TY - JOUR
T1 - La déperdition entre les postes de dépistage et de prise en charge des personnes vivant avec le VIH-sida au Burkina Faso
T2 - une approche qualitative
AU - Yameogo, W.
AU - Kouanda, S.
AU - Berthé, A.
AU - Yaya-Bocoum, F.
AU - Gausset, Quentin
AU - Mogensen, Hanne Overgaard
AU - Konaté, B.
AU - Ky-Zerbo, O.
PY - 2014
Y1 - 2014
N2 - Delayed care-seeking occurs when a person who received a positive HIV serology test result does not immediately seek medical treatment for this HIV infection. It has serious consequences for patient survival. This study aims to analyze the factors leading to delayed care-seeking in this circumstance. Methodology: Applying a qualitative approach, we conducted individual interviews and focus groups in 9 community-based organizations of people living with HIV and AIDS in Burkina Faso. In total, 112 people including 70 HIV-positive patients, 30 healthcare providers, and 12 people leaving the laboratory after an HIV test, were interviewed. A thematic content analysis identified the factors that delayed care-seeking. Results: Several factors explain the delay in seeking care. The weight of the negative representations of HIV and AIDS, its impact on those diagnosed with them, and fear of stigmatization (especially by family members) are major factors in delayed care. The poor quality of pre-and post-test counseling is another factor. This study also shows that financial barriers remain important in this delay. Conclusion: These findings suggest that earlier HIV care may be possible through efforts to reduce stigma, removal of financial barriers, and improvement of the quality of pre-and post-test counseling in mobile-device strategies and during large-scale testing campaigns.
AB - Delayed care-seeking occurs when a person who received a positive HIV serology test result does not immediately seek medical treatment for this HIV infection. It has serious consequences for patient survival. This study aims to analyze the factors leading to delayed care-seeking in this circumstance. Methodology: Applying a qualitative approach, we conducted individual interviews and focus groups in 9 community-based organizations of people living with HIV and AIDS in Burkina Faso. In total, 112 people including 70 HIV-positive patients, 30 healthcare providers, and 12 people leaving the laboratory after an HIV test, were interviewed. A thematic content analysis identified the factors that delayed care-seeking. Results: Several factors explain the delay in seeking care. The weight of the negative representations of HIV and AIDS, its impact on those diagnosed with them, and fear of stigmatization (especially by family members) are major factors in delayed care. The poor quality of pre-and post-test counseling is another factor. This study also shows that financial barriers remain important in this delay. Conclusion: These findings suggest that earlier HIV care may be possible through efforts to reduce stigma, removal of financial barriers, and improvement of the quality of pre-and post-test counseling in mobile-device strategies and during large-scale testing campaigns.
M3 - Tidsskriftartikel
SN - 2261-3684
VL - 24
SP - 58
EP - 62
JO - Médecine et santé tropicale
JF - Médecine et santé tropicale
ER -
