dc.contributor.author | Katieno, Jim S | |
dc.date.accessioned | 2017-01-09T09:32:52Z | |
dc.date.available | 2017-01-09T09:32:52Z | |
dc.date.issued | 2016 | |
dc.identifier.uri | http://hdl.handle.net/11295/99905 | |
dc.description.abstract | HIV-related stigma persist as major obstacle to an effective HIV response in all parts of the
world, with national surveys finding that discriminatory treatment of people living with HIV
remains common in multiple facets of life, including access to health care. HIV and AIDS related
stigma may impede uptake of antiretroviral therapy among women in developing countries thus
undermining global efforts towards achieving AIDS free generation.Rachuonyo North Sub
County is mostly devastated with HIV/AIDS pandemic and the effect of HIV stigma on uptake
of ART has been poorly understood. The purpose of the study was to investigate effects of
stigma on uptake of antiretroviral therapy among women attending PMTCT clinic in Rachuonyo
North Sub County, Kenya. The research objectives were to establish the influence of enacted
stigma, anticipated stigma, perceived community stigma and self-stigma on uptake of ART. The
study was anchored on theoretical framework postulated by Erving Gofman in 1963 and it
employed cross sectional descriptive study design method where Rachuonyo North Sub County
was stratified into two divisions and three facilities in each division was purposively selected
from each division having met a pre-defined criteria. Semi-structured questionnaires for women
visiting the PMTCT clinic and Key Informant Interview guide for health officer in-charge of
PMTCT was used to collect data. A sample size of 299 women was established; however 280
women successfully returned their questionnaires. Validity of the instruments was appraised
through pilot testing and reliability was tested through a pilot study. The study established that
enacted stigma influenced ART uptake by causing 160 (65%) to stop taking anti retroviral drugs,
anticipated stigma influenced ART uptake by causing 177(63%) women to stop taking
Antiretrovirals, consequently perceived community stigma did influence ART uptake by causing
168(60%) respondents to stop taking antiretroviral drugs and self stigma led to stoppage of
antiretroviral drugs among 184(66%) women. The study concluded that enacted stigma,
anticipated stigma, perceived community stigma and self-stigma impede ART uptake and should
be addressed by enforcing specific stigma reduction strategies to improve ART uptake and
thereby increase quality of maternal health. The study findings may be useful to County health
officers and other key stakeholders in health sector to improve ART uptake. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | Effects Of Stigma On Uptake Of Antiretroviral Therapy Among Women Attending Prevention Of Mother-To-Child Transmission Clinics | en_US |
dc.title | Effects Of Stigma On Uptake Of Antiretroviral Therapy Among Women Attending Prevention Of Mother-To-Child Transmission Clinics In Rachuonyo North Sub-County, Kenya | en_US |
dc.type | Thesis | en_US |