Evidence map›Paper›PMID 33975626›Full record

ArticleInfectious diseases of poverty2021

Chronic political instability and HIV/AIDS response in Guinea-Bissau: a qualitative study.

Joshua Galjour, Philip J Havik, Peter Aaby, Amabelia Rodrigues, Laura Hoemeke, Michael J Deml, Jinkou Zhao, Emmanuel Kabengele Mpinga

Abstract read
In one paragraph

Article in Infectious diseases of poverty, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Joshua GaljourInstitute of Global Health, University of Geneva, Geneva, Switzerland. Joshua.Galjour@theglobalfund.org.ORCID http://orcid.org/0000-0003-3299-9712
Philip J HavikCentre for Global Health and Tropical Medicine (GHTM), Institute of Hygiene and Tropical Medicine, Universidade Nova de Lisboa, Lisbon, Portugal.ORCID http://orcid.org/0000-0002-6479-6672
Peter AabyBandim Health Project, Bissau, Guinea-Bissau.
Amabelia RodriguesBandim Health Project, Bissau, Guinea-Bissau.
Laura HoemekeGillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Michael J DemlInstitute of Sociological Research, Department of Sociology, University of Geneva, Geneva, Switzerland.
Jinkou ZhaoThe Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland.
Emmanuel Kabengele MpingaInstitute of Global Health, University of Geneva, Geneva, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Republic of Guinea-Bissau in West Africa has a high HIV/AIDS disease burden and has experienced political instability in the recent past. Our study used qualitative methods to better understand key stakeholders' perceptions of the effects of chronic political instability on the HIV/AIDS response in Guinea-Bissau from 2000 to 2015 and lessons learned for overcoming them.

methodsSeventeen semi-structured in-depth key informant interviews were conducted in Bissau, Guinea-Bissau in 2018. Interviews were recorded and transcribed verbatim, coded thematically, and analyzed inductively.

resultsFour themes emerged: (1) constantly start over; (2) the effects of instability rippling from central level throughout the health pyramid; (3) vulnerable populations becoming more vulnerable; and (4) coping mechanisms.

conclusionsStakeholders from government, civil society, and donor organizations have recognized instability's effects as a barrier to mounting an effective local response to HIV/AIDS in Guinea-Bissau. To mitigate the effects of the country's political instability on the health sector, concerted efforts should be made to strengthen the capacities of health officials within the Ministry of Health to shield them from the effects of the country's political instability.

Indexed as

Acquired Immunodeficiency SyndromeHIV InfectionsAfrica, WesternGovernmentGuinea-BissauHumansQualitative ResearchGlobal healthGovernanceGuinea-BissauHIV/AIDSPolitical instabilityQualitative health research

Identifiers

PMID33975626
PMCPMC8112002

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.