ArticleAIDS and behavior2021
A Social-Ecological Framework to Understand Barriers to HIV Clinic Attendance in Nakivale Refugee Settlement in Uganda: a Qualitative Study.
Article in AIDS and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
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- HIV Treatment Disruption and Viral Suppression Among Venezuelan Immigrants Living with HIV in Miami: A Comparative Analysis.AIDS and behavior · 2026Article
- Social-ecological predictors of HIV testing among adult men: analysis of the 2022 Tanzania demographic and health survey data.BMJ global health · 2025Article
- Challenges of integrating HIV prevention and treatment in China's border mountain regions: a grounded theory study.BMC infectious diseases · 2025Article
- Article
- Exploring the associations of weather and climate with HIV in sub-Saharan Africa: a systematic review.BMJ public health · 2025Article
- Reasons for not seeking alcohol treatment among a sample of Florida adults with HIV who perceived the need for treatment.Addiction science & clinical practice · 2024Article
- Contextualizing HIV testing experiences within the HIV prevention cascade: qualitative insights from refugee youth in Bidi Bidi refugee settlement, Uganda.BMC public health · 2024Article
- Psychosocial and mental health challenges facing perinatally HIV-infected adolescents along the Kenyan coast: a qualitative inquiry using the socioecological model.Frontiers in public health · 2024Article
- I, too, Need Care: Narratives of Caregivers Raising a Child with HIV - An Input for Life Coaching Approaches.Acta medica Philippina · 2024Article
- Article
- Article
- Factors Associated with Willingness toward Organ Donation in China: A Nationwide Cross-Sectional Analysis Using a Social-Ecological Framework.Healthcare (Basel, Switzerland) · 2023Article
- Epidemiology of HIV in pregnant women and its relationship with the period of the COVID-19 pandemic.Revista da Escola de Enfermagem da U S P · 2023Article
- Turning up the heat: A conceptual model for understanding the migration and health in the context of global climate change.Journal of migration and health · 2023Article
- Left behind on the path to 90-90-90: understanding and responding to HIV among displaced people.Journal of the International AIDS Society · 2022Article
- Relational Factors and HIV Testing Practices: Qualitative Insights from Urban Refugee Youth in Kampala, Uganda.AIDS and behavior · 2022Article
- Improving Viral Load Suppression Among Men and Children Active in Care Through Community-Designed and Led Solutions: Protocol for Retrospective Closed Cohort Study in Eastern Uganda.JMIR research protocols · 2022Article
- Mental disorders and lack of social support among refugees and Ugandan nationals screening for HIV at health centers in Nakivale Refugee Settlement in southwestern Uganda.Journal of global health reports · 2022Article
- Access to HIV/AIDS or TB care among refugees in Kampala, Uganda: exploring the enablers and barriers during the COVID-19 pandemic.Journal of migration and health · 2022Article
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Authors and funding
9 authors.
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Abstract
The social-ecological model proposes that efforts to modify health behaviors are influenced by constraints and facilitators at multiple levels. We conducted semi-structured interviews with 47 clients in HIV care and 8 HIV clinic staff to explore how such constraints and facilitators (individual, social environment, physical environment, and policies) affect engaging in HIV clinical care in Nakivale Refugee Settlement in Uganda. Thematic analysis revealed that participants were motivated to attend the HIV clinic because of the perceived quality of services and the belief that antiretroviral therapy improves health. Barriers to clinic attendance included distance, cost, unemployment, and climate. Those that disclosed their status had help in overcoming barriers to HIV care. Nondisclosure and stigma disrupted community support in overcoming these obstacles. Interventions to facilitate safe disclosure, mobilize social support, and provide more flexible HIV services may help overcome barriers to HIV care in this setting.
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