Barriers and Enablers to HIV Care Among Waria (Transgender Women) in Indonesia: A Qualitative Study.
AIDS Educ Prev
; 31(6): 538-552, 2019 12.
Article
em En
| MEDLINE
| ID: mdl-31815531
ABSTRACT
Transgender women (waria) in Indonesia have high rates of HIV and experience barriers accessing HIV services. This qualitative research explored barriers and facilitators to HIV care among waria in Indonesia. Between 2015 and 2016, 42 participants were involved in focus group discussions and in-depth interviews across three urban sites in Indonesia to examine participants' experiences and views on HIV prevention, testing, treatment initiation, and treatment adherence. Data were analyzed thematically. Barriers to accessing HIV care services included perceptions of health and HIV treatment, confidentiality and stigma concerns, and poor access to health insurance. Facilitators to HIV care included recognition of health and perceived susceptibility, perceptions of treatment benefits and consequences of non-adherence, access to social support, and patient-friendly services. Research findings highlight the importance of improving HIV treatment literacy, safeguarding community responses to addressing HIV vulnerability, addressing confidentiality and stigma issues, ensuring services are transgender-friendly, and increasing health insurance coverage.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transexualidade
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Infecções por HIV
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Conhecimentos, Atitudes e Prática em Saúde
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Estigma Social
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Pessoas Transgênero
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Acessibilidade aos Serviços de Saúde
Tipo de estudo:
Diagnostic_studies
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Prognostic_studies
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Qualitative_research
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Screening_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article