Browsing by Author "Kiwanuka, Thadeus"
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Item Tasks and Strategies of Self-Management of Living with Antiretroviral Therapy in Uganda(AIDS PATIENT CARE and STDs, 2013) Martin, Faith; Kiwanuka, Thadeus; Kawuma, Rachel; Zalwango, Flavia; Seeley, JanetThere is increasing interest in promoting and supporting self-management of HIV and antiretroviral treatment (ART), including in resource-limited settings. Although the impact of HIV and ART on people in Uganda has been explored, little attention has been paid to how people self-manage. This qualitative study collected data from 20 participants on ART in Wakiso district, Uganda, using in-depth interviews, life histories, and observations to explore the tasks and strategies of living with ART. The identified strategies were compared to two existing self-management frameworks. Results highlighted a range of tasks including obtaining, taking, and adhering to ART medication, monitoring their condition, living with stigma and managing disclosure, maintaining general health, and adjusting to new roles. Participants described a range of strategies or behaviors to manage, which they actively created and used, tailored to their needs and environment. Comparison with existing frameworks revealed many similarities, with some local differences in enactment, and greater emphasis in our sample on obtaining the medication. Interventions to support people with self-management in Uganda, and possibly other resource-limited settings, require careful adaptation to local settings. The degree to which each of these strategies may improve health and quality of life requires further investigation.Item Why do men often not use condoms in their relationships with casual sexual partners in Uganda(Culture, health & sexuality, 2015) Rutakumwa, Rwamahe; Mbonye, Martin; Kiwanuka, Thadeus; Bagiire, Daniel; Seeley, JanetWith a focus on Uganda, this paper examines men’s condom use in sexual relationships with casual partners and what this might tell us about men’s vulnerability to HIV-infection. We carried out repeat interviews with 31 men attending a clinic serving women at high risk for HIV infection and their partners in Kampala. We found that the experience of condom-less sex in the men’s youth, itself the outcome of a restrictive home-environment, was perceived as influencing later unsafe sexual behaviour. Peer pressure encouraged men to have multiple partners. Alcohol negatively affected condom use. Men often opted not to use a condom with women they thought looked healthy, particularly if they had had sex with the woman before. Some men who were HIV-positive said they saw little point in using condoms since they were already infected. A concerted effort is required to reach men, like those in our study, to halt HIV and the transmission of other sexually transmitted infections.