence of antiretroviral therapy (ART) transformed HIV from a terminal illness to a chronic disease. However, limited access to health services remains one of many barriers to HIV service utilisation by people living with HIV (PLHIV) in low-resource settings. The goal of this study was to describe the barriers to HIV service utilisation in two provinces of Zimbabwe. METHODS: A qualitative descriptive study was conducted with PLHIV and village health workers (VHW) in eight districts within the two provinces. Convenience sampling was used to select the participants. This sampling was limited to communities supported by health facilities with more than 500 PLHIV enrolled into HIV care and treatment. Interviews were audio-recorded and transcripts were subjected to thematic content analysis. RESULTS: A total of 22 community focus group discussions (FGDs) were conducted. Barriers to using HIV services cited in PLHIV and VHW FGDs were similar. These were categorised as health system-related barriers, which include user fees, long waiting times, lack of confidentiality and negative attitudes by healthcare providers, and lack of consistent community-based HIV services. Community-related barriers cited were stigma and discrimination, food insecurity, distance to facilities and counterproductive messaging from religious sectors. Client-related factors reported were inadequate male involvement in HIV-related activities and defaulting after symptoms improved. CONCLUSION: Our assessment has indicated that there are several barriers to the utilisation of HIV services by PLHIV in the two provinces of Zimbabwe. As new strategies and programmes are being introduced in the current resource-constrained era, efforts should be made to understand the needs of the clients. If programmes are designed with an effort to address some of these challenges, there is a possibility that countries will quickly achieve the 90-90-90 targets set by The Joint United Nations Programme on HIV/AIDS. |
format | Online Article Text |
id | pubmed-6131723 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | AOSIS |
record_format | MEDLINE/PubMed |
spelling | pubmed-61317232018-09-13 Barriers to HIV service utilisation by people living with HIV in two provinces of Zimbabwe: Results from 2016 baseline assessment Tafuma, Taurayi A. Mahachi, Nyikadzino Dziwa, Chengetai Moga, Tafara Baloyi, Paul Muyambo, Gladys Muchedzi, Auxilia Chimbidzikai, Tinashe Ncube, Getrude Murungu, Joseph Nyagura, Tendai Lew, Katherine South Afr J HIV Med Original Research BACKGROUND: The emergence of antiretroviral therapy (ART) transformed HIV from a terminal illness to a chronic disease. However, limited access to health services remains one of many barriers to HIV service utilisation by people living with HIV (PLHIV) in low-resource settings. The goal of this study was to describe the barriers to HIV service utilisation in two provinces of Zimbabwe. METHODS: A qualitative descriptive study was conducted with PLHIV and village health workers (VHW) in eight districts within the two provinces. Convenience sampling was used to select the participants. This sampling was limited to communities supported by health facilities with more than 500 PLHIV enrolled into HIV care and treatment. Interviews were audio-recorded and transcripts were subjected to thematic content analysis. RESULTS: A total of 22 community focus group discussions (FGDs) were conducted. Barriers to using HIV services cited in PLHIV and VHW FGDs were similar. These were categorised as health system-related barriers, which include user fees, long waiting times, lack of confidentiality and negative attitudes by healthcare providers, and lack of consistent community-based HIV services. Community-related barriers cited were stigma and discrimination, food insecurity, distance to facilities and counterproductive messaging from religious sectors. Client-related factors reported were inadequate male involvement in HIV-related activities and defaulting after symptoms improved. CONCLUSION: Our assessment has indicated that there are several barriers to the utilisation of HIV services by PLHIV in the two provinces of Zimbabwe. As new strategies and programmes are being introduced in the current resource-constrained era, efforts should be made to understand the needs of the clients. If programmes are designed with an effort to address some of these challenges, there is a possibility that countries will quickly achieve the 90-90-90 targets set by The Joint United Nations Programme on HIV/AIDS. AOSIS 2018-08-09 /pmc/articles/PMC6131723/ /pubmed/30214827 http://dx.doi.org/10.4102/hivmed.v19i1.721 Text en © 2018. The Authors https://creativecommons.org/licenses/by/4.0/ Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. |
spellingShingle | Original Research Tafuma, Taurayi A. Mahachi, Nyikadzino Dziwa, Chengetai Moga, Tafara Baloyi, Paul Muyambo, Gladys Muchedzi, Auxilia Chimbidzikai, Tinashe Ncube, Getrude Murungu, Joseph Nyagura, Tendai Lew, Katherine Barriers to HIV service utilisation by people living with HIV in two provinces of Zimbabwe: Results from 2016 baseline assessment |
title | Barriers to HIV service utilisation by people living with HIV in two provinces of Zimbabwe: Results from 2016 baseline assessment |
title_full | Barriers to HIV service utilisation by people living with HIV in two provinces of Zimbabwe: Results from 2016 baseline assessment |
title_fullStr | Barriers to HIV service utilisation by people living with HIV in two provinces of Zimbabwe: Results from 2016 baseline assessment |
title_full_unstemmed | Barriers to HIV service utilisation by people living with HIV in two provinces of Zimbabwe: Results from 2016 baseline assessment |
title_short | Barriers to HIV service utilisation by people living with HIV in two provinces of Zimbabwe: Results from 2016 baseline assessment |
title_sort | barriers to hiv service utilisation by people living with hiv in two provinces of zimbabwe: results from 2016 baseline assessment |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6131723/ https://www.ncbi.nlm.nih.gov/pubmed/30214827 http://dx.doi.org/10.4102/hivmed.v19i1.721 |
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