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Journal Article
|Research

Dissonance of choice: Biomedical and lived perspectives on HIV treatment-taking

Horter SCB, Seeley J, Bernays S, Kerschberger B, Lukhele N, Wringe A
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Dissonance of choice: Biomedical and lived perspectives on HIV treatment-taking | Journal Article / Research | MSF Science Portal
Abstract
Treat-all recommends prompt treatment initiation for those diagnosed HIV positive, requiring adaptations to individuals' behavior and practice. Drawing on data from a longitudinal qualitative study in Eswatini, we examine the choice to initiate treatment when asymptomatic, the dissonance between the biomedical logic surrounding Treat-all and individuals' conceptions of treatment necessity, and the navigation over time of ongoing engagement with care. We reflect on the perspectives of healthcare workers, responsible for implementing Treat-all and holding a duty of care for their patients. We explore how the potentially differing needs and priorities of individuals and the public health agenda are navigated and reconciled. Rationalities regarding treatment-taking extend beyond the biomedical realm, requiring adjustments to sense of self and identity, and decision-making that is situated and socially embedded. Sense of choice and ownership for this process is important for individuals' engagement with treatment and care.

Countries

Eswatini

Subject Area

HIV/AIDS

Languages

English
DOI
10.1080/01459740.2020.1720981
Published Date
20 Feb 2020
PubMed ID
32078396
Journal
Medical Anthropology
Volume | Issue | Pages
Volume 39, Issue 8, Pages 675-688
Issue Date
2020-02-20
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