alexa Using Verbal and Social Autopsies to Explore Health-Seeking Behavior among HIV Positive Women in Kenya


Journal of Oral Hygiene & Health

Author(s): Rebecca Njuki, James Kimani, Francis Obare, Charlotte Warren

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Background There is limited understand ing of the factors that influence decisions to seek HIV care and treatment services in community settings. The aim of this study was to explore the socio - cultural and health system factors affecting health - seeking behaviour among women living with HIV (WLHIV) in resource - constrained settings. Methods Retrospective data were drawn from verbal/social autopsies administered to caregivers of 218 women who had died of AIDS - related illnesses at the age of 15 - 49 years . Information was collected on essential elements of the care - seeking process and analyzed using qualitative/quantitative techniques. Results P oor women were less likely to access formal health services (OR=0.2; p<0.01) compared to non - poor women. Socioeconomic status , poor knowledge and clear understanding of AIDS - related illness , distance to facility and transportation costs , medical pluralism, stigma, low HIV risk perception, lack of family support and health care system barriers emerged as factors contributing to delays/constraints in seekin g care. Conclusion The findings highlight important issues that have implications for addressing challenges faced by WLHIV, including non - adherence to treatment regimen and late diagnosis of HIV.

This article was published in Using Verbal and Social Autopsies to Explore Health-Seeking Behavior among HIV Positive Women in Kenya: A Retrospective Study. and referenced in Journal of Oral Hygiene & Health

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