dc.contributor.author | O’Laughlin, Kelli N. | |
dc.contributor.author | Greenwald, Kelsy | |
dc.contributor.author | Rahman, Sarah K. | |
dc.contributor.author | Faustin, Zikama M. | |
dc.contributor.author | Ashaba, Scholastic | |
dc.contributor.author | Tsai, Alexander C. | |
dc.contributor.author | Ware, Norma C. | |
dc.contributor.author | Kambugu, Andrew | |
dc.contributor.author | Bassett, Ingrid V. | |
dc.date.accessioned | 2022-01-13T12:33:58Z | |
dc.date.available | 2022-01-13T12:33:58Z | |
dc.date.issued | 2021-12-02 | |
dc.identifier.citation | O’Laughlin, K. N., Greenwald, K., Rahman, S. K., Faustin, Z. M., Ashaba, S., Tsai, A. C., ... & Bassett, I. V. (2021). A Social-Ecological Framework to Understand Barriers to HIV Clinic Attendance in Nakivale Refugee Settlement in Uganda: a Qualitative Study. AIDS and Behavior, 25(6), 1729-1736. | en_US |
dc.identifier.uri | http://ir.must.ac.ug/xmlui/handle/123456789/1155 | |
dc.description.abstract | The social-ecological model proposes that efforts to modify health behaviors are influenced by constraints and facilitators at multiple levels. We conducted semi-structured interviews with 47 clients in HIV care and 8 HIV clinic staff to explore how such constraints and facilitators (individual, social environment, physical environment, and policies) affect engaging in HIV clinical care in Nakivale Refugee Settlement in Uganda. Thematic analysis revealed that participants were motivated to attend the HIV clinic because of the perceived quality of services and the belief that antiretroviral therapy improves health. Barriers to clinic attendance included distance, cost, unemployment, and climate. Those that disclosed their status had help in overcoming barriers to HIV care. Nondisclosure and stigma disrupted community support in overcoming these obstacles. Interventions to facilitate safe disclosure, mobilize social support, and provide more flexible HIV services may help overcome barriers to HIV care in this setting. | en_US |
dc.description.sponsorship | Harvard University Center for AIDS Research (NIH/NIAID 5P30AI060354), the National Institute of Mental Health (K23 MH108440 and R01MH108427), the National Institute of Allergy and Infectious Disease (K24AI141036), the Harvard Global Health Institute, and the Brigham and Women’s Department of Emergency Medicine. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | AIDS and Behavior | en_US |
dc.subject | Refugee | en_US |
dc.subject | HIV | en_US |
dc.subject | Qualitative | en_US |
dc.subject | Linkage | en_US |
dc.title | A Social‑Ecological Framework to Understand Barriers to HIV Clinic Attendance in Nakivale Refugee Settlement in Uganda: a Qualitative Study | en_US |
dc.type | Article | en_US |