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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2018
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.
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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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