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Full-Text Articles in Medicine and Health Sciences
A Qualitative Exploration Of The Economic And Social Effects Of Microcredit Among People Living With Hiv/Aids In Uganda, Sebastian Linnemayr, Glenn Wagner, Yashodhara Rana, James Balya, Lydia Buzaalirwa
A Qualitative Exploration Of The Economic And Social Effects Of Microcredit Among People Living With Hiv/Aids In Uganda, Sebastian Linnemayr, Glenn Wagner, Yashodhara Rana, James Balya, Lydia Buzaalirwa
Sebastian Linnemayr
HIV medical care, including antiretroviral therapy (ART), is often successful in restoring physical health and functioning. But in developing countries, HIV medical care is often insufficient to achieve social and economic health, and hence innovative economic support programs are much needed. We conducted semistructured interviews with 30 adults receiving ART and microcredit loans operated by Uganda Cares. Using content analysis, we explored the impact of the microcredit loans on the economic, social, and psychological well-being of respondents. Most respondents indicated that the microcredit loans played a positive role in their lives, helped them to keep their children in school and …
Factors Associated With Intention To Conceive And Its Communication To Providers Among Hiv Clients In Uganda, Glenn Wagner, Sebastian Linnemayr, Cissy Kityo, Peter Mugyenyi
Factors Associated With Intention To Conceive And Its Communication To Providers Among Hiv Clients In Uganda, Glenn Wagner, Sebastian Linnemayr, Cissy Kityo, Peter Mugyenyi
Sebastian Linnemayr
Persons living with HIV/AIDS (PLHA) must discuss their fertility intentions with healthcare providers to receive the support needed to have children safely and limit transmission risks. However, few quantitative studies have examined correlates of fertility intentions, let alone the communication of such intentions with providers. We examined the prevalence and correlates of intentions to have children, and comfort discussing such plans with one's providers, in HIV clients at two HIV clinics in Uganda. Cross-sectional self-report data were collected from 233 patients who had primary partners. Bivariate correlates significant at the P < 0.10 level were included in logistic regression analysis. Of the 233 participants, 103 (44%) reported an intention to conceive a child in the near future. In multivariate analysis, younger age of both the patient and their partner, better physical health functioning and higher internalized HIV stigma were associated with having fertility intentions. One-third (35%) of those with fertility intentions expressed having difficulty discussing these intentions with their providers, which was associated with receiving care at the rural clinic and greater internalized HIV stigma. These findings highlight the need for reproductive health services that help clients accept themselves as PLHA and their fertility rights, thus promoting patient-doctor communication needed to promote safe child conception and delivery outcomes.