Article

“Treatment is not yet necessary”: delays in seeking access to HIV treatment in Uganda and Zimbabwe

Published in: African Journal of AIDS Research
Volume 17, issue 3, 2018 , pages: 217–225
DOI: 10.2989/16085906.2018.1490785
Author(s): Rachel KawumaMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine (MRC/UVRI and LSHTM), Uganda, Janet SeeleyMedical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine (MRC/UVRI and LSHTM), Uganda, Zivai MupambireyiCentre for Sexual Health and HIV/AIDS Research, Zimbabwe, Frances CowanInternational Public Health Department, UK, Sarah BernaysSchool of Public Health, Australia, Medical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine (MRC/UVRI and LSHTM), Uganda

Abstract

We examined the logic that individuals use to account for delaying HIV testing and/or initiating HIV treatment. Our qualitative study, situated within the REALITY trial (Reduction of EArly mortaLITY in HIV infected adults and children starting antiretroviral therapy), was conducted in Uganda and Zimbabwe in 2015. Forty-eight participants (different age groups, sex and viral load/WHO disease stage) were included. Each participant had 2 interviews (1 after 4 weeks of participation in the trial the other after 12 weeks). If a person could manage presenting symptoms, they felt they had “more time” before starting antiretroviral therapy (ART). Their reluctance to have an HIV test (despite deteriorating health) arose from a belief that they were not “sick”, that treatment was “not yet necessary”. People in our study did not consider themselves as presenting “late”, and treatment was not considered urgent as long as they considered their health to be “good enough”.

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