"Treatment is not yet necessary": delays in seeking access to HIV treatment in Uganda and Zimbabwe

Bernadette Ann-Marie O'Hare; REALITY Trial Team

doi:10.2989/16085906.2018.1490785

"Treatment is not yet necessary": delays in seeking access to HIV treatment in Uganda and Zimbabwe

Bernadette Ann-Marie O'Hare, REALITY Trial Team

Research output: Contribution to journal › Article › peer-review

Abstract

We examined the logic that individuals use to account for delaying HIV testing and/or initiating HIV treatment. Our qualitative study, situated within the REALITY trial (Reduction of EArly mortaLITY in HIV infected adults and children starting antiretroviral therapy), was conducted in Uganda and Zimbabwe in 2015. Forty-eight participants (different age groups, sex and viral load/WHO disease stage) were included. Each participant had 2 interviews (1 after 4 weeks of participation in the trial the other after 12 weeks). If a person could manage presenting symptoms, they felt they had "more time" before starting antiretroviral therapy (ART). Their reluctance to have an HIV test (despite deteriorating health) arose from a belief that they were not "sick", that treatment was "not yet necessary". People in our study did not consider themselves as presenting "late", and treatment was not considered urgent as long as they considered their health to be "good enough".

Original language	English
Pages (from-to)	217-225
Number of pages	9
Journal	African Journal of AIDS Research
Volume	17
Issue number	3
Early online date	22 Aug 2018
DOIs	https://doi.org/10.2989/16085906.2018.1490785
Publication status	Published - Sept 2018

Keywords

Adolescent
Adult
Anti-Retroviral Agents/therapeutic use
Child
Data Collection
Delayed Diagnosis/psychology
Female
HIV
HIV Infections/diagnosis
Humans
Male
Mass Screening
Middle Aged
Qualitative Research
Time-to-Treatment/statistics & numerical data
Uganda
Viral Load
Young Adult
Zimbabwe

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.2989/16085906.2018.1490785

Cite this

@article{bd7e10340bfa430188e3618744ff11ff,

title = "{"}Treatment is not yet necessary{"}: delays in seeking access to HIV treatment in Uganda and Zimbabwe",

abstract = "We examined the logic that individuals use to account for delaying HIV testing and/or initiating HIV treatment. Our qualitative study, situated within the REALITY trial (Reduction of EArly mortaLITY in HIV infected adults and children starting antiretroviral therapy), was conducted in Uganda and Zimbabwe in 2015. Forty-eight participants (different age groups, sex and viral load/WHO disease stage) were included. Each participant had 2 interviews (1 after 4 weeks of participation in the trial the other after 12 weeks). If a person could manage presenting symptoms, they felt they had {"}more time{"} before starting antiretroviral therapy (ART). Their reluctance to have an HIV test (despite deteriorating health) arose from a belief that they were not {"}sick{"}, that treatment was {"}not yet necessary{"}. People in our study did not consider themselves as presenting {"}late{"}, and treatment was not considered urgent as long as they considered their health to be {"}good enough{"}.",

keywords = "Adolescent, Adult, Anti-Retroviral Agents/therapeutic use, Child, Data Collection, Delayed Diagnosis/psychology, Female, HIV, HIV Infections/diagnosis, Humans, Male, Mass Screening, Middle Aged, Qualitative Research, Time-to-Treatment/statistics & numerical data, Uganda, Viral Load, Young Adult, Zimbabwe",

author = "Rachel Kawuma and Janet Seeley and Zivai Mupambireyi and Frances Cowan and Sarah Bernays and O'Hare, {Bernadette Ann-Marie} and {REALITY Trial Team}",

note = "Funding: This work was supported by the Joint Global Health Trials Scheme of the Medical Research Council (MRC), the UK Department for International Development (DFID) and the Wellcome Trust through a grant (G1100693), with additional support from the PENTA Foundation. ",

year = "2018",

month = sep,

doi = "10.2989/16085906.2018.1490785",

language = "English",

volume = "17",

pages = "217--225",

journal = "African Journal of AIDS Research",

issn = "1608-5906",

publisher = "Taylor & Francis",

number = "3",

}

TY - JOUR

T1 - "Treatment is not yet necessary"

T2 - delays in seeking access to HIV treatment in Uganda and Zimbabwe

AU - Kawuma, Rachel

AU - Seeley, Janet

AU - Mupambireyi, Zivai

AU - Cowan, Frances

AU - Bernays, Sarah

AU - O'Hare, Bernadette Ann-Marie

AU - REALITY Trial Team

N1 - Funding: This work was supported by the Joint Global Health Trials Scheme of the Medical Research Council (MRC), the UK Department for International Development (DFID) and the Wellcome Trust through a grant (G1100693), with additional support from the PENTA Foundation.

PY - 2018/9

Y1 - 2018/9

N2 - We examined the logic that individuals use to account for delaying HIV testing and/or initiating HIV treatment. Our qualitative study, situated within the REALITY trial (Reduction of EArly mortaLITY in HIV infected adults and children starting antiretroviral therapy), was conducted in Uganda and Zimbabwe in 2015. Forty-eight participants (different age groups, sex and viral load/WHO disease stage) were included. Each participant had 2 interviews (1 after 4 weeks of participation in the trial the other after 12 weeks). If a person could manage presenting symptoms, they felt they had "more time" before starting antiretroviral therapy (ART). Their reluctance to have an HIV test (despite deteriorating health) arose from a belief that they were not "sick", that treatment was "not yet necessary". People in our study did not consider themselves as presenting "late", and treatment was not considered urgent as long as they considered their health to be "good enough".

AB - We examined the logic that individuals use to account for delaying HIV testing and/or initiating HIV treatment. Our qualitative study, situated within the REALITY trial (Reduction of EArly mortaLITY in HIV infected adults and children starting antiretroviral therapy), was conducted in Uganda and Zimbabwe in 2015. Forty-eight participants (different age groups, sex and viral load/WHO disease stage) were included. Each participant had 2 interviews (1 after 4 weeks of participation in the trial the other after 12 weeks). If a person could manage presenting symptoms, they felt they had "more time" before starting antiretroviral therapy (ART). Their reluctance to have an HIV test (despite deteriorating health) arose from a belief that they were not "sick", that treatment was "not yet necessary". People in our study did not consider themselves as presenting "late", and treatment was not considered urgent as long as they considered their health to be "good enough".

KW - Adolescent

KW - Adult

KW - Anti-Retroviral Agents/therapeutic use

KW - Child

KW - Data Collection

KW - Delayed Diagnosis/psychology

KW - Female

KW - HIV

KW - HIV Infections/diagnosis

KW - Humans

KW - Male

KW - Mass Screening

KW - Middle Aged

KW - Qualitative Research

KW - Time-to-Treatment/statistics & numerical data

KW - Uganda

KW - Viral Load

KW - Young Adult

KW - Zimbabwe

U2 - 10.2989/16085906.2018.1490785

DO - 10.2989/16085906.2018.1490785

M3 - Article

C2 - 30132397

SN - 1608-5906

VL - 17

SP - 217

EP - 225

JO - African Journal of AIDS Research

JF - African Journal of AIDS Research

IS - 3

ER -

"Treatment is not yet necessary": delays in seeking access to HIV treatment in Uganda and Zimbabwe

Abstract

Keywords

UN SDGs

Access to Document

Fingerprint

Cite this