ArticleBMC public health2020
Experiences and perceptions of youth living with HIV in Western Uganda on school attendance: barriers and facilitators.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- The Impact of an Economic Strengthening Intervention on Academic Achievement Among Adolescents Living with HIV: Findings from the Suubi + Adherence Cluster-Randomized Trial in Uganda (2012-2018).AIDS and behavior · 2023Trial
- Psychosocial Factors Influencing the Sexual Risk Behaviour of Adolescents Living with and Affected by HIV Who Reside in HIV-Affected Homes in Uganda.AIDS and behavior · 2026Article
- Using Machine Learning to Predict Depression among Adolescents Living with HIV in Uganda.Global social welfare : research, policy & practice · 2026Article
- HIV-related stigma and academic outcomes: the mediating role of mental health among adolescents living with HIV in Uganda.AIDS care · 2026Article
- Health-related quality of life and its determinants among children and adolescents living with HIV in Eastern Uganda: a cross-sectional study.Health and quality of life outcomes · 2026Article
- A qualitative exploration of the lived experiences of youth living with HIV/AIDS at Jimma University Medical Center and Jimma Health Center, Southwest Ethiopia.AIDS research and therapy · 2026Article
- Process evaluation of an HIV stigma reduction intervention among young people in northern Uganda.Health promotion international · 2025Article
- Layered vulnerability and researchers' responsibilities: learning from research involving Kenyan adolescents living with perinatal HIV infection.BMC medical ethics · 2024Article
- Impact of Economic and Family Intervention on Adolescent Girls' Education Performance, School Absenteeism, and Behavior in School: The Suubi4Her Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Ageing with HIV: challenges and coping mechanisms of older adults 50 years and above living with HIV in Uganda.BMC geriatrics · 2024Article
- Health System Responses to Address Treatment Gaps of Unsuppressed Adolescents on HIV Treatment in Public Primary Health Care Facilities in Windhoek, Namibia.HIV/AIDS (Auckland, N.Z.) · 2024Article
- Linking belief in a just world and psychological capital to psychological basic needs satisfaction and mental health of young adults living with HIV: A comparative analysis.PLOS mental health · 2024Article
- A conceptualization and psychometric evaluation of positive psychological outcome measures used in adolescents and young adults living with HIV: A mixed scoping and systematic review.PLOS global public health · 2024Article
- Care and Support for Adolescents Living with HIV/AIDS in School Settings: Perspectives of Teachers and Administrators in the Southern Highlands of Tanzania.International journal of school health · 2024Article
- Correlates of Depression in ART Adherence among Youths in Lilongwe, Malawi.Tropical medicine and infectious disease · 2023Article
- Structural, Familial, and Psychosocial Factors Affecting Long-Term Antiretroviral Treatment Adherence amongst Adolescents Living with Perinatally Acquired HIV in Limpopo, South Africa.International journal of environmental research and public health · 2023Article
- 'They should show them love even if their status of being HIV positive is known': Youth and caregiver stigma experience and strategies to end HIV stigma in schools.Tropical medicine & international health : TM & IH · 2023Article
- Social ecological resources for youths living with HIV in western Uganda.Frontiers in psychology · 2023Article
- Hopes, joys and fears: Meaning and perceptions of viral load testing and low-level viraemia among people on antiretroviral therapy in Uganda: A qualitative study.PLOS global public health · 2023Article
- "We can tell a good teacher who cares, understands, and can be confidential about it": youth and caregiver experiences with HIV disclosure to schools in Kenya.Frontiers in public health · 2023Article
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Authors and funding
9 authors.
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Abstract
backgroundThe globally recognized socio-economic benefits of education have stirred many countries in Sub-Saharan Africa like Uganda to promote universal access to schooling by removing fiscal barricades for those in primary and secondary schools. However, the proportion of Youth Living With HIV/AIDS (YLWHA) missing school, studying with difficulties and dropping out of school in Uganda has been observed to be higher than that of other youth. This study aimed at understanding the barriers and facilitators for YLWHA in Uganda to attend school.
methodsWe conducted a qualitative inquiry with 35 purposively selected YLWHA aged 12 to 19 years, including 16 females at three accredited Antiretroviral Therapy (ART) treatment centres in Kabarole district in Western Uganda. Individual semi-structured interviews were tape-recorded, transcribed verbatim and subjected to thematic inductive analysis.
resultsWe identified five main themes in which barriers to attend school were reported and four main themes in which facilitators were reported by participants. The main themes for barriers were: 1) management of ART and illnesses, 2) fear, negative thoughts and self-devaluation, 3) lack of meaningful and supportive relationships, 4) reactionary attitudes and behaviours from others at school, 5) financial challenges. The main themes for facilitators were: 1) practical support at school, home and community, 2) counselling, encouragement and spirituality, 3) individual coping strategies, 4) hopes, dreams and opportunities for the future.
conclusionMost of the barriers reported arose from HIV-related stigma and financial challenges whose genesis transcends school boundaries. While YLWHA reported measures to cope, and support from other people, these were non-sustainable and on a limited scale due to disclosure apprehension at school and the indiscretion of those who learnt about their status. To promote supportive school environments for YLWHA, integrated curricular and extracurricular interventions are necessary to increase HIV knowledge, dispel misconceptions about HIV and consequently transform the school community from a stigmatizing one to a supportive one.
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