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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
arts and humanities
"When in the body, it makes you look fat and HIV negative": The constitution of antiretroviral therapy in local discourse among youth in Kahe, Tanzania
Social Science and Medicine, Volume 68, No. 5, Year 2009
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Description
Antiretroviral therapy (ART) is becoming increasingly more accessible within the health care system in Tanzania. However, the impact of the increased availability of ART on local conceptions about medicines, health and physical wellbeing has not been fully explored. In this article we examine how ART is constituted within local discourses about treatment and healing. Based on 21 focus group discussions with young people aged 14-24 years in a rural area (Kahe), we examine how local terms and descriptions of antiretroviral therapy relate to wider definitions about the body, health, illness and drug efficacy. Findings illustrate how local understandings of ART draw on a wider discourse about the therapeutic functions of medicines and clinical dimensions of HIV/AIDS. Therapeutic efficacy of antiretroviral medication appeared to overlap and sometimes contradict locally shared understandings of the clinical functions of medicines in the body. Implications of ART on bodily appearance and HIV signs may influence conceptions about sick role, perpetuate stigma and affect local strategies for HIV prevention. Structural inequities in access, limited information on therapeutic efficacy of ART and perceived difficulties with status disclosure appear to inform local conceptions and possible implications of ART. Policy and programme interventions to foster public understanding and acceptability of ART should emphasize treatment education about the benefits and limitations of therapy and increased access to ART in rural areas, and should integrate voluntary status disclosure and HIV prevention. © 2008 Elsevier Ltd. All rights reserved.
Authors & Co-Authors
Ezekiel, Mangi Job
Norway, Oslo
Universitetet I Oslo
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Talle, Aud
Norway, Oslo
Universitetet I Oslo
Juma, James Mc Ollogi
Tanzania, Dar es Salaam
Hubert Kairuki Memorial University
Klepp, Knut Inge
Norway, Oslo
Universitetet I Oslo
Statistics
Citations: 52
Authors: 4
Affiliations: 3
Identifiers
Doi:
10.1016/j.socscimed.2008.12.016
ISSN:
02779536
Research Areas
Health System And Policy
Infectious Diseases
Study Approach
Qualitative
Study Locations
Tanzania