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Journal Article > Research

Reasons for unsatisfactory acceptance of antiretroviral treatment in the urban Kibera slum, Kenya

Unge C, Johansson A, Zachariah R, Some D, van Engelgem I, Ekstrom AM
Abstract
The aim of this study was to explore why patients in the urban Kibera slum, Nairobi, Kenya, offered free antiretroviral treatment (ART) at the Médecins Sans Frontièrs (MSF) clinic, choose not to be treated despite signs of AIDS. Qualitative semi-structured interviews were conducted with 26 patients, 9 men and 17 women. Six main reasons emerged for not accepting ART: a) fear of taking medication on an empty stomach due to lack of food; b) fear that side-effects associated with ART would make one more ill; c) fear of disclosure and its possible negative repercussions; d) concern for continuity of treatment and care; e) conflicting information from religious leaders and community, and seeking alternative care (e.g. traditional medicine); f) illiteracy making patients unable to understand the information given by health workers.
Countries
Kenya
DOI
10.1080/09540120701513677
Published Date
01-Feb-2008
PubMed ID
18293122
Languages
English
Journal
AIDS Care
Volume / Issue / Pages
Volume 20, Issue 2
Issue Date
01-Feb-2008
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