Disclosure of Parental HIV Status to Children: Experiences of Adults Receiving Antiretroviral Treatment at an Urban Clinic in Kampala, Uganda

Limited data are available on the experiences of parental HIV disclosure to children in Uganda. We conducted a qualitative study comprising sixteen in-depth interviews and four focus group discussions with parents receiving highly active antiretroviral therapy. Analysis was done using Atlas.ti quali...

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Main Authors: Charles Peter Osingada, Monica Okuga, Rose Chalo Nabirye, Nelson Kaulukusi Sewankambo, Damalie Nakanjako
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:AIDS Research and Treatment
Online Access:http://dx.doi.org/10.1155/2017/3458684
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author Charles Peter Osingada
Monica Okuga
Rose Chalo Nabirye
Nelson Kaulukusi Sewankambo
Damalie Nakanjako
author_facet Charles Peter Osingada
Monica Okuga
Rose Chalo Nabirye
Nelson Kaulukusi Sewankambo
Damalie Nakanjako
author_sort Charles Peter Osingada
collection DOAJ
description Limited data are available on the experiences of parental HIV disclosure to children in Uganda. We conducted a qualitative study comprising sixteen in-depth interviews and four focus group discussions with parents receiving highly active antiretroviral therapy. Analysis was done using Atlas.ti qualitative research software. Back-and-forth triangulation was done between transcripts of the in-depth interviews and focus group discussions, and themes and subthemes were developed. Barriers to parents’ disclosure included perceptions that children are too young to understand what HIV infection means and fears of secondary disclosure by the children. Immediate outcomes of disclosure included children getting scared and crying, although such instances often gave way to more enduring positive experiences for the parents, such as support in adherence to medical care, help in household chores, and a decrease in financial demands from the children. Country-specific interventions are needed to improve the process of parental HIV disclosure to children and this should encompass preparation on how to deal with the immediate psychological challenges associated with the parent’s disclosure.
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series AIDS Research and Treatment
spelling doaj-art-7ef88ecd970843f2812d848d3e8a5e522025-02-03T06:14:13ZengWileyAIDS Research and Treatment2090-12402090-12592017-01-01201710.1155/2017/34586843458684Disclosure of Parental HIV Status to Children: Experiences of Adults Receiving Antiretroviral Treatment at an Urban Clinic in Kampala, UgandaCharles Peter Osingada0Monica Okuga1Rose Chalo Nabirye2Nelson Kaulukusi Sewankambo3Damalie Nakanjako4Makerere University College of Health Sciences, School of Health Sciences, Department of Nursing, P.O. Box 7072, Kampala, UgandaMakerere University School of Public Health, Department of Health Policy Planning and Management, P.O. Box 7072, Kampala, UgandaMakerere University College of Health Sciences, School of Health Sciences, Department of Nursing, P.O. Box 7072, Kampala, UgandaDepartment of Internal Medicine, School of Medicine, Makerere College of Health Sciences, P.O. Box 7072, Kampala, UgandaDepartment of Internal Medicine, School of Medicine, Makerere College of Health Sciences, P.O. Box 7072, Kampala, UgandaLimited data are available on the experiences of parental HIV disclosure to children in Uganda. We conducted a qualitative study comprising sixteen in-depth interviews and four focus group discussions with parents receiving highly active antiretroviral therapy. Analysis was done using Atlas.ti qualitative research software. Back-and-forth triangulation was done between transcripts of the in-depth interviews and focus group discussions, and themes and subthemes were developed. Barriers to parents’ disclosure included perceptions that children are too young to understand what HIV infection means and fears of secondary disclosure by the children. Immediate outcomes of disclosure included children getting scared and crying, although such instances often gave way to more enduring positive experiences for the parents, such as support in adherence to medical care, help in household chores, and a decrease in financial demands from the children. Country-specific interventions are needed to improve the process of parental HIV disclosure to children and this should encompass preparation on how to deal with the immediate psychological challenges associated with the parent’s disclosure.http://dx.doi.org/10.1155/2017/3458684
spellingShingle Charles Peter Osingada
Monica Okuga
Rose Chalo Nabirye
Nelson Kaulukusi Sewankambo
Damalie Nakanjako
Disclosure of Parental HIV Status to Children: Experiences of Adults Receiving Antiretroviral Treatment at an Urban Clinic in Kampala, Uganda
AIDS Research and Treatment
title Disclosure of Parental HIV Status to Children: Experiences of Adults Receiving Antiretroviral Treatment at an Urban Clinic in Kampala, Uganda
title_full Disclosure of Parental HIV Status to Children: Experiences of Adults Receiving Antiretroviral Treatment at an Urban Clinic in Kampala, Uganda
title_fullStr Disclosure of Parental HIV Status to Children: Experiences of Adults Receiving Antiretroviral Treatment at an Urban Clinic in Kampala, Uganda
title_full_unstemmed Disclosure of Parental HIV Status to Children: Experiences of Adults Receiving Antiretroviral Treatment at an Urban Clinic in Kampala, Uganda
title_short Disclosure of Parental HIV Status to Children: Experiences of Adults Receiving Antiretroviral Treatment at an Urban Clinic in Kampala, Uganda
title_sort disclosure of parental hiv status to children experiences of adults receiving antiretroviral treatment at an urban clinic in kampala uganda
url http://dx.doi.org/10.1155/2017/3458684
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