Paying to Normalize Life: Monetary and Psychosocial Costs of Realizing a Normal Life in the Context of Free Antiretroviral Therapy Services in Uganda

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dc.contributor.authorKalule Nanfuka, Esther
dc.contributor.authorKyaddondo, David
dc.contributor.authorSsali, Sarah N.
dc.contributor.authorAsingwire, Narathius
dc.date.accessioned2021-12-12T15:53:02Z
dc.date.available2021-12-12T15:53:02Z
dc.date.issued2019
dc.description.abstractAntiretroviral therapy (ART) is considered the treatment that enables people living with HIV (PLHIV) to lead a “normal life”. In spite of the availability of free treatment, patients in resource-poor settings may continue to incur additional costs to realize a normal and full life. This article describes the monetary expenses and psychosocial distress people on free ART bear to live normally. We conducted in-depth interviews with 50 PLHIV on ART. We found that the demands of treatment, poverty, stigma, and health-system constraints interplay to necessitate that PLHIV bear continuous monetary and psychosocial costs to realize local values that define normal life. In the context, access to free medicines is not sufficient to enable PLHIV in resource-poor settings to normalize life. Policy makers and providers should consider proactively complementing free ART with mechanisms that empower PLHIV economically, enhance their problem-solving capacities, and provide an enabling environment if the objective of normalizing life is to be achieved.en_US
dc.identifier.citationNanfuka, E. K., Kyaddondo, D., Ssali, S. N., & Asingwire, N. (2019). Paying to Normalize Life: Monetary and Psychosocial Costs of Realizing a Normal Life in the Context of Free Antiretroviral Therapy Services in Uganda. Journal of the International Association of Providers of AIDS Care (JIAPAC), 18, 2325958219859654. DOI: 10.1177/2325958219859654en_US
dc.identifier.other10.1177/2325958219859654
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/362
dc.language.isoenen_US
dc.publisherJournal of the International Association of Providers of AIDS Care (JIAPAC)en_US
dc.subjectAntiretroviral therapyen_US
dc.subjectMoneyen_US
dc.subjectNormal lifeen_US
dc.subjectPeople living with HIVen_US
dc.subjectPsychosocial costsen_US
dc.subjectUgandaen_US
dc.titlePaying to Normalize Life: Monetary and Psychosocial Costs of Realizing a Normal Life in the Context of Free Antiretroviral Therapy Services in Ugandaen_US
dc.typeArticleen_US
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