Reasons for unsatisfactory acceptance of antiretroviral treatment in the urban Kibera slum, Kenya
Unge, C.; Johansson, A.; Zachariah, R.; Some, D.; Van Engelgem, I.; Ekstrom, A.M.
Aids Care 20(2): 146-149
2008
ISSN/ISBN: 0954-0121 PMID: 18293122 DOI: 10.1080/09540120701513677Document Number: 199088
The aim of this study was to explore why patients in the urban Kibera slum, Nairobi, Kenya, offered free antiretroviral treatment (ART) at the Médecins Sans Frontièrs (MSF) clinic, choose not to be treated despite signs of AIDS. Qualitative semi-structured interviews were conducted with 26 patients, 9 men and 17 women. Six main reasons emerged for not accepting ART: a) fear of taking medication on an empty stomach due to lack of food; b) fear that side-effects associated with ART would make one more ill; c) fear of disclosure and its possible negative repercussions; d) concern for continuity of treatment and care; e) conflicting information from religious leaders and community, and seeking alternative care (e.g. traditional medicine); f) illiteracy making patients unable to understand the information given by health workers.