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dc.contributor.authorAtuyambe, Lynn
dc.contributor.authorNeema, Stella
dc.contributor.authorOtolok-Tanga, Erasmus
dc.contributor.authorWamuyu-Maina, Gakenia
dc.contributor.authorKasasa, Simon
dc.contributor.authorWabwire-Mangen, Fred
dc.date.accessioned2013-07-05T06:35:21Z
dc.date.available2013-07-05T06:35:21Z
dc.date.issued2008
dc.identifier.citationAtuyambe, L., Neema, S., Otolok-Tanga, E., Wamuyu-Maina, G., Kasasa, S., Wabwire-Mangen, F. (2008). The effects of enhanced access to antiretroviral therapy: a qualitative study of community perceptions in Kampala City, Uganda. African Health Sciences, 8(1)en_US
dc.identifier.issn1680-6905
dc.identifier.urihttp://hdl.handle.net/10570/1623
dc.description.abstractIntroduction: Since 2001, Antiretroviral Therapy (ART) has been integrated as part of the Uganda National Program for Comprehensive HIV/AIDS Care and Support. If patients take Antiretroviral drugs (ARVs) as prescribed, quality of life is expected to improve and patients become healthier. It is, however, postulated that scale up of ARVs could erode the previous achievement in behaviour change interventions. This study examined community perceptions and beliefs on whether enhanced access to ARVs increases risk behaviour. It also examined people’s fears regarding HIV/AIDS infection and the use of ARVs. Methods: This was a qualitative study that utilized Focus Group Discussions (FGDs) and Key Informant (KI) interviews. Participants were purposefully sampled. Twenty FGDs comprising of 190 participants and 12 KI interviews were conducted. FGDs were conducted with adult men and women (above 25 years), and youth (male and female) while KI interviews were held with Kampala City Council officials, Kawempe Division Local Council officials, health workers and religious leaders. All data was tape recorded with consent from participants and transcribed thereafter. Typed data was analyzed manually using qualitative latent content analysis technique. Results: Most participants felt that enhanced access to ART would increase risky sexual behaviour; namely promiscuity, lack of faithfulness among couples, multiple partners, prostitution, unprotected sexual practices, rape and lack of abstinence as the risky sexual behaviours. A few FGDs, however, indicated that increased ART access and counselling that HIV-positive people receive promoted positive health behaviour. Some of the participants expressed fears that the increased use of ARVs would promote HIV transmission because it would be difficult to differentiate between HIV-positive and HIV-negative persons since they all looked healthy. Furthermore, respondents expressed uncertainty about ARVs with regard to adherence, sustainable supply, and capacity to ensure quality of ARVs on the market. Conclusions: There are fears and misconceptions that enhanced access to ART will increase risky sexual behaviour and HIV transmission. Information Education and Communication (IEC) on ART use and availability should be enhanced among all people. Prevention programs which are modified and specific to the needs of the people living with HIV should be developed and implemented, and should include information on the ability of individuals to transmit HIV even when they are on ART.en_US
dc.language.isoenen_US
dc.publisherMakerere University Medical Schoolen_US
dc.subjectAntiretroviral Therapy (ART)en_US
dc.subjectUgandaen_US
dc.subjectARVsen_US
dc.subjectEnhanced accessen_US
dc.subjectPerceptionsen_US
dc.titleThe effects of enhanced access to antiretroviral therapy: a qualitative study of community perceptions in Kampala city, Ugandaen_US
dc.typeJournal article, peer revieweden_US


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