tailieunhanh - báo cáo hóa học:" Barriers to accessing highly active antiretroviral therapy by HIV-positive women attending an antenatal clinic in a regional hospital in western Uganda"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : Barriers to accessing highly active antiretroviral therapy by HIV-positive women attending an antenatal clinic in a regional hospital in western Uganda | Duff et al. Journal of the International AIDS Society 2010 13 37 http content 13 1 37 JOURNALOF THE INTERNATIONAL AIDS SOCIETY RESEARCH Open Access Barriers to accessing highly active antiretroviral therapy by HIV-positive women attending an antenatal clinic in a regional hospital in western Uganda Putu Duff1 Walter Kipp1 2 T Cameron Wild1 Tom Rubaale2 Joa Okech-Ojony3 Abstract Background The aim of this study was to describe barriers to accessing and accepting highly active antiretroviral therapy HAART by HIV-positive mothers in the Ugandan Kabarole District s Programme for the Prevention of Mother to Child Transmission-Plus PMTCT-Plus . Methods Our study was a qualitative descriptive exploratory study using thematic analysis. Individual in-depth interviews n 45 were conducted with randomly selected HIV-positive mothers who attended this programme and who a never enrolled in HAART n 17 b enrolled but did not come back to receive HAART n 2 c defaulted interrupted HAART n 14 and d are currently adhering to HAART n 12 . A focus group was also conducted to verify the results from the interviews. Results Results indicated that economic concerns particularly transport costs from residences to the clinics represented the greatest barrier to accessing treatment. In addition HIV-related stigma and non-disclosure of HIV status to clients sexual partners long waiting times at the clinic and suboptimal provider-patient interactions at the hospital emerged as significant barriers. Conclusions These barriers to antiretroviral treatment of pregnant and post-natal women need to be addressed in order to improve HAART uptake and adherence for this group of the population. This would improve their survival and at the same time drastically reduce HIV transmission from mother to child. Background Sub-Saharan Africa has been devastated by the HIV AIDS epidemic having more infections and deaths than any other region globally 1 . Uganda is among those countries in the

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