"They don't like us….": Barriers to antiretroviral and opioid substitution therapy among homeless HIV positive people who inject drugs in Delhi: A mixed method study

PloS One
Samresh KumarJoseph Francis Munjattu

Abstract

Provision of Anti-Retroviral Therapy (ART) and Opioid Substitution Therapy (OST) are important components of the targeted intervention (TI) programme for people who inject drugs (PWID). Homeless HIV positive PWIDs in Delhi is a key population experiencing gaps in uptake of these services, especially the ART uptake which is reportedly far from 90%, UNAIDS' 90-90-90 target to end the AIDS epidemic. To assess the gaps and barriers in accessing the ART and OST services uptake among HIV positive homeless PWID in Delhi and to explore experiences and perspectives of the PWIDs and service providers. We used a convergent parallel mixed methods design which included a cross-sectional quantitative survey and a qualitative study. Two hundred thirty five homeless HIV positive PWID were interviewed and in-depth interviews were conducted with five PWIDs and nine health providers. While only 12% of PWIDs were on ART, 80% were availing OST services. The top individual, health system related and structural barriers for ART service access were insufficient and incorrect knowledge (63%), long waiting time (86%) and lack of family support (44%) respectively. Inconvenient timings, stringent registration requirements and negative attitude of health p...Continue Reading

References

Sep 18, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Allison TongJonathan Craig
May 31, 2008·BMJ : British Medical Journal·Paul De Lay
Mar 2, 2010·Lancet·Bradley M MathersUNKNOWN 2009 Reference Group to the UN on HIV and Injecting Drug Use
Aug 16, 2012·HIV/AIDS : Research and Palliative Care·Oluwafemi O Oguntibeju
May 29, 2015·International Journal of Health Care Quality Assurance·Rama Koteswara Rao Kondasani, Rajeev Kumar Panda
May 23, 2017·Indian Journal of Psychiatry·Ravindra Rao

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Citations

Aug 28, 2020·Journal of the International AIDS Society·Koharu Loulou ChayamaRyan McNeil
Mar 30, 2021·The Lancet. Public Health·Chiedozie ArumUNKNOWN Homelessness, HIV, and HCV Review Collaborative Group

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