Exploring Self-Management of Adults Living with HIV on Antiretroviral Therapy in North-West Ethiopia: Qualitative Study

Habtam Areri, 1, 2 Amy Marshall, 1 Gillian Harvey 1 1Adelaide Nursing School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5005, Australia; 2School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa 4412, EthiopiaCorrespond...

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Autores principales:	Areri H, Marshall A, Harvey G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	self-management barriers facilitators adults antiretroviral therapy stigma and discrimination Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/fff1058edf874d019ff2e4d90931f821
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spelling	oai:doaj.org-article:fff1058edf874d019ff2e4d90931f8212021-12-02T10:48:24ZExploring Self-Management of Adults Living with HIV on Antiretroviral Therapy in North-West Ethiopia: Qualitative Study1179-1373https://doaj.org/article/fff1058edf874d019ff2e4d90931f8212020-11-01T00:00:00Zhttps://www.dovepress.com/exploring-self-management-of-adults-living-with-hiv-on-antiretroviral--peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Habtam Areri, 1, 2 Amy Marshall, 1 Gillian Harvey 1 1Adelaide Nursing School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5005, Australia; 2School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa 4412, EthiopiaCorrespondence: Habtam Areri Tel +251 910218513Email habera76@gmail.comBackground: The changing nature of HIV from an acute to chronic illness requires adults living with HIV to self-manage. Self-management enables individuals with HIV to maintain physical health, medication adherence and live with HIV-related conditions. This study aimed to explore self-management experiences of adults living with HIV on antiretroviral therapy in Ethiopia.Methods: A qualitative descriptive study framed by the Individual and Family Self-Management Theory was carried out to explore the self-management experience of adults living with HIV in Northwest Ethiopia. Eleven semi-structured, in-depth interviews were conducted. The recruitment involved participants who volunteered to be contacted during a preceding quantitative study. The interview data were coded inductively and subject to thematic analysis.Results: The main themes identified, each with a number of sub-themes, related to perceptions and experience of self-management, barriers and facilitators of self-management. Factors influencing self-management behaviour were inter-connected and particularly influenced by spiritual practices, low levels of income and experiences of stigma and discrimination.Conclusion: The study highlights barriers to self-management among individuals living with HIV on antiretroviral therapy in a resource-constrained country. Interventions to address modifiable barriers and build on identified facilitators of self-management include working with the broader community to minimise HIV-related stigma and discrimination and engaging with religious leaders to tackle the observed conflict between spiritual practice and effective self-management behaviour.Keywords: self-management, barriers, facilitators, antiretroviral therapy, stigma ; discriminationAreri HMarshall AHarvey GDove Medical Pressarticleself-managementbarriersfacilitatorsadultsantiretroviral therapystigma and discriminationImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 12, Pp 809-820 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	self-management barriers facilitators adults antiretroviral therapy stigma and discrimination Immunologic diseases. Allergy RC581-607
spellingShingle	self-management barriers facilitators adults antiretroviral therapy stigma and discrimination Immunologic diseases. Allergy RC581-607 Areri H Marshall A Harvey G Exploring Self-Management of Adults Living with HIV on Antiretroviral Therapy in North-West Ethiopia: Qualitative Study
description	Habtam Areri, 1, 2 Amy Marshall, 1 Gillian Harvey 1 1Adelaide Nursing School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5005, Australia; 2School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa 4412, EthiopiaCorrespondence: Habtam Areri Tel +251 910218513Email habera76@gmail.comBackground: The changing nature of HIV from an acute to chronic illness requires adults living with HIV to self-manage. Self-management enables individuals with HIV to maintain physical health, medication adherence and live with HIV-related conditions. This study aimed to explore self-management experiences of adults living with HIV on antiretroviral therapy in Ethiopia.Methods: A qualitative descriptive study framed by the Individual and Family Self-Management Theory was carried out to explore the self-management experience of adults living with HIV in Northwest Ethiopia. Eleven semi-structured, in-depth interviews were conducted. The recruitment involved participants who volunteered to be contacted during a preceding quantitative study. The interview data were coded inductively and subject to thematic analysis.Results: The main themes identified, each with a number of sub-themes, related to perceptions and experience of self-management, barriers and facilitators of self-management. Factors influencing self-management behaviour were inter-connected and particularly influenced by spiritual practices, low levels of income and experiences of stigma and discrimination.Conclusion: The study highlights barriers to self-management among individuals living with HIV on antiretroviral therapy in a resource-constrained country. Interventions to address modifiable barriers and build on identified facilitators of self-management include working with the broader community to minimise HIV-related stigma and discrimination and engaging with religious leaders to tackle the observed conflict between spiritual practice and effective self-management behaviour.Keywords: self-management, barriers, facilitators, antiretroviral therapy, stigma ; discrimination
format	article
author	Areri H Marshall A Harvey G
author_facet	Areri H Marshall A Harvey G
author_sort	Areri H
title	Exploring Self-Management of Adults Living with HIV on Antiretroviral Therapy in North-West Ethiopia: Qualitative Study
title_short	Exploring Self-Management of Adults Living with HIV on Antiretroviral Therapy in North-West Ethiopia: Qualitative Study
title_full	Exploring Self-Management of Adults Living with HIV on Antiretroviral Therapy in North-West Ethiopia: Qualitative Study
title_fullStr	Exploring Self-Management of Adults Living with HIV on Antiretroviral Therapy in North-West Ethiopia: Qualitative Study
title_full_unstemmed	Exploring Self-Management of Adults Living with HIV on Antiretroviral Therapy in North-West Ethiopia: Qualitative Study
title_sort	exploring self-management of adults living with hiv on antiretroviral therapy in north-west ethiopia: qualitative study
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/fff1058edf874d019ff2e4d90931f821
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Exploring Self-Management of Adults Living with HIV on Antiretroviral Therapy in North-West Ethiopia: Qualitative Study

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