Reasons for unsatisfactory acceptance of antiretroviral treatment in the urban Kibera slum, Kenya
Bibliographic Data
| ID | 19439204 |
|---|---|
| Authors | Christian Unge (Karolinska Institutet, corresponding author), Annika Johansson (0000-0001-6301-1071, Karolinska Institutet), Rony Zachariah (0000-0002-2915-9328, Médecins Sans Frontières), Der Adolphe Somé (Vétérinaires Sans Frontières Suisse), D Some (c Médecins sans Frontières , Nairobi , Kenya), Ian Van Engelgem (Vétérinaires Sans Frontières Suisse), Anna Mia Ekström (0000-0002-3912-1171, Karolinska Institutet) |
| Year | 2008 |
| Volume | 20 |
| Issue | 2 |
| Pages | 146-149 |
| Publication date | 2008-02-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540120701513677 |
| PMID | 18293122 |
| OpenAlex | W2054320847 |
| Language | EN |
| Citations received | 20 |
| References cited | 12 |
The aim of this study was to explore why patients in the urban Kibera slum, Nairobi, Kenya, offered free antiretroviral treatment (ART) at the Médecins Sans Frontièrs (MSF) clinic, choose not to be treated despite signs of AIDS. Qualitative semi-structured interviews were conducted with 26 patients, 9 men and 17 women. Six main reasons emerged for not accepting ART: a) fear of taking medication on an empty stomach due to lack of food; b) fear that side-effects associated with ART would make one more ill; c) fear of disclosure and its possible negative repercussions; d) concern for continuity of treatment and care; e) conflicting information from religious leaders and community, and seeking alternative care (e.g. traditional medicine); f) illiteracy making patients unable to understand the information given by health workers
Environmental health · Family medicine · Functional illiteracy · Political science · Population · Qualitative research · Slum · Social science · Sociology · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology
Risk factors, barriers and facilitators for linkage to antiretroviral therapy care
Food insecurity and HIV/Aids
‘Know that You are not Alone.’ Influences of Social Support on Youth Newly Diagnosed with HIV in Kibera, Kenya
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“When we are together I feel at home.” Types and sources of social support among youth newly diagnosed with HIV in Kenya
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Community-Based Accompaniment and the Impact of Distance for HIV Patients Newly Initiated on Antiretroviral Therapy
Community-Based Accompaniment and Psychosocial Health Outcomes in HIV-Infected Adults in Rwanda
Readiness for Antiretroviral Therapy
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The Influence of Medication Attitudes on Utilization of Antiretroviral Therapy (ART) in Indonesian Prisons
Understanding Treatment Refusal Among Adults Presenting for HIV-Testing in Soweto, South Africa
Maternal Health Care Utilization Among HIV-Positive Female Adolescents in Kenya
"I washed and fed my mother before going to school"
Delayed initiation of antiretroviral therapy among HIV-discordant couples in Kenya
Why do people living with HIV not initiate treatment? A systematic review of qualitative evidence from low- and middle-income countries
Health and welfare effects of integrating Aids treatment with food assistance in resource constrained settings
| Unique citing works | 20 |
|---|---|
| Citations per year | 1,18 |
| Citation span | 2009 - 2019 (11) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 20 |