A qualitative analysis of the barriers to antiretroviral therapy initiation among children 2 to 18 months of age in Swaziland.
A qualitative analysis of the barriers to antiretroviral therapy initiation among children 2 to 18 months of age in Swaziland.
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DOI：
10.2989/16085906.2017.1380677
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发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
Preko P
中科院分区：
文献类型：
--
作者：
Ahmed CV;Jolly P;Padilla L;Malinga M;Harris C;Mthethwa N;Ba I;Styles A;Perry S;Brooks R;Naluyinda-Kitabire F;Mamba M;Preko P
艾滋病毒/艾滋病仍然是斯威士兰5岁以下儿童死亡的主要原因之一。虽然已经表明，早期开始接受抗逆转录病毒治疗（ART）的婴儿和儿童诊断为艾滋病毒大大降低死亡率，许多儿童不开始抗逆转录病毒治疗，直到疾病的后期阶段。本研究的目的是收集定性数据，从母亲和照顾者的艾滋病毒阳性儿童，以确定的障碍，开始抗逆转录病毒治疗。2014年7月至9月，在斯威士兰2-18个月儿童的照顾者中进行了焦点小组讨论（FGD）会议，这些儿童在2011年1月至2012年12月期间在艾滋病毒DNA PCR阳性诊断后开始或未开始抗逆转录病毒治疗。据参与者报告，否认、内疚、缺乏知识、结核病/艾滋病毒合并感染、艾滋病毒相关的耻辱感、缺乏资金和距离诊所远是开始抗逆转录病毒治疗的障碍。研究结果进一步表明，不开始接受抗逆转录病毒治疗与对治疗的负面看法无关。研究结果表明，需要提高卫生保健工作者的敏感性，以及教育和咨询服务，这将有助于ART启动过程。
HIV/AIDS remains one of the leading causes of death among children under 5 years in Swaziland. Although it has been shown that early initiation of infants and children diagnosed with HIV on antiretroviral therapy (ART) significantly reduces mortality, many children do not initiate ART until at the later stages of disease. This study was designed to collect qualitative data from mothers and caregivers of HIV-positive children to identify the barriers to ART initiation. Focus group discussion (FGD) sessions were conducted in siSwati between July and September 2014 among caregivers of children 2–18 months in Swaziland who did or did-not initiate ART between January 2011 and December 2012 after HIV DNA PCR-positive diagnosis of the infants. Denial, guilt, lack of knowledge, TB/HIV co-infection, HIV-related stigma, lack of money, and distance to clinics were reported by the participants as barriers to ART initiation. The findings further revealed that non-initiation on ART was not linked to a negative perception of the treatment. Findings suggest a need to improve sensitivity among health care workers as well as education and counselling services that will facilitate the ART initiation process.
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影响因子：
1.4
作者：
Lahuerta M;Ue F;Hoffman S;Elul B;Kulkarni SG;Wu Y;Nuwagaba-Biribonwoha H;Remien RH;El Sadr W;Nash D
通讯作者：
Nash D
影响因子：
3.7
作者：
Hodgson I;Plummer ML;Konopka SN;Colvin CJ;Jonas E;Albertini J;Amzel A;Fogg KP
通讯作者：
Fogg KP
影响因子：
11.1
作者：
Dube, Queen;Dow, Anna;Van Rie, Annelies
通讯作者：
Van Rie, Annelies
DOI：
10.1080/17290376.2009.9724943
发表时间：
2009-12-01
影响因子：
1.1
作者：
Biadgilign, Sibhatu;Deribew, Amare;Deribe, Kebede
通讯作者：
Deribe, Kebede
DOI：
10.1097/qai.0000000000000537
发表时间：
2015-05-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Parker LA;Jobanputra K;Okello V;Nhlangamandla M;Mazibuko S;Kourline T;Kerschberger B;Pavlopoulos E;Teck R
通讯作者：
Teck R