残疾补助金终止对感染艾滋病毒的 25-30 岁农村妇女生计的影响。林波波省 Vhembe 区健康诊所的案例

Chrisen E Mhangwani, Kholiswa Malindini
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摘要

方向:在 Vhembe 区的一家健康诊所就诊的 25-30 岁感染艾滋病毒的农村妇女不坚持抗逆转录病毒治疗 (ARV)的决定因素之一是残疾补助金的终止。研究发现,一旦因充分坚持抗逆转录病毒治疗而使健康状况得到改善,残疾补助金也随之终止,感染 艾滋病毒的农村妇女的生计就会受到不利影响。研究目的:本文旨在探讨和研究残疾补助金的终止对在 Vhembe 区一家健康诊所就诊的 25-30 岁感染 艾滋病毒的农村妇女生计的影响:本文采用定性方法和个人深度半结构化访谈作为数据收集技术。本文采用了有目的的抽样技术,抽取了 20 名到 Vhembe 区健康诊所就诊的感染艾滋病毒的农村妇女作为样本,这些妇女接受了抗逆转录病毒药物治疗,其残疾补助金在健康状况改善后终止。调查的目的是了解参与者对残疾补助金的终止如何影响她们有效接受抗逆转录病毒治疗的看法。主要调查结果:研究结果表明,终止向感染艾滋病毒的农村妇女发放残疾补助金会对她们坚持接受抗逆转录病毒治疗产生不利影响,因为这些妇女完全依赖于这笔补助金。政策影响:事实证明,为受教育程度较低或未受过教育的农村女性艾滋病感染者提供经济激励有助于她们更好地坚持抗逆转录病毒药物治疗。然而,在贫困趋势普遍存在的地区,这些经济激励措施的提供方式令人担忧。因此,决策者应考虑南非农村地区普遍存在的贫困趋势及其对艾滋病毒感染的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effects of Disability Grant Termination on the Livelihoods of Rural Women Aged Between 25-30 Living with HIV. A Case of Wellness Clinic at Vhembe District in Limpopo
Orientation: The termination of the disability grants has been identified as one of the determinants to non-adherence to Anti-Retroviral Treatment (ARVs) by rural women living with HIV aged between 25-30 attending a Wellness Clinic in Vhembe District. The study has established that once the disability grant is terminated upon improved health outcomes as a result from adhering adequately to ARVs, the livelihoods of rural women living with HIV are adversely interrupted. Research Purpose: The paper sought to explore and examine the effects of disability grant termination on the livelihoods of rural women living with HIV aged between 25-30 attending a Wellness Clinic in Vhembe District Research Approach: The paper adopted a qualitative approach and individual in-depth semi-structured interviews as a data collection technique. A purposive sampling technique was utilised to draw a sample of 20 rural women living with HIV attending a Wellness Clinic in Vhembe District who were enrolled on ARVs and whose disability grants were termination upon improved health outcomes. The purpose was to elicit the participants’ views on their experiences on how the termination of the disability grant interferes with their livelihoods towards adhering effectively to ARVs. Main Findings: The findings revealed that the termination of the disability grant for rural women living with HIV has adverse implications on their adherence to ARVs as these women depend solely on this grant. Policy Implications: Economic incentives for rural women living with HIV with little or no education has proven to contribute to optimal adherence to ARVs. However, the manner in which these economic incentives are provided for is a cause for concern in areas where poverty trends are prevalent. Therefore, policy makers should consider the poverty trends that are immanent in the rural settings of South Africa and its contribution to HIV infection.
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