Understanding the determinants and consequences of HIV status disclosure in Manicaland, Zimbabwe: cross-sectional and prospective analyses

Goodwin, Theodora; Gregson, Simon; Maswera, Rufurwokuda; Moorhouse, Louisa; Nyamukapa, Constance

doi:10.1080/09540121.2021.1883507

Cited by 5 publications

(3 citation statements)

References 38 publications

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“…They experienced rejection from their partners, abandonment, being blamed for the infection, and stigma [5,24]. Consistent with prior studies, we found that the women participants did not receive support from their partners [24,49,52].…”

Section: Discussionsupporting

confidence: 86%

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Perceived Stigma as a Contextual Barrier to Early Uptake of HIV Testing, Treatment Initiation, and Disclosure; the Case of Patients Admitted with AIDS-Related Illness in a Rural Hospital in South Africa

2021

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We explored the extent to which perceived HIV-related stigma influences the disclosure and concealment of HIV status to family among adult patients hospitalised for AIDS-related illness, and described reports of negative responses and enacted stigma following disclosure. We conducted interviews with a purposeful sample of 28 adult patients in a rural South African hospital. Data analysis was deductive and inductive and followed the thematic approach. We found evidence of delayed HIV diagnosis and initiation of treatment. There was delayed and selective disclosure as well as concealment of the HIV-positive status. The disclosure was delayed for months or even years. During that time, there was active concealment of the HIV status to avoid stigma from family, friends, and community. When disclosure occurred, there was selective disclosure to close family members who would keep the secret and respond favorably. Although the participants disclosed mostly to close family, some of their post-disclosure experiences included incidents of enacted stigma and discrimination. The fear of perceived stigma and self-stigma influenced the active concealment of their HIV status from others. Continuous concealment of one’s HIV status and delayed disclosure limit the opportunities for support and care. There is a need to take into consideration the interaction between HIV-related stigma and disclosure to develop disclosure-counselling strategies in primary health care settings.

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Section: Discussionsupporting

confidence: 86%

“…When they recounted their post-disclosure experiences, they narrated incidents of being discriminated against and rejected by their families. A recent longitudinal study in Zimbabwe found that disclosure to the family was associated with experiences of stigma [52].…”

Section: Discussionmentioning

confidence: 99%

Perceived Stigma as a Contextual Barrier to Early Uptake of HIV Testing, Treatment Initiation, and Disclosure; the Case of Patients Admitted with AIDS-Related Illness in a Rural Hospital in South Africa

2021

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“…Goodwin and colleagues also emphasise that the fear of internal stigma impacts personal and social relationships. 27 For example, the community feared contracting HIV through physical contact or interactions, and this fear facilitated discriminatory and stigmatising attitudes and behaviours towards participants. This made the rural women living with HIV feel the loss of social belonging to their close family ties, who spread incorrect or misleading information about HIV among other family members, leading to stigma and discrimination towards these women living with HIV.…”

Section: Discussionmentioning

confidence: 99%

The lived experiences of HIV-positive women in rural Zimbabwe: A qualitative focus group study

Mpofu,

Ganga-Limando

2024

South African Family Practice

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Background: The study explored and described the meaning attached to the lived experiences of women living with human immunodeficiency virus (HIV) in the rural context of Zimbabwe. Stigma and discrimination negatively impact one’s ability to perform the expected social roles, the quality of life, and the efforts to prevent the spread of HIV and acquired immunodeficiency syndrome (AIDS) and reduce HIV-related mortality. Thus, the study aims to understand the meaning attached to the lived experiences of HIV-positive women living in rural areas or villages of Matabeleland South province in Zimbabwe.Methods: The study used a qualitative, descriptive, and exploratory design. Four focus group discussions were conducted with 24 HIV-positive rural women living in Matabeleland South province, Zimbabwe. An Interpretative Phenomenological Analysis (IPA) was adopted to explore and describe the meaning attached to the lived experiences of women living with HIV.Results: Two interconnected themes were identified in the analysis with their sub-themes. These were: (1) struggle for social belonging, with subthemes – loss of social belonging and reduced access to community-based empowerment opportunities and (2) struggle for maintaining the quality of life with subthemes – lack of need-based community healthcare and food insecurity.Conclusion: Being a woman living with HIV in rural Zimbabwe means a perpetual struggle to maintain one’s humanness and quality of life.Contribution: This study’s results will support the efforts of the Zimbabwean government to improve the quality of life of HIV-positive women living in rural areas.

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Sociodemographic associated factors with non-disclosure of HIV sero-status to sexual partners in Maputo, Mozambique

Mudender,

Paredes,

Maiela

et al. 2024

Sci Rep

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Understanding the determinants and consequences of HIV status disclosure in Manicaland, Zimbabwe: cross-sectional and prospective analyses

Cited by 5 publications

References 38 publications

Perceived Stigma as a Contextual Barrier to Early Uptake of HIV Testing, Treatment Initiation, and Disclosure; the Case of Patients Admitted with AIDS-Related Illness in a Rural Hospital in South Africa

Perceived Stigma as a Contextual Barrier to Early Uptake of HIV Testing, Treatment Initiation, and Disclosure; the Case of Patients Admitted with AIDS-Related Illness in a Rural Hospital in South Africa

The lived experiences of HIV-positive women in rural Zimbabwe: A qualitative focus group study

Sociodemographic associated factors with non-disclosure of HIV sero-status to sexual partners in Maputo, Mozambique

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