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Problems of Providing Services to People Affected by Hiv/Aids: Service Providers and Recipients Perspectives; [Difficultes Dans L’Offre De Services Aux Personnes Touchees Par Le Vih/Sida : Point De Vue Des Prestataires Etdes Beneficiaires De Services] Publisher Pubmed



Moradi G1 ; Mohraz M2 ; Gouya MM3 ; Dejman M4 ; Alinaghi SS2 ; Rahmani K5 ; Malekafzaliardakani H6
Authors
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Authors Affiliations
  1. 1. Kurdistan Research Centre for Social Determinants of Health, Kurdistan University of Medical Sciences, Sanandaj, Iran
  2. 2. Iranian Research Centre for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviours, Iran
  3. 3. Department of Infectious and Tropical Diseases, Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
  4. 4. Social Determinants of Health Research Centre, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  5. 5. Department of Epidemiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  6. 6. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Eastern Mediterranean Health Journal Published:2015


Abstract

This qualitative study aimed to identify the health-care problems of people living with HIV (PLHIV) in 2 large cities: Tehran and Kermanshah. Two main groups of stakeholders — service providers (policy-makers, managers, physicians and counsellors) and service recipients (PLHIV and their relatives) — participated in focus group discussions and in-depth interviews. We identified 24 themes covering the major health problems of PLHIV, including: incomplete and inadequate coverage of health-care services; patients’ substance abuse; patients’ fear of stigma; occupational burnout of certain service providers; patients’ dissatisfaction with some of the services provided by counselling centres/clinics; medical staff’s failure to observe confidentiality; and patients’ lack of access to required specialized services. The problems and needs identified can inform the design and implementation of health programmes in our country and elsewhere in the Eastern Mediterranean Region. © 2014, World Health Organization. All rights reserved
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