Addressing the Syndemics of HIV, Mental Health, and COVID-19 Using the Health and Human Rights Framework among Youth Living with HIV, in Uganda: an Interpretive Phenomenological Study.

Journal: Journal of human rights and social work

Volume: 7

Issue: 3

Year of Publication: 

Affiliated Institutions:  Department of Social Work, University of Texas at San Antonio, College for Health, Community, and Policy, W. Cesar Chavez Blvd, San Antonio, TX USA. School of Social Work, University of Texas, S. Cooper St., Bldg. A, ArlingtonArlington, TX USA. School of Social Work, University of Illinois Urbana-Champaign, W. Nevada Street, Urbana, IL USA.

Abstract summary 

Stigma and discrimination negatively impact the prevention, treatment, and care of HIV. The COVID-19 pandemic increased this complexity and created a cluster of synergistic health contexts, wherein the physiological aspects of HIV and the social and environmental conditions increased the vulnerability in health outcomes for youth living with HIV (YPLHIV) in Kampala, Uganda. We used interpretive phenomenological analysis (IPA) and the syndemics framework to understand the lived experiences of YPLHIV. From December 2020 to May 2021, six qualitative focus groups were held with 31 youth living with HIV to understand the lived experiences of YPLHIV. The guided questions used were audio-recorded, transcribed verbatim, and coded for thematic analysis. Findings highlight the complexity of intersecting stigma of HIV and COVID-19 that have worsened antiretroviral treatment adherence and mental health issues due to lack of access to critical needs such as fears of food insecurity, health-related worries, the fear of perishing due to COVID-19, and human rights concerns related to gender and sexual identity. The study recommends addressing human rights-related concerns in addition to health-related concerns to comprehensively mitigate the syndemics of HIV and COVID-19 for YPLHIV in Uganda.

Authors & Co-authors:  Sharma Bonita B BB Small Eusebius E Okumu Moses M Mwima Simon S Patel Mansi M

Study Outcome 

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Statistics
Citations :  Acayo, G. (2020). To address food insecurity in Uganda post COVID-19 the government must act now. International Institute for Environment and Development. Retrieved September 11, 2021, from https://www.iied.org/address-food-insecurity-uganda-post-covid-19-government-must-act-now
Authors :  5
Identifiers
Doi : 10.1007/s41134-022-00221-4
SSN : 2365-1792
Study Population
Male,Female
Mesh Terms
Other Terms
COVID-19;Health;Human rights;Interpretative phenomenological analysis (IPA);Stigma;Syndemics;Uganda;Youth living with HIV (YPLHIV)
Study Design
Phenomenological Study,Cross Sectional Study
Study Approach
Qualitative
Country of Study
Uganda
Publication Country
Switzerland