Reasons for unsatisfactory acceptance of antiretroviral treatment in the urban Kibera slum, Kenya.
Affiliation
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. christianunge@gmail.comIssue Date
2008-02
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Show full item recordJournal
AIDS CareAbstract
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.Publisher
Taylor & FrancisPubMed ID
18293122Additional Links
http://www.informaworld.com/openurl?genre=article&issn=0954-0121&volume=20&issue=2&spage=146Language
enDescription
To access this article, click on "Additional Links" and follow the publisher's instructions for a free version.To Access this article, click on "Additional Links".
ISSN
0954-0121ae974a485f413a2113503eed53cd6c53
10.1080/09540120701513677
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