Evidence map›Paper›PMID 38760044›Full record

ArticleBMJ open2024

Challenges and support experienced by family caregivers seeking antiretroviral therapy services for children living with HIV/AIDS: a phenomenological study in Ghana.

Lilian Yiryuo, Stephen Kpekura, Wahab Osman, Margaret Wekem Kukeba, Najart Deborah Mumuni, Mavis Mallory Mwinbam, Anthony Dery

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Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Lilian YiryuoSt. Joseph's Hospital, Ghana Health Service, Accra, Jirapa, Ghana.ORCID 0000-0002-0137-6099
Stephen KpekuraGeneral and Preventive Health Nursing, C K Tedam University of Technology and Applied Sciences, Navrongo, Ghana skpekura@cktutas.edu.gh.ORCID 0000-0001-6661-6172
Wahab OsmanDepartment of Advance Nursing, University for Development Studies, Tamale, Northern Region, Ghana.ORCID 0000-0001-6288-9931
Margaret Wekem KukebaGhana College of Nurses and Midwives, Accra, Ghana.ORCID 0000-0003-2394-6598
Najart Deborah MumuniGhana College of Nurses and Midwives, Accra, Ghana.
Mavis Mallory MwinbamGhana College of Nurses and Midwives, Accra, Ghana.
Anthony DeryNURSING, Seventh-Day Adventist Clinic, WA, GHANA, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamily caregivers of children living with HIV/AIDS in most cases are found to be overwhelmed and under-resourced, yet they are believed to be the primary source of support for children living with HIV/AIDS. Family caregivers experience different challenges that affect their children's antiretroviral therapy (ART) adherence.

aimThis study explored the lived experiences of family caregivers of children living with HIV/AIDS who sought ART services for these children at the St Joseph's Hospital of Jirapa, Ghana.

methodUsing a qualitative phenomenology design and a semistructured in-depth interview guide and using purposive sampling, data were gathered from 13 family caregivers of children living with HIV/AIDS receiving ART treatment at St Joseph's Hospital, Jirapa following ethical approval. All interviews were audio-taped and transcribed verbatim. Reflexive thematic analysis was used to analyse the transcribed data.

findingsSix themes were generated: five challenges and one support. Family caregivers of children living with HIV/AIDS experienced: (1) Financial challenges, (2) Human-related challenges, (3) Challenges at HIV testing and counselling (HTC) centres, (4) Challenges with transportation, (5) Challenges in disclosing children's HIV status to them and (6) Support received from HTC and their family members. CONCLUSION AND RECOMMENDATION: Family caregivers of children living with HIV/AIDS experience daunting challenges in their quest to care for their children. Governmental and non-governmental HIV/AIDS programme support should include small business skills training and acquisition including capital to help set up small-scale businesses for such caregivers to reduce their financial challenges. Access to ART at clinics closer to caregivers is also key to promoting adherence. Family and community support has been recognised as key to enhancing ART adherence. Education of caregivers on policy regarding disclosure of the HIV/AIDS status of children, the need to work to reduce the time spent by caregivers at HTC, and ensuring privacy by limiting access to HTCs to only caregivers and their children, are important to enhancing adherence.

Indexed as

CaregiversHIV InfectionsQualitative ResearchAdolescentAdultAnti-HIV AgentsAnti-Retroviral AgentsChildChild, PreschoolFemaleGhanaHumansInterviews as TopicMaleMedication AdherenceMiddle AgedAnti-HIV AgentsAnti-Retroviral AgentsCaregiver BurdenCaregiversHIV & AIDSIMMUNOLOGYPaediatric infectious disease & immunisationVIROLOGY

Identifiers

PMID38760044
PMCPMC11103234

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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.