wow-inequalities/02-data/intermediate/wos_sample/816188576f7d77f1bc688eb4d4bb09c2-banks-lena-morgon-a/info.yaml

abstract: 'Introduction

  While the rapid expansion in antiretroviral therapy access in low and

  middle income countries has resulted in dramatic declines in mortality

  rates, many people living with HIV face new or worsening experiences of

  disability. As nearly 1 in 20 adults are living with HIV in sub-Saharan

  Africa-many of whom are likely to develop disabling sequelae from

  long-term infection, co-morbidities and side effects of their

  treatment-understanding the availability and accessibility of services

  to address HIV-related disabilities is of vital importance. The aim of

  this study thus is to explore knowledge of HIV-related disabilities

  amongst stakeholders working in the fields of HIV and disability and

  factors impacting uptake and provision of interventions for preventing,

  treating or managing HIV-related disabilities.

  Methods

  In-depth, semi-structured interviews were conducted with ten

  stakeholders based in Harare, Zimbabwe, who were working in the fields

  of either disability or HIV. Stakeholders were identified through a

  priori stakeholder analysis. Thematic Analysis, complemented by constant

  comparison as described in Grounded Theory, was used to analyse

  findings.

  Results

  All key informants reported some level of knowledge of HIV-related

  disability, mostly from observations made in their line of work.

  However, they reported no interventions or policies were in place

  specifically to address HIV-related disability. While referrals between

  HIV and rehabilitation providers were not uncommon, no formal mechanisms

  had been established for collaborating on prevention, identification and

  management. Additional barriers to accessing and providing services to

  address HIV-related disabilities included: the availability of

  resources, including trained professionals, supplies and equipment in

  both the HIV and rehabilitation sectors; lack of disability-inclusive

  adaptations, particularly in HIV services; heavy centralization of

  available services in urban areas, without accessible, affordable

  transportation links; and attitudes and understanding among service

  providers and people living with HIV-related disabilities.

  Conclusions

  As people living with HIV are surviving longer, HIV-related disabilities

  will become a major source of disability globally, particularly in

  sub-Saharan Africa where infection is endemic. Preventing, treating and

  managing HIV-related disabilities must become a key component of both

  HIV response efforts and rehabilitation strategies.'
affiliation: 'Banks, LM (Corresponding Author), London Sch Hyg \& Trop Med, Int Ctr
  Evidence Disabil, London, England.

  Banks, LM (Corresponding Author), London Sch Hyg \& Trop Med, Clin Res Dept, London,
  England.

  Banks, Lena Morgon; Zuurmond, Maria; Kuper, Hannah, London Sch Hyg \& Trop Med,
  Int Ctr Evidence Disabil, London, England.

  Banks, Lena Morgon; Zuurmond, Maria; Ferrand, Rashida; Kuper, Hannah, London Sch
  Hyg \& Trop Med, Clin Res Dept, London, England.

  Ferrand, Rashida, Biomed Res \& Training Inst, Harare, Zimbabwe.'
article-number: e0181144
author: Banks, Lena Morgon and Zuurmond, Maria and Ferrand, Rashida and Kuper, Hannah
author-email: morgon.banks@lshtm.ac.uk
author_list:
- family: Banks
  given: Lena Morgon
- family: Zuurmond
  given: Maria
- family: Ferrand
  given: Rashida
- family: Kuper
  given: Hannah
da: '2023-09-28'
doi: 10.1371/journal.pone.0181144
files: []
issn: 1932-6203
journal: PLOS ONE
keywords-plus: HEALTH-CARE; LIFE EXPECTANCY; PEOPLE; REHABILITATION
language: English
month: AUG 9
number: '8'
number-of-cited-references: '37'
orcid-numbers: 'Nyirenda, Makandwe/0000-0002-1839-877X

  Banks, Lena Morgon/0000-0002-4585-1103'
papis_id: 5e61d05b74ca5a5bced8af7febb02a7c
ref: Banks2017knowledgehivrelated
researcherid-numbers: 'Nyirenda, Makandwe/R-4080-2018

  '
times-cited: '9'
title: 'Knowledge of HIV-related disabilities and challenges in accessing care: Qualitative
  research from Zimbabwe'
type: article
unique-id: WOS:000407196700007
usage-count-last-180-days: '0'
usage-count-since-2013: '5'
volume: '12'
web-of-science-categories: Multidisciplinary Sciences
year: '2017'