ArticleInternational journal of environmental research and public health2020
"Our Tradition Our Enemy": A Qualitative Study of Barriers to Women's HIV Care in Jimma, Southwest Ethiopia.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Predictors of lost to follow up from antiretroviral therapy among adults in sub-Saharan Africa: a systematic review and meta-analysis.Infectious diseases of poverty · 2021Pooled it
- Beyond HAART: unveiling the reality of antiretroviral therapy knowledge among pregnant women living with HIV in Kaduna State, Nigeria.Scientific reports · 2025Article
- Indonesian healthcare professionals' experiences in rural and urban settings during the first wave of COVID-19: A qualitative study.PloS one · 2023Article
- Barriers to Accessing HIV Care Services in Host Low and Middle Income Countries: Views and Experiences of Indonesian Male Ex-Migrant Workers Living with HIV.International journal of environmental research and public health · 2022Article
- Access of People Living with HIV to Testing Services in Greece: A Challenge for Equity in Care.International journal of environmental research and public health · 2022Article
- Socioeconomic inequalities in the 90-90-90 target, among people living with HIV in 12 sub-Saharan African countries - Implications for achieving the 95-95-95 target - Analysis of population-based surveys.EClinicalMedicine · 2022Article
- Article
- Peer-led HIV care and the UNAIDS 90-90-90 treatment targets in Tigrai, Ethiopia: a cluster randomised trial and economic evaluation ofBMJ open · 2021Article
- "It is not an acceptable disease": A qualitative study of HIV-related stigma and discrimination and impacts on health and wellbeing for people from ethnically diverse backgrounds in Australia.BMC public health · 2021Article
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Authors and funding
5 authors.
Funding
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Abstract
Evidence exists that suggests that women are vulnerable to negative HIV treatment outcomes worldwide. This study explored barriers to treatment outcomes of women in Jimma, Southwest Ethiopia. We interviewed 11 HIV patients, 9 health workers, 10 community advocates and 5 HIV program managers from 10 institutions using an in-depth interview guide designed to probe barriers to HIV care at individual, community, healthcare provider, and government policy levels. To systematically analyze the data, we applied a thematic framework analysis using NVivo. In total, 35 participants were involved in the study and provided the following interrelated barriers: (i) Availability- most women living in rural areas who accessed HIV cared less often than men; (ii) free antiretroviral therapy (ART) is expensive-most women who have low income and who live in urban areas sold ART drugs illegally to cover ART associated costs; (iii) fear of being seen by others-negative consequences of HIV related stigma was higher in women than men; (iv) the role of tradition-the dominance of patriarchy was found to be the primary barrier to women's HIV care and treatment outcomes. In conclusion, barriers related to culture or tradition constrain women's access to HIV care. Therefore, policies and strategies should focus on these contextual constrains.
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