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Living with HIV, disclosure patterns and partnerships a decade after the introduction of HIV programmes in rural South Africa

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dc.date.accessioned 2016-02-18 en
dc.date.accessioned 2020-02-19T16:20:47Z
dc.date.available 2020-02-19T16:20:47Z
dc.date.issued 2016-02-18 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/1611
dc.description.abstract Prevention of mother-to-child Transmission and HIV Treatment programmes were scaled-up in resource-constrained settings over a decade ago, but there is still much to be understood about women's experiences of living with HIV and their HIV disclosure patterns. This qualitative study explored women's experiences of living with HIV, 6-10 years after being diagnosed during pregnancy. The area has high HIV prevalence, and an established HIV treatment programme. Participants were enrolled in a larger intervention, Amagugu, that supported women (n = 281) to disclose their HIV status to their children. Post-intervention we conducted individual in-depth interviews with 20 randomly selected women, stratified by clinic catchment area, from the total sample. Interviews were entered into ATLAS.ti computer software for coding. Most women were living with their current sexual partner and half were still in a relationship with the child's biological father. Household exposure to HIV was high with the majority of women knowing at least one other HIV-infected adult in their household. Eighteen women had disclosed their HIV status to another person; nine had disclosed to their current partner first. Two main themes were identified in the analyses: living with HIV and the normalisation of HIV treatment at a family level; and the complexity of love relationships, in particular in long-term partnerships. A decade on, most women were living positively with HIV, accessing care, and reported experiencing little stigma. However, as HIV became normalised new challenges arose including concerns about access to quality care, and the need for family-centred care. Women's sexual choices and relationships were intertwined with feelings of love, loyalty and trust and the important supportive role played by partners and families was acknowledged, however, some aspects of living with HIV presented challenges including continuing to practise safe sex several years after HIV diagnosis. en
dc.format.medium Print en
dc.publisher Routledge en
dc.subject FAMILY INFLUENCE en
dc.subject HIV/AIDS en
dc.subject STIGMATISATION en
dc.subject FAMILY PARTICIPATION en
dc.subject RURAL COMMUNITIES en
dc.title Living with HIV, disclosure patterns and partnerships a decade after the introduction of HIV programmes in rural South Africa en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 27(S1) en
dc.BudgetYear 2015/16 en
dc.ResearchGroup Human and Social Development en
dc.SourceTitle AIDS Care en
dc.PlaceOfPublication Abingdon, United Kingdom en
dc.ArchiveNumber 9031 en
dc.PageNumber 65-72 en
dc.outputnumber 7826 en
dc.bibliographictitle Mkwanazi, N.B., Rochat, T.J. & Bland, R.M. (2015) Living with HIV, disclosure patterns and partnerships a decade after the introduction of HIV programmes in rural South Africa. <i>AIDS Care</i>. 27(S1):65-72. en
dc.publicationyear 2015 en
dc.contributor.author1 Mkwanazi, N.B. en
dc.contributor.author2 Rochat, T.J. en
dc.contributor.author3 Bland, R.M. en


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