135 lines
4.2 KiB
YAML
135 lines
4.2 KiB
YAML
abstract: 'Introduction
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While the rapid expansion in antiretroviral therapy access in low and
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middle income countries has resulted in dramatic declines in mortality
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rates, many people living with HIV face new or worsening experiences of
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disability. As nearly 1 in 20 adults are living with HIV in sub-Saharan
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Africa-many of whom are likely to develop disabling sequelae from
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long-term infection, co-morbidities and side effects of their
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treatment-understanding the availability and accessibility of services
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to address HIV-related disabilities is of vital importance. The aim of
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this study thus is to explore knowledge of HIV-related disabilities
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amongst stakeholders working in the fields of HIV and disability and
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factors impacting uptake and provision of interventions for preventing,
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treating or managing HIV-related disabilities.
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Methods
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In-depth, semi-structured interviews were conducted with ten
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stakeholders based in Harare, Zimbabwe, who were working in the fields
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of either disability or HIV. Stakeholders were identified through a
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priori stakeholder analysis. Thematic Analysis, complemented by constant
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comparison as described in Grounded Theory, was used to analyse
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findings.
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Results
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All key informants reported some level of knowledge of HIV-related
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disability, mostly from observations made in their line of work.
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However, they reported no interventions or policies were in place
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specifically to address HIV-related disability. While referrals between
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HIV and rehabilitation providers were not uncommon, no formal mechanisms
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had been established for collaborating on prevention, identification and
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management. Additional barriers to accessing and providing services to
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address HIV-related disabilities included: the availability of
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resources, including trained professionals, supplies and equipment in
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both the HIV and rehabilitation sectors; lack of disability-inclusive
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adaptations, particularly in HIV services; heavy centralization of
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available services in urban areas, without accessible, affordable
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transportation links; and attitudes and understanding among service
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providers and people living with HIV-related disabilities.
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Conclusions
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As people living with HIV are surviving longer, HIV-related disabilities
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will become a major source of disability globally, particularly in
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sub-Saharan Africa where infection is endemic. Preventing, treating and
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managing HIV-related disabilities must become a key component of both
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HIV response efforts and rehabilitation strategies.'
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affiliation: 'Banks, LM (Corresponding Author), London Sch Hyg \& Trop Med, Int Ctr
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Evidence Disabil, London, England.
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Banks, LM (Corresponding Author), London Sch Hyg \& Trop Med, Clin Res Dept, London,
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England.
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Banks, Lena Morgon; Zuurmond, Maria; Kuper, Hannah, London Sch Hyg \& Trop Med,
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Int Ctr Evidence Disabil, London, England.
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Banks, Lena Morgon; Zuurmond, Maria; Ferrand, Rashida; Kuper, Hannah, London Sch
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Hyg \& Trop Med, Clin Res Dept, London, England.
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Ferrand, Rashida, Biomed Res \& Training Inst, Harare, Zimbabwe.'
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article-number: e0181144
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author: Banks, Lena Morgon and Zuurmond, Maria and Ferrand, Rashida and Kuper, Hannah
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author-email: morgon.banks@lshtm.ac.uk
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author_list:
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- family: Banks
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given: Lena Morgon
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- family: Zuurmond
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given: Maria
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- family: Ferrand
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given: Rashida
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- family: Kuper
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given: Hannah
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da: '2023-09-28'
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doi: 10.1371/journal.pone.0181144
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files: []
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issn: 1932-6203
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journal: PLOS ONE
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keywords-plus: HEALTH-CARE; LIFE EXPECTANCY; PEOPLE; REHABILITATION
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language: English
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month: AUG 9
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number: '8'
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number-of-cited-references: '37'
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orcid-numbers: 'Nyirenda, Makandwe/0000-0002-1839-877X
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Banks, Lena Morgon/0000-0002-4585-1103'
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papis_id: 5e61d05b74ca5a5bced8af7febb02a7c
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ref: Banks2017knowledgehivrelated
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researcherid-numbers: 'Nyirenda, Makandwe/R-4080-2018
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'
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times-cited: '9'
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title: 'Knowledge of HIV-related disabilities and challenges in accessing care: Qualitative
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research from Zimbabwe'
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type: Article
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unique-id: WOS:000407196700007
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usage-count-last-180-days: '0'
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usage-count-since-2013: '5'
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volume: '12'
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web-of-science-categories: Multidisciplinary Sciences
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year: '2017'
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