2023-09-28 14:46:10 +00:00
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abstract: 'Migrant populations are one of the vulnerable groups to HIV transmission
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and its consequences. They are also reported to experience delayed entry
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or linkage into HIV services and have poorer HIV-related health
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outcomes. This study aimed to understand barriers to accessing HIV care
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services in host countries among Indonesian, male, former (returned)
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migrant workers living with HIV. The study was carried out from December
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2020 to February 2021. It utilised a qualitative design employing
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in-depth interviews to collect data from twenty-two returned migrant
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workers from Eastern Indonesia, recruited using the snowball sampling
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technique. A qualitative data analysis framework was used to guide a
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step-by-step analysis of the findings. Findings demonstrated that
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limited host-country language proficiency, lack of knowledge regarding
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healthcare systems in host countries and having `undocumented'' worker
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status were barriers to accessing HIV care services. Data also revealed
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the unavailability of HIV care services nearby migrants'' work locations,
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long-distance travel to healthcare facilities, and challenges in
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accessing public transportation as barriers that impeded their access to
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the services. Other factors limiting the participants'' access to HIV
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services were identified as the transient and mobile nature of migrant
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work requiring frequent relocation and disrupting work-life stability.
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Additionally, in lieu of formal HIV services, many participants
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self-medicated by using over-the-counter herbal or `traditional''
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medicines, often because of peer or social group influence regarding the
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selection of informal treatment options. Recommendations arising from
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this study demonstrate the need to improve pre-departure information for
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migrant workers regarding the healthcare system and access procedures in
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potential host countries. Data from this study also indicate that social
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services should be available to assist potential migrants to access
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legal channels for migrant work overseas, to ensure that Indonesian
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migrants can safely access healthcare services in the countries for
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which they are providing migrant labour. Future studies to understand
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barriers to accessing HIV care services among various migrant groups
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living with HIV are warranted to build evidence for potential social
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policy change.'
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affiliation: 'Ward, PR (Corresponding Author), Torrens Univ Australia, Res Ctr Publ
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Hlth Equ \& Human Flourishing, Adelaide, SA 5000, Australia.
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Fauk, Nelsensius Klau; Raymond, Christopher; Ward, Paul Russell; Gesesew, Hailay
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Abrha, Torrens Univ Australia, Res Ctr Publ Hlth Equ \& Human Flourishing, Adelaide,
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SA 5000, Australia.
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Fauk, Nelsensius Klau, Inst Resource Governance \& Social Change, Kupang 85227,
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Indonesia.
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Gesesew, Hailay Abrha, Mekelle Univ, Coll Hlth Sci, Mekelle 1871, Ethiopia.
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Seran, Alfonsa Liquory, Atapupu Publ Hlth Ctr, Hlth Dept Belu Dist, Atambua 85752,
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Indonesia.
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Tahir, Roheena, Flinders Univ S Australia, Coll Med \& Publ Hlth, Adelaide, SA 5042,
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Australia.'
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article-number: '14377'
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author: Fauk, Nelsensius Klau and Seran, Alfonsa Liquory and Raymond, Christopher
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and Tahir, Roheena and Ward, Paul Russell and Gesesew, Hailay Abrha
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author-email: paul.ward@torrens.edu.au
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author_list:
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- family: Fauk
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given: Nelsensius Klau
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- family: Seran
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given: Alfonsa Liquory
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- family: Raymond
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given: Christopher
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- family: Tahir
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given: Roheena
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- family: Ward
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given: Paul Russell
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- family: Gesesew
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given: Hailay Abrha
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da: '2023-09-28'
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doi: 10.3390/ijerph192114377
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eissn: 1660-4601
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files: []
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journal: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
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keywords: 'migrant workers living with HIV; barriers to care; HIV care services;
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host countries; Indonesia'
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keywords-plus: HEALTH-CARE; HERBAL MEDICINE; IMMIGRANT WOMEN; HIV/AIDS
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language: English
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month: NOV
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number: '21'
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number-of-cited-references: '58'
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orcid-numbers: 'Fauk, Nelsensius/0000-0002-1325-2640
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Raymond, Christopher/0000-0002-8702-9337
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Gesesew, Hailay/0000-0002-3531-4400
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Ward, Paul/0000-0002-5559-9714'
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papis_id: 5d51ff435665b45c84bddb8b899cb208
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ref: Fauk2022barriersaccessing
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researcherid-numbers: 'Fauk, Nelsensius/L-8024-2015
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Ward, Paul R/A-1368-2008
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Raymond, Christopher/IQU-1788-2023
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Gesesew, Hailay/AAF-6486-2020
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'
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times-cited: '1'
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title: 'Barriers to Accessing HIV Care Services in Host Low and Middle Income Countries:
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Views and Experiences of Indonesian Male Ex-Migrant Workers Living with HIV'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000884124500001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '19'
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web-of-science-categories: Environmental Sciences; Public, Environmental \& Occupational
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Health
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year: '2022'
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