A study on perception of care and treatment in HIV positive patients at ART centre : Qualitative approach

Abstract

A study on perception of care and treatment in HIV positive patients at ART centre : Qualitative approcah

Background:

HIV-related stigma is a major social problem of people living with HIV/AIDS (PLHA).  It can compromise the effectiveness of HIV programs by undermining early diagnosis and treatment initiation. It is essential to understand the perceptions of HIV about care and treatment in order to work towards a more patient-centred system of care and management.

Aim & Objective:

To explore the perception of care & treatment along with the other life experiences in PLHA.

Methodology:

This is an exploratory study designed through thematic analysis of semi-structured in-depth interviews; of 30 participants, selected purposively; at the ART centre of Nehru hospital, BRD medical college Gorakhpur.

Result:

The findings of this study are classified into the following five themes: 1)Negative reactions to HIV positive results like suicidal ideation, depression & anticipatory anxiety; 2)Social support was  highly valued by PLHA in improving their quality of  life; 3)PLHA experiences various stigma viz. social stigma, self-stigma, health professionals stigma throughout their life; 4)Health staff behaviour was good but they felt the need of better arrangements for their treatment; 5)Refusal by Private Hospitals to treat identified PLHA and referrals to other health centres.

Conclusion:

Awareness campaigns and regular counselling shall be effective for PLHA to overcome the different types of stigma they are dealing with on a routine basis. A better & hustle-free medical infrastructure shall be very beneficial for them. It is necessary to sensitize the private hospitals and their staff to take care & treat the HIV patients in a positive manner.

Keywords: PLHA, Qualitative approach, stigma, perception of care.