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dc.contributor.authorUnge, C
dc.contributor.authorJohansson, A
dc.contributor.authorZachariah, R
dc.contributor.authorSome, D
dc.contributor.authorVan Engelgem, I
dc.contributor.authorEkstrom, A M
dc.date.accessioned2008-05-13T13:07:52Z
dc.date.available2008-05-13T13:07:52Z
dc.date.issued2008-02
dc.identifier.citationReasons for unsatisfactory acceptance of antiretroviral treatment in the urban Kibera slum, Kenya. 2008, 20 (2):146-9notAIDS Careen
dc.identifier.issn0954-0121
dc.identifier.pmid18293122
dc.identifier.doi10.1080/09540120701513677
dc.identifier.urihttp://hdl.handle.net/10144/25772
dc.descriptionTo access this article, click on "Additional Links" and follow the publisher's instructions for a free version.
dc.descriptionTo Access this article, click on "Additional Links".en
dc.description.abstractThe 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.
dc.language.isoenen
dc.publisherTaylor & Francisen
dc.relation.urlhttp://www.informaworld.com/openurl?genre=article&issn=0954-0121&volume=20&issue=2&spage=146en
dc.rightsFree access to this article was provided by kind permission of Taylor & Francisen
dc.titleReasons for unsatisfactory acceptance of antiretroviral treatment in the urban Kibera slum, Kenya.en
dc.contributor.departmentDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. christianunge@gmail.comen
dc.identifier.journalAIDS Careen
html.description.abstractThe 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.


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