背景:人类免疫缺陷病毒(HIV)感染是儿童的主要疾病,影响全世界约180万儿童和青少年。埃斯瓦蒂尼是世界上艾滋病毒流行率最高的国家。只有76%的埃斯瓦蒂尼儿童正在接受抗逆转录病毒治疗。
目的:本研究旨在深入了解埃斯瓦蒂尼感染HIV的上学儿童的生活经历。了解这些孩子的经历可以帮助学校支持他们。
方法:该研究在埃斯瓦蒂尼的四个初级卫生保健机构中进行。
方法:采用定性,探索性,描述性研究设计,通过半结构化的面对面访谈对12名感染艾滋病毒的学童进行了访谈。数据被编码了,使用Georgi的数据分析将主题和子主题分类和聚类。在整个研究过程中都遵守了道德考虑和确保可信度的措施。
结果:研究结果揭示了三个主题:艾滋病毒披露后的经历,披露和歧视的经验,和满足教育需求的愿望的经验。确定了六个子主题:与艾滋病毒诊断知识有关的悲伤和担忧,希望向老师而不是同龄人透露他们的状态,需要保护免受歧视,渴望学习,影响他们学习的疾病和对教师支持他们的教育需求的期望。结论和贡献:研究结果指导了可能有助于的建议,埃斯瓦蒂尼卫生部,学校,父母和照顾者,和兄弟姐妹支持携带艾滋病毒的上学儿童。
BACKGROUND: Infection by human immunodeficiency virus (HIV) is a major disease in children, affecting an estimated 1.8 million children and adolescents worldwide.
Eswatini has the highest prevalence of HIV in the world. Only 76% of children in
Eswatini are on anti-retroviral treatment.
OBJECTIVE: This study aimed to gain an in-depth understanding of the lived experience of school-going children with HIV in
Eswatini. Being aware of these children\'s experiences can assist schools in supporting them.
METHODS: The study was conducted in four primary health care facilities in
Eswatini.
METHODS: Employing a qualitative, exploratory, descriptive research design, 12 school-going children with HIV were interviewed through semi-structured face-to-face interviews. The data were coded, categorised and clustered into themes and sub-themes using Georgi\'s data analysis. Ethical considerations and measures to ensure trustworthiness were adhered to throughout the study.
RESULTS: The findings revealed three themes: Experiences after HIV disclosure, experience of disclosure and discrimination, and experience of desire to fulfil educational needs. Six sub-themes were identified: A feeling of sadness and worry relating to knowledge of HIV diagnosis, a desire to disclose their status to their teachers but not to their peers, a need for protection against discrimination, a desire to learn, illness affecting their learning and expectation for teachers to be supportive in their educational needs.Conclusion and contribution: The findings of the study guided recommendations that may assist, the
Eswatini Ministry of Health, schools, parents and caregivers, and siblings to support school-going children with HIV.