ABC for people with HIV: responses to sexual behavior recommendations among people receiving antiretroviral therapy in Jinja, Uganda

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dc.contributor.authorAllen, Caroline
dc.contributor.authorMbonye, Martin
dc.contributor.authorSeeley, Janet
dc.contributor.authorBirungi, Josephine
dc.contributor.authorWolff, Brent
dc.contributor.authorCoutinho, Alex
dc.contributor.authorJaffar, Shabbar
dc.date.accessioned2018-07-25T14:16:48Z
dc.date.available2018-07-25T14:16:48Z
dc.date.issued2011-03-09
dc.descriptionThe study conducted a longitudinal qualitative study with people living with HIV using ART, who were provided with adherence education and counselling support by a Ugandan nongovernmental organisation, The AIDS Support Organisation (TASO).en_US
dc.description.abstractPeople living with HIV who are taking antiretroviral therapy (ART) are increasingly involved in ‘positive prevention’ initiatives. These are generally oriented to promoting abstinence, ‘being faithful’ (partner reduction) and condom use (ABC). We conducted a longitudinal qualitative study with people living with HIV using ART, who were provided with adherence education and counselling support by a Ugandan nongovernmental organisation, The AIDS Support Organisation (TASO). Forty people were selected sequentially as they started ART, stratified by sex, ART delivery mode (clinic- or home-based) and HIV progression stage (early or advanced) and interviewed at enrolment and at 3, 6, 18 and 30 months. At initiation of ART, participants agreed to follow TASO’s positive-living recommendations. Initially poor health prevented sexual activity. As health improved, participants prioritised resuming economic production and support for their children. With further improvements, sexual desire resurfaced and people in relationships cemented these via sex. The findings highlight the limitations of HIV prevention based on medical care/personal counselling. As ART leads to health improvements, social norms, economic needs and sexual desires increasingly influence sexual behaviour. Positive prevention interventions need to seek to modify normative and economic influences on sexual behaviour, as well as to provide alternatives to condoms.en_US
dc.identifier.citationAllen, Caroline, Mbonye, Martin, Seeley, Janet, Birungi, Josephine, Wolff, Brent, Coutinho, Alex, Jaffar, Shabbar, 2011, ABC for people with HIV: responses to sexual behavior recommendations among people receiving antiretroviral therapy in Jinja, Uganda. ABC for people with HIV: responses to sexual behavior recommendations among people receiving antiretroviral therapy in Jinja, Uganda.en_US
dc.identifier.urihttps://hdl.handle.net/20.500.11951/300
dc.language.isoenen_US
dc.publisherRoutledge Taylor & Francis Groupen_US
dc.subjectHIV/AIDSen_US
dc.subjectAnti-retroviral Aherapyen_US
dc.subjectSexual behavioren_US
dc.subjectUgandaen_US
dc.titleABC for people with HIV: responses to sexual behavior recommendations among people receiving antiretroviral therapy in Jinja, Ugandaen_US
dc.typeArticleen_US
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The final, definitive version of this paper has been published in the Culture, Health & Sexuality, Vol. 13, No. 5, May 2011. DOI: 10.1080/13691058.2011.558593; published by Taylor & Francis. All rights reserved.
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