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dc.contributor.authorHorter, S
dc.contributor.authorSeeley, J
dc.contributor.authorBernays, S
dc.contributor.authorKerschberger, B
dc.contributor.authorLukhele, N
dc.contributor.authorWringe, A
dc.date.accessioned2020-07-11T23:19:26Z
dc.date.available2020-07-11T23:19:26Z
dc.date.issued2020-02-20
dc.date.submitted2020-07-05
dc.identifier.pmid32078396
dc.identifier.doi10.1080/01459740.2020.1720981
dc.identifier.urihttp://hdl.handle.net/10144/619683
dc.description.abstractTreat-all recommends prompt treatment initiation for those diagnosed HIV positive, requiring adaptations to individuals' behavior and practice. Drawing on data from a longitudinal qualitative study in Eswatini, we examine the choice to initiate treatment when asymptomatic, the dissonance between the biomedical logic surrounding Treat-all and individuals' conceptions of treatment necessity, and the navigation over time of ongoing engagement with care. We reflect on the perspectives of healthcare workers, responsible for implementing Treat-all and holding a duty of care for their patients. We explore how the potentially differing needs and priorities of individuals and the public health agenda are navigated and reconciled. Rationalities regarding treatment-taking extend beyond the biomedical realm, requiring adjustments to sense of self and identity, and decision-making that is situated and socially embedded. Sense of choice and ownership for this process is important for individuals' engagement with treatment and care.en_US
dc.language.isoenen_US
dc.publisherTaylor & Francisen_US
dc.rightsWith thanks to Taylor and Francis.en_US
dc.subjectEswatini
dc.subjectHIV
dc.subjectTreat-all
dc.subjectdecision-making
dc.subjectengagement with care
dc.titleDissonance of Choice: Biomedical and Lived Perspectives on HIV Treatment-Takingen_US
dc.typeArticle
dc.identifier.eissn1545-5882
dc.identifier.journalMedical Anthropologyen_US
dc.source.journaltitleMedical anthropology
dc.source.beginpage1
dc.source.endpage14
refterms.dateFOA2020-07-11T23:19:28Z
dc.source.countryUnited Kingdom
dc.source.countryUnited States


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