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The role of HIV testing, counselling, and treatment in coping with HIV/AIDS in Uganda: a qualitative analysis

机译：艾滋病毒检测，咨询和治疗在乌干达应对艾滋病毒/艾滋病中的作用：定性分析

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HIV/AIDS has had a devastating impact at individual, household and community levels. This qualitative research investigates the role of HIV voluntary counselling and testing (VCT) and treatment in enabling HIV-positive Ugandans to cope with this disease. Twelve predetermined focus group discussions (FGDs) were conducted; six with men and six with women. Half of the men and women's groups were receiving antiretroviral therapy (ART) and half were not. An FGD was held with the health care providers administering ART. Testing for HIV was perceived as soliciting a death warrant. Participants affirmed that the incentive for testing was the possibility of accessing free ART. They described experiencing gender-variant stigma and depression on confirming their HIV status and commended the role of counselling in supporting them to adopt positive living. For those receiving ART, counselling reinforced treatment adherence. The findings also revealed gender differences in treatment adherence strategies. ART was described to reduce disease symptoms and restore physical health allowing them to resume their daily activities. Additionally, ART was preferred over traditional herbal treatment because it had clear dosages, expiry dates and was scientifically manufactured. Those that were not receiving ART bore myths and misconceptions about the effectiveness and side effects of ART, delaying the decision to seek treatment. Stigma and the attached concern of HIV/AIDS-related swift death, is a major barrier for VCT. Based on this study's findings, ensuring the provision of quality assured and gender conscious VCT and ART delivery services will enhance positive living and enforce compliance to ART programmes.
机译：艾滋病毒/艾滋病在个人，家庭和社区各级产生了破坏性影响。这项定性研究调查了艾滋病自愿咨询检测（VCT）和治疗在使艾滋病毒阳性乌干达人应对这种疾病中的作用。进行了十二次预定的焦点小组讨论（FGD）;六个男人和六个女人。男女小组中有一半接受抗逆转录病毒治疗（ART），而另一半则没有。与管理抗逆转录病毒疗法的卫生保健提供者举行了一次烟气脱硫。艾滋病毒检测被认为是在征求死亡证明。与会者确认测试的动机是获得免费ART的可能性。他们描述了在确认其艾滋病毒感染状况后经历着性别变异的污名和抑郁症，并称赞咨询在支持他们采取积极生活中的作用。对于那些接受抗逆转录病毒治疗的人，咨询可以加强治疗依从性。研究结果还揭示了治疗依从性策略上的性别差异。 ART被描述为减少疾病症状并恢复身体健康，使他们能够恢复日常活动。此外，抗逆转录病毒治疗优于传统草药治疗，因为它具有明确的剂量，有效期并且科学制造。那些没有接受抗逆转录病毒疗法的人对抗逆转录病毒疗法的有效性和副作用抱有神话和误解，从而延误了寻求治疗的决定。污名化以及与艾滋病毒/艾滋病有关的迅速死亡的相关关注，是自愿咨询检测的主要障碍。根据这项研究的结果，确保提供质量有保证且具有性别意识的VCT和ART交付服务将改善人们的积极生活并加强对ART计划的遵守。

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