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The Framing and Fashioning of Therapeutic Citizenship Among People Living With HIV Taking Antiretroviral Therapy in Uganda

机译:乌干达艾滋病毒感染者接受抗逆转录病毒疗法的治疗公民身份的框架和形成

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In this article, we examine how people living with HIV (PLWH) were able to reconceptualize or reframe their understanding of HIV and enhance their capacity to self-manage the condition. Two in-depth interviews were held with 38 PLWH (20 women, 18 men) selected from three government and nongovernment antiretroviral therapy (ART) delivery sites in Wakiso District, and the narratives analyzed. ART providers played an important role in shaping participants' HIV self-management processes. Health workers helped PLWH realize that they could control their condition, provided useful concepts and language for emotional coping, and gave advice about practical self-management tasks, although this could not always be put into practice. ART providers in this setting were spaces for the development of a collective identity and a particular form of therapeutic citizenship that encouraged self-management, including adherence to ART. Positive framing institutions are important for many PLWH in resource-limited settings and the success of ART programs.
机译:在本文中,我们研究了艾滋病病毒感染者(PLWH)如何能够重新概念化或重构他们对艾滋病毒的理解,并增强他们自我管理疾病的能力。从Wakiso地区的三个政府和非政府抗逆转录病毒疗法(ART)传递地点中选出的38名PLWH(20名女性,18名男性)进行了两次深度访谈,并对叙述进行了分析。 ART提供者在塑造参与者的艾滋病毒自我管理过程中发挥了重要作用。卫生工作者帮助PLWH意识到他们可以控制自己的病情,为情绪应对提供了有用的概念和语言,并就实际的自我管理任务提供了建议,尽管这并不总是可以付诸实践。在这种情况下,ART提供者是发展集体身份和特定形式的治疗公民的空间,这些形式鼓励自我管理,包括坚持ART。积极的构架机构对于许多PLWH在资源有限的环境中以及ART计划的成功至关重要。

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