"When in the body, it makes you look fat and HIV negative": The constitution of antiretroviral therapy in local discourse among youth in Kahe, Tanzania

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dc.contributor.author Ezekiel, M.J
dc.contributor.author Talle, A.
dc.contributor.author Juma, J.M
dc.contributor.author Klepp, K-I
dc.date.accessioned 2013-02-12T09:59:58Z
dc.date.available 2013-02-12T09:59:58Z
dc.date.issued 2009
dc.identifier.citation Ezekiel, M. J., Talle, A., Juma, J. M., & Klepp, K. I. (2009). “When in the body, it makes you look fat and HIV negative”: The constitution of antiretroviral therapy in local discourse among youth in Kahe, Tanzania. Social Science & Medicine, 68(5), 957-964.
dc.identifier.issn j.socscimed.2008.12.016
dc.identifier.uri http://hdl.handle.net/123456789/336
dc.description.abstract Antiretroviral therapy (ART) is becoming increasingly more accessible within the health care system in Tanzania. However, the impact of the increased availability of ART on local conceptions about medicines, health and physical wellbeing has not been fully explored. In this article we examine how ART is constituted within local discourses about treatment and healing. Based on 21 focus group discussions with young people aged 14–24 years in a rural area (Kahe), we examine how local terms and descriptions of antiretroviral therapy relate to wider definitions about the body, health, illness and drug efficacy. Findings illustrate how local understandings of ART draw on a wider discourse about the therapeutic functions of medicines and clinical dimensions of HIV/AIDS. Therapeutic efficacy of antiretroviral medication appeared to overlap and sometimes contradict locally shared understandings of the clinical functions of medicines in the body. Implications of ART on bodily appearance and HIV signs may influence conceptions about sick role, perpetuate stigma and affect local strategies for HIV prevention. Structural inequities in access, limited information on therapeutic efficacy of ART and perceived difficulties with status disclosure appear to inform local conceptions and possible implications of ART. Policy and programme interventions to foster public understanding and acceptability of ART should emphasize treatment education about the benefits and limitations of therapy and increased access to ART in rural areas, and should integrate voluntary status disclosure and HIV prevention. en_GB
dc.language.iso en en_GB
dc.publisher Elsevier
dc.relation.ispartofseries Social Science and Medicine;68 (2009) 957–964
dc.subject Tanzania en_GB
dc.subject Antiretroviral therapy en_GB
dc.subject Body image en_GB
dc.subject Sick role en_GB
dc.subject Social structure en_GB
dc.subject HIV en_GB
dc.title "When in the body, it makes you look fat and HIV negative": The constitution of antiretroviral therapy in local discourse among youth in Kahe, Tanzania en_GB
dc.type Article en_GB


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