ArticleHealth expectations : an international journal of public participation in health care and health policy2025
HIV Care Seeking Pathways and Barriers to the Continuum of Care Faced by Persons Living With HIV in Rural Nepal: A Qualitative Study.
Article in Health expectations : an international journal of public participation in health care and health policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundThe Human Immunodeficiency Virus (HIV) has a major impact on a person's social and personal lives, affecting both physical and mental health. To meet the global 95-95-95 target, it is essential to understand and address the multi-level challenges to improve the continuum of care for persons living with HIV (PLWH). This study delves into the care-seeking pathways and barriers encountered by PLWH residing in rural areas of Nepal, shedding light on the complexities of accessing and navigating the continuum of care.
designThis study was designed as a qualitative thematic study that consisted of in-depth interviews among 21 PLWH and key-informant interviews among four health service providers in rural districts of Koshi province in Nepal. Semi-structured interview guidelines were used to ensure consistency in the data collection process, followed by Inductive Coding to identify and categorize the data into codes. Subsequently, sub-themes and themes were developed, and manifest analysis was conducted to analyze the data. The findings of the study are presented in this paper in the form of excerpts.
resultsThe multilevel barriers to HIV care continuum included (i) socio-cultural barriers such as stigma, discrimination, fear of disclosure, and heavy reliance on traditional healers; (ii) socio-economic barriers such as poverty, limited access to health insurance, low health literacy and the exclusion of PLWH under Social Security Act; (iii) fatalistic lifestyles characterized by heavy alcohol consumption, and poor adherence to antiretroviral therapy and (iv) health system-related barriers such as mistreatment by healthcare providers, and long distances to ART centers.
conclusionsThere is a need to expand services beyond treatment, including community-focused awareness and sensitization, programs led by community-based organization, economic empowerment and inclusion of PLWH under social security mechanisms in rural areas for HIV continuum of care. PATIENT AND PUBLIC CONTRIBUTION: During the study design phase, two PLWH and two service providers were consulted to discuss the research gap, understand the current practices and discuss the data collection tools and their content. Similarly, four service providers supported implementation of the study and were also consulted to interpret the underlying meaning of the data. One service provider also contributed to the manuscript development process. PLWH and the service providers were also the study participants. The findings of the study are grounded in the data/information provided during the data collection phase, thus meaningfully contributing to this study.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.