A socio-ecological analysis of factors influencing HIV treatment initiation and adherence among key populations in Papua New Guinea
Abstract Background In Papua New Guinea (PNG) members of key populations, including female sex workers (FSW), men who have sex with men (MSM) and transgender women (TGW), have higher rates of HIV compared to the general adult population and low engagement in HIV care. This paper examines the socio-e...
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2021
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oai:doaj.org-article:1702fcfbcfb246678654f32faba03fac2021-11-08T10:44:05ZA socio-ecological analysis of factors influencing HIV treatment initiation and adherence among key populations in Papua New Guinea10.1186/s12889-021-12077-w1471-2458https://doaj.org/article/1702fcfbcfb246678654f32faba03fac2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12077-whttps://doaj.org/toc/1471-2458Abstract Background In Papua New Guinea (PNG) members of key populations, including female sex workers (FSW), men who have sex with men (MSM) and transgender women (TGW), have higher rates of HIV compared to the general adult population and low engagement in HIV care. This paper examines the socio-ecological factors that encourage or hinder HIV treatment initiation and adherence among HIV positive members of key populations in PNG. Methods As part of a larger biobehavioural survey of key populations in PNG, 111 semi-structured interviews were conducted with FSW, MSM and TGW, of whom 28 identified as living with HIV. Interviews from 28 HIV positive participants are used in this analysis of the influences that enabled or inhibited HIV treatment initiation and treatment adherence. Results Enablers included awareness of the biomedical benefits of treatment; experiences of the social, familial and health benefits of early treatment initiation and adherence; support provided by family and friends; and non-judgmental and supportive HIV service provision. Factors that inhibited treatment initiation and adherence included perception of good health and denial of HIV diagnosis; poor family support following positive diagnosis; and anonymity and stigma concerns in HIV care services. Conclusion Exploring health promotion messages that highlight the positive health impacts of early treatment initiation and adherence; providing client-friendly services and community-based treatment initiation and supply; and rolling out HIV viral load testing across the country could improve health outcomes for these key populations.Elke MitchellAvi HakimSomu NosiMartha KupulRuthy Boli-NeoHerick AenoMichelle Redman-MaclarenSophie AseAngelyn AmosParker HouRebecca NarokobiBarne WillieAndrew J. VallelyJohn M. KaldorSteven G. BadmanAngela Kelly-HankuBMCarticlePapua New GuineaHIV treatmentKey populationsQualitativeAdherenceHIV care cascadePublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-11 (2021) |
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EN |
| topic |
Papua New Guinea HIV treatment Key populations Qualitative Adherence HIV care cascade Public aspects of medicine RA1-1270 |
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Papua New Guinea HIV treatment Key populations Qualitative Adherence HIV care cascade Public aspects of medicine RA1-1270 Elke Mitchell Avi Hakim Somu Nosi Martha Kupul Ruthy Boli-Neo Herick Aeno Michelle Redman-Maclaren Sophie Ase Angelyn Amos Parker Hou Rebecca Narokobi Barne Willie Andrew J. Vallely John M. Kaldor Steven G. Badman Angela Kelly-Hanku A socio-ecological analysis of factors influencing HIV treatment initiation and adherence among key populations in Papua New Guinea |
| description |
Abstract Background In Papua New Guinea (PNG) members of key populations, including female sex workers (FSW), men who have sex with men (MSM) and transgender women (TGW), have higher rates of HIV compared to the general adult population and low engagement in HIV care. This paper examines the socio-ecological factors that encourage or hinder HIV treatment initiation and adherence among HIV positive members of key populations in PNG. Methods As part of a larger biobehavioural survey of key populations in PNG, 111 semi-structured interviews were conducted with FSW, MSM and TGW, of whom 28 identified as living with HIV. Interviews from 28 HIV positive participants are used in this analysis of the influences that enabled or inhibited HIV treatment initiation and treatment adherence. Results Enablers included awareness of the biomedical benefits of treatment; experiences of the social, familial and health benefits of early treatment initiation and adherence; support provided by family and friends; and non-judgmental and supportive HIV service provision. Factors that inhibited treatment initiation and adherence included perception of good health and denial of HIV diagnosis; poor family support following positive diagnosis; and anonymity and stigma concerns in HIV care services. Conclusion Exploring health promotion messages that highlight the positive health impacts of early treatment initiation and adherence; providing client-friendly services and community-based treatment initiation and supply; and rolling out HIV viral load testing across the country could improve health outcomes for these key populations. |
| format |
article |
| author |
Elke Mitchell Avi Hakim Somu Nosi Martha Kupul Ruthy Boli-Neo Herick Aeno Michelle Redman-Maclaren Sophie Ase Angelyn Amos Parker Hou Rebecca Narokobi Barne Willie Andrew J. Vallely John M. Kaldor Steven G. Badman Angela Kelly-Hanku |
| author_facet |
Elke Mitchell Avi Hakim Somu Nosi Martha Kupul Ruthy Boli-Neo Herick Aeno Michelle Redman-Maclaren Sophie Ase Angelyn Amos Parker Hou Rebecca Narokobi Barne Willie Andrew J. Vallely John M. Kaldor Steven G. Badman Angela Kelly-Hanku |
| author_sort |
Elke Mitchell |
| title |
A socio-ecological analysis of factors influencing HIV treatment initiation and adherence among key populations in Papua New Guinea |
| title_short |
A socio-ecological analysis of factors influencing HIV treatment initiation and adherence among key populations in Papua New Guinea |
| title_full |
A socio-ecological analysis of factors influencing HIV treatment initiation and adherence among key populations in Papua New Guinea |
| title_fullStr |
A socio-ecological analysis of factors influencing HIV treatment initiation and adherence among key populations in Papua New Guinea |
| title_full_unstemmed |
A socio-ecological analysis of factors influencing HIV treatment initiation and adherence among key populations in Papua New Guinea |
| title_sort |
socio-ecological analysis of factors influencing hiv treatment initiation and adherence among key populations in papua new guinea |
| publisher |
BMC |
| publishDate |
2021 |
| url |
https://doaj.org/article/1702fcfbcfb246678654f32faba03fac |
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