Tefera Eden, Mavhandu-Mudzusi Azwihangwisi Helen
Department of Midwifery, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia.
Department of Health Studies, University of South Africa, Pretoria, South Africa.
HIV AIDS (Auckl). 2022 May 24;14:243-254. doi: 10.2147/HIV.S361913. eCollection 2022.
The aim of the study was to explore and describe the lived experiences of HIV-positive adults on antiretroviral therapy (ART) initiation in West Shoa Zone, Ethiopia.
A descriptive phenomenological design was utilized in the study to gain insight into participants' lived experiences regarding ART initiation in West Shoa Zone, Ethiopia. Data were collected through semi-structured in-depth interviews and analyzed by means of thematic analysis.
The study found that spousal influence, denial of status, inconsistent ART initiation protocol, poverty, fear of side effects, religion and shortages of staff were factors that caused delayed ART initiation. A low CD4 count, the development of opportunistic infections and the prevention of future illness were factors that promoted ART initiation.
This study provides an overview of experiences of adults living with HIV regarding ART initiation. The study emphasizes the need to improve adequate provision of resources to address issues related to finance, human capital, guidelines and inequity to enhance early ART initiation among HIV-positive adults in West Shoa Zone. The study findings have implications for policy implementation, ART service delivery, and the enhancement of prompt ART initiation in the study settings.
本研究旨在探索和描述埃塞俄比亚西绍阿地区接受抗逆转录病毒治疗（ART）初始治疗的HIV阳性成年人的生活经历。
本研究采用描述性现象学设计，以深入了解埃塞俄比亚西绍阿地区参与者在接受ART初始治疗方面的生活经历。通过半结构化深度访谈收集数据，并采用主题分析法进行分析。
研究发现，配偶的影响、对病情的否认、ART初始治疗方案不一致、贫困、对副作用的恐惧、宗教信仰以及工作人员短缺是导致ART初始治疗延迟的因素。CD4细胞计数低、机会性感染的发生以及预防未来疾病是促使进行ART初始治疗的因素。
本研究概述了HIV阳性成年人在接受ART初始治疗方面的经历。该研究强调需要改善资源的充分供应，以解决与资金、人力资本（人力）、指导方针和不公平相关的问题，从而提高埃塞俄比亚西绍阿地区HIV阳性成年人的ART早期治疗率。研究结果对政策实施、ART服务提供以及在研究环境中加强ART的及时启动具有启示意义。 （注：原文中“human capital”直译为“人力资本”，结合语境这里意译为“人力”更合适）
