Yıl : 2019 Cilt : 39 Sayı : 2

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Social Contexts of Living with HIV/AIDS in the Eastern Region of Ghana

Open Access

Öz

The livelihoods of persons living with HIV/AIDS (PLWHAs) in Ghana and sub-Saharan Africa have generally been under-researched using the social context approach. Employing the social context explanatory framework, we explore the livelihoods and challenges facing 38 PLWHAs in the Lower Manya Krobo Municipality (LMKM) in the Eastern Region of Ghana. LMKM has the highest prevalence of HIV/AIDS in Ghana. In-depth interviews have been conducted with participants who are out-patients at either of the two HIV/AIDS clinics in the study area. Their family relations, healthcare, healthcare seeking, and health status have been explored. The findings show the participants to generally be poor, have poorer health, and to have had some challenges to healthcare seeking, including food insecurity. They also lack sufficient support from family and romantic partners. Most have family members and romantic partners who had succumbed to HIV/AIDS. The participants generally have a high burden of child dependents, including orphans from HIV/AIDS. Our explanatory model confirms that the participants are caught at the interphase of intrapersonal, interpersonal, community, and national vulnerabilities that are interdependent and reciprocal. Safety-net provisions such as the National Health Insurance scheme provide them with inadequate social protection. For improved health status and general livelihood, we recommend more pro-active social support for the participants and their dependents. Furthermore having stakeholders make greater efforts is recommended for strengthening Ghana’s economy against shocks.

Anahtar Kelimeler

HIV/AIDS   Qualitative-research   Vulnerability   Livelihood   Comorbidities   Social-context-framework   Lower-Manya-Krobo-Municipality   Ghana  

Sorumlu Yazar

Adobea Yaa Owusu

Kaynakça

  • Aikins, A. D. G. (2015). Mental illness and destitution in Ghana: A Social-psychological perspective. In E. Akyeampong, A. G. Hill, & A. M. Kleinman (Eds.), The culture of mental illness and psychiatric practice in Africa (pp. 112–143). Bloomington: Indiana University Press. Retrieved June 26, 2019 from http://www.jstor.org/stable/j.ctt16gz69f.6 Antwi, I. K. (2010) 2010-half-year HIV/AIDS Review report of the Lower Manya Krobo District. Atua, Ghana: Ghana Health Services. Retrieved May 20, 2018 from http://www.ghanaids.gov. gh/gac1/aids_info.php
  • Asante, F. A., Fenny, A. P., & Ahiadeke, C. (2007). National AIDS Spending Assessment 2005 and 2006 level and flow of resources and expenditure to confront HIV/AIDS. Accra: Ghana AIDS Commission, Institute of Statistical, Social and Economic Research, Joint United Nations Programme on HIV/AIDS. Retrieved from http://data.unaids.org/pub/report/2007/nasa_ ghana_0506_20070816_en.pdf
  • Babbie, E. R. (2013). The practice of s
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Detaylar

DOI 10.26650/SJ.2019.39.2.0109

Submission : 3 Mar 2019

Published : 31 Ara 2019

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