Grappling with Realities: Policy and Practice in HIV Social Work

Hampton, Gary A; Buggy, Michael; Graves, Jenni; McCann, Lisa; Irwin, Jude

doi:10.1080/0312407x.2016.1146313

Cited by 5 publications

(2 citation statements)

References 16 publications

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“…Several studies have used IE to examine clinical relationships in HIV care [ 34 ], the criminalization of HIV nondisclosure [ 22 ], and the health-work of adherence from the standpoint of people living with HIV [ 32 , 35 , 36 , 55 , 56 ]. Other studies have examined HIV care in other countries using ethnographic methodologies or related qualitative methodologies [ 57 – 61 ] though these studies do not tend to focus on issues in clinical ethics. One exception is a study of moral distress among Ugandan nurses who treat patients with HIV that used a critical ethnographic method [ 62 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical ethics issues in HIV care in Canada: an institutional ethnographic study

et al. 2017

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BackgroundThis is a study involving three HIV clinics in the Canadian provinces of Newfoundland and Labrador, and Manitoba. We sought to identify ethical issues involving health care providers and clinic clients in these settings, and to gain an understanding of how different ethical issues are managed by these groups.MethodsWe used an institutional ethnographic method to investigate ethical issues in HIV clinics. Our researcher conducted in-depth semi-structured interviews, compiled participant observation notes, and studied health records in order to document ethical issues in the clinics, and to understand how health care providers and clinic clients manage and resolve these issues.ResultsWe found that health care providers and clinic clients have developed work processes for managing ethical issues of various types: conflicts between client-autonomy and public health priorities (“treatment as prevention”), difficulties associated with the criminalization of nondisclosure of HIV positive status, challenges with non-adherence to HIV treatment, the protection of confidentiality, barriers to treatment access, and negative social determinants of health and well-being.ConclusionsSome ethical issues resulted from structural disadvantages experienced by clinic clients. The most striking findings in our study were the negative social determinants of health and well-being experienced by some clinic clients – such as experiences of violence and trauma, poverty, racism, colonization, homelessness, and other factors affecting well-being such as problematic substance use. These negative determinants were at the root of other ethical issues, and are themselves of ethical concern.

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Section: Discussionmentioning

confidence: 99%

Clinical ethics issues in HIV care in Canada: an institutional ethnographic study

et al. 2017

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“…HIV/AIDS is both a social welfare and healthcare problem that is integral to social work (SW) research and practice (Hampton et al, 2017; Kidman and Heymann, 2016; Strug et al, 2002). As of 2015, over 36 million people were living with HIV/AIDS (PLWHAs) globally, but less than half had access to medical treatment (UNAIDS, 2016).…”

Section: Introductionmentioning

confidence: 99%

Social entrepreneurship interventions in the HIV/AIDS sector: A social entrepreneurship–social work perspective

Chandra

Shang

2019

International Social Work

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Despite the growing interest in social entrepreneurship research in the social work literature, very little research examines how social entrepreneurs tackle social work challenges in the HIV/AIDS sector. Consequently, we lack research on how social entrepreneurship might contribute to social work’s domain of healthcare. In this article, we employ grounded theory research to study how a group of social entrepreneurs (N = 58) selected as Fellows by Ashoka, one of the world’s most influential social entrepreneurship support organizations, solve HIV/AIDS problems. This article identifies four major interventions that social entrepreneurs employed in tackling HIV/AIDS problems: relational, service, economic, and policy. We analyzed these four primary interventions and classified them into a typology based on (1) locus of change (institutional-oriented or macro social work vs agent-oriented or micro social work), (2) resources used (material/utilitarian vs symbolic/normative), and (3) client–social enterprise relations (client as recipient vs client as co-creator). This article contributes to social work research by demonstrating the possibility of integrating multilevel (e.g. micro and macro) and multidimensional (e.g. service, economic, and policy) interventions in addressing HIV/AIDS problems. It also suggests avenues for future research to lessen the gap between social work and social entrepreneurship research so as to advance social work research.

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Aidshilfe-Arbeit als Praxis kritischer Antidiskriminierungsarbeit gestern und heute

Schütte-Bäumner

Kruse

2021

Perspektiven Kritischer Sozialer Arbeit

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Grappling with Realities: Policy and Practice in HIV Social Work

Cited by 5 publications

References 16 publications

Clinical ethics issues in HIV care in Canada: an institutional ethnographic study

Clinical ethics issues in HIV care in Canada: an institutional ethnographic study

Social entrepreneurship interventions in the HIV/AIDS sector: A social entrepreneurship–social work perspective

Aidshilfe-Arbeit als Praxis kritischer Antidiskriminierungsarbeit gestern und heute

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