Chronic Disease Self-Management Challenges among Rural Women Living with HIV/AIDS in Prakasam, Andhra Pradesh, India: A Qualitative Study

Author:

Salem Benissa E.1ORCID,Bustos Yvita12,Shalita Chidyaonga13,Kwon Jordan14,Ramakrishnan Padma5,Yadav Kartik6,Ekstrand Maria L.7,Sinha Sanjeev8,Nyamathi Adeline M.6

Affiliation:

1. School of Nursing, University of California, Los Angeles, Los Angeles, CA, USA

2. Psychology Department, Loyola University, Chicago, IL, USA

3. Biology Department, Macalester College, Forest Lake, MN, USA

4. School of Nursing, Azusa Pacific University, Montebello, CA, USA

5. All India Institute of Medical Sciences (AIIMS), Nellore, India

6. School of Nursing, University of California, Irvine, Irvine, CA, USA

7. University of California, San Francisco School of Medicine, San Francisco, CA, USA

8. All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi, India

Abstract

Rural women living with HIV/AIDS (WLHA) in India experience challenges self-managing HIV/AIDS in their rural communities. The purpose of this qualitative study was to explore factors influencing their care and antiretroviral treatment (ART) adherence. Themes that emerged from the qualitative focus groups among WLHA (N = 24) in rural Prakasam, Andhra Pradesh, India, included: (1) coming to know about HIV and other health conditions, (2) experiences being on ART, (3) challenges maintaining a nutritious diet, (4) factors affecting health care access and quality, and (5) seeking support for a better future. Chronic disease self-management in rural locales is challenging, given the number of barriers which rural women experience on a daily basis. These findings suggest a need for individual- and structural-level supports that will aid in assisting rural WLHA to self-manage HIV/AIDS as a chronic illness.

Publisher

SAGE Publications

Subject

Infectious Diseases,Dermatology,Immunology

Reference53 articles.

1. National AIDS Control Organization. State HIV Epidemic Fact Sheet. New Delhi, India: National AIDS Control Organization; 2014:1–88.

2. Sustained progress, but no room for complacency: Results of 2015 HIV estimations in India

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