Optimizing Service Provision for Asian-Born Migrants Living With HIV in Australia: A Qualitative Study.

Abstract

Abstract: Disparities in HIV-related care and outcomes between people living with HIV (PLWH) who have migrated to Australia and nonmigrants raise concerns regarding equitable access and psychosocial support. Our study explored ways of optimizing HIV services for Asian-born PLWH in Australia, drawing on semistructured in-depth interviews with 18 participants: nine Asian-born PLWH and nine individuals working in the HIV sector. Using reflexive thematic analysis, findings revealed a push and pull between marginalization and empowerment in participants' experiences of HIV care in Australia. Bureaucracy, language, racism, and stigma, as structural and identity barriers, hinder access to support. However, peer-led initiatives, holistic care models, and transnational networks offer hope for sustained service engagement. Community-driven approaches and leadership opportunities were seen as transformative to service provision and policy change. Addressing barriers and promoting culturally affirming care may improve health and well-being outcomes for migrants with HIV. Further research should explore long-term support strategies.