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Identifying longitudinal patterns of HIV treatment (dis)engagement and re-engagement from oral histories of virologically unsuppressed persons in Uganda: A thematic trajectory analysis

Joseph G. Rosen, Neema Nakyanjo, William G. Ddaaki, Tongying Zhao, Anh Van Vo, Rosette Nakubulwa, Charles Ssekyewa, Dauda Isabirye, Ruth L. Katono, Proscovia Nabakka, Richard J. Ssemwanga, Grace Kigozi, Silas Odiya, Gertrude Nakigozi, Fred Nalugoda, Godfrey Kigozi, Joseph Kagaayi, M. Kate Grabowski and Caitlin E. Kennedy

Social Science & Medicine, 2023, vol. 339, issue C

Abstract: There is limited study of persons deemed “harder to reach” by HIV treatment services, including those discontinuing or never initiating antiretroviral therapy (ART). We conducted narrative research in southern Uganda with virologically unsuppressed persons identified through population-based sampling to discern longitudinal patterns in HIV service engagement and identify factors shaping treatment persistence.

Keywords: HIV care retention; Antiretroviral therapy; Viral load suppression; Universal test and treat; Narrative analysis; Qualitative research; Sub-Saharan Africa (search for similar items in EconPapers)
Date: 2023
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DOI: 10.1016/j.socscimed.2023.116386

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