ArticleAIDS care2022
Barriers to HIV care in Uganda and implications for universal test-and-treat: a qualitative study.
Article in AIDS care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Mental health of women with HIV: a qualitative meta-synthesis.BMC women's health · 2026Pooled it
- Barriers and facilitators of HIV partner status notification in low- and lower-middle-income countries: A mixed-methods systematic review.BMC infectious diseases · 2024Pooled it
- Understanding the Stigma Experience of Men Living with HIV in Sub-Saharan Africa: A Qualitative Meta-synthesis.AIDS and behavior · 2024Pooled it
- Traditional healers can help facilitate HIV serostatus disclosure: results from a qualitative study in rural Uganda.Journal of the International AIDS Society · 2025Trial
- Identification of antibody targets associated with lower HIV viral load and viremic control.PloS one · 2024Trial
- Knowledge, attitude, and practices regarding psychological wellbeing among people living with HIV: A cross-sectional study at an antiretroviral therapy plus center in India.Journal of postgraduate medicine · 2026Article
- HIV-1 late diagnosis in Cabo Verde: associated factors and implications for preventive strategies.Frontiers in epidemiology · 2026Article
- 'Empowerment' as a proximal implementation outcome for task shifting with informal cadres: findings from a qualitative study with traditional healers in rural Uganda.Implementation science communications · 2025Article
- HIV-related misinformation, testing, and non-disclosure in selected urban and peri-urban areas of West Nile, Eastern, and Northern Uganda.Journal of health, population, and nutrition · 2025Article
- Distinct Metabolic and Inflammation Signatures in Urban vs Rural Ugandan Youth With HIV on Dolutegravir.Open forum infectious diseases · 2025Article
- Trends and disparities in human immunodeficiency virus and chronic liver disease mortality in the United States: A nationwide analysis.The Journal of international medical research · 2025Article
- Counselling and depressive symptoms in older adults with HIV/AIDS in mbarara, Uganda.BMC psychology · 2025Article
- Barriers, Facilitators and Preferences for HIV Testing Services among Adolescent Girls (15-19) and Young Women (20-24) in Rakai District, Central Uganda.Research square · 2025Article
- Article
- Assessing differences in healthcare access by HIV status to inform cervical cancer and HIV screening in rural Uganda.PLOS global public health · 2025Article
- Exploring experiences of HIV care to optimize patient-centred care in Conakry, Guinea: a qualitative study.Frontiers in reproductive health · 2024Article
- Understanding gender differences of people with HIV newly diagnosed or returning to care with advanced HIV disease in Malawi: a qualitative study.BMC public health · 2023Article
- Perceptions and factors associated with the uptake of the community client-led antiretroviral therapy delivery model (CCLAD) at a large urban clinic in Uganda: a mixed methods study.BMC health services research · 2023Article
- Experiences of stigma and HIV care engagement in the context of Treat All in Rwanda: a qualitative study.BMC public health · 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
Corrections and comments
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Authors and funding
14 authors at 3 institutions in 2 countries.
Funding
Abstract
Achieving universal HIV test-and-treat will require targeted interventions for those with worse outcomes, including advanced HIV. We conducted qualitative, semi-structured interviews with healthcare workers (HCWs) and people living with HIV (PLWH) at 5 HIV clinics in Kampala, Uganda, to understand barriers to care. PLWH enrolled started/restarted on HIV treatment ≤3 months prior. PLWH were grouped as 1) "ART-experienced" or those restarted therapy after ≥12 months off, 2) ART naïve CD4 count <100 cells/uL "late presenters" or 3) ART naïve CD4 count >350 cells/uL "early presenters". In-depth interviews were conducted in Luganda, translated, and transcribed verbatim. Between May and August 2017, 58 PLWH and 20 HCWs were interviewed. High stigma and low social support emerged as themes among all as barriers to care. Alcohol abuse was a barrier for men. Fear of domestic violence and abandonment were barriers for women, limiting disclosure of their HIV status to their male partners. Clinic factors such as rapport with staff, distance, efficiency, and privacy impacted care. Future interventions to decrease delayed ART initiation should target stigma and social support. Assisted disclosure, contact tracing, and alcohol abuse treatment should be implemented. Strengthening client support, reducing wait times, and increasing privacy assurances would improve care-seeking behaviors.
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