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    Mar 03, 2021
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    Reasons for unsatisfactory acceptance of antiretroviral treatment in the urban Kibera slum, Kenya.

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    Authors
    Unge, C
    Johansson, A
    Zachariah, R
    Some, D
    Van Engelgem, I
    Ekstrom, A M
    Affiliation
    Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. christianunge@gmail.com
    Issue Date
    2008-02
    
    Metadata
    Show full item record
    Journal
    AIDS Care
    Abstract
    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 & Francis
    URI
    http://hdl.handle.net/10144/25772
    DOI
    10.1080/09540120701513677
    PubMed ID
    18293122
    Additional Links
    http://www.informaworld.com/openurl?genre=article&issn=0954-0121&volume=20&issue=2&spage=146
    Language
    en
    Description
    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
    0954-0121
    ae974a485f413a2113503eed53cd6c53
    10.1080/09540120701513677
    Scopus Count
    Collections
    HIV/AIDS

    entitlement

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