Chronic political instability and HIV/AIDS response in Guinea-Bissau: a qualitative study.
Global health
Governance
Guinea-Bissau
HIV/AIDS
Political instability
Qualitative health research
Journal
Infectious diseases of poverty
ISSN: 2049-9957
Titre abrégé: Infect Dis Poverty
Pays: England
ID NLM: 101606645
Informations de publication
Date de publication:
11 May 2021
11 May 2021
Historique:
received:
14
01
2021
accepted:
29
04
2021
entrez:
12
5
2021
pubmed:
13
5
2021
medline:
26
11
2021
Statut:
epublish
Résumé
The Republic of Guinea-Bissau in West Africa has a high HIV/AIDS disease burden and has experienced political instability in the recent past. Our study used qualitative methods to better understand key stakeholders' perceptions of the effects of chronic political instability on the HIV/AIDS response in Guinea-Bissau from 2000 to 2015 and lessons learned for overcoming them. Seventeen semi-structured in-depth key informant interviews were conducted in Bissau, Guinea-Bissau in 2018. Interviews were recorded and transcribed verbatim, coded thematically, and analyzed inductively. Four themes emerged: (1) constantly start over; (2) the effects of instability rippling from central level throughout the health pyramid; (3) vulnerable populations becoming more vulnerable; and (4) coping mechanisms. Stakeholders from government, civil society, and donor organizations have recognized instability's effects as a barrier to mounting an effective local response to HIV/AIDS in Guinea-Bissau. To mitigate the effects of the country's political instability on the health sector, concerted efforts should be made to strengthen the capacities of health officials within the Ministry of Health to shield them from the effects of the country's political instability.
Sections du résumé
BACKGROUND
BACKGROUND
The Republic of Guinea-Bissau in West Africa has a high HIV/AIDS disease burden and has experienced political instability in the recent past. Our study used qualitative methods to better understand key stakeholders' perceptions of the effects of chronic political instability on the HIV/AIDS response in Guinea-Bissau from 2000 to 2015 and lessons learned for overcoming them.
METHODS
METHODS
Seventeen semi-structured in-depth key informant interviews were conducted in Bissau, Guinea-Bissau in 2018. Interviews were recorded and transcribed verbatim, coded thematically, and analyzed inductively.
RESULTS
RESULTS
Four themes emerged: (1) constantly start over; (2) the effects of instability rippling from central level throughout the health pyramid; (3) vulnerable populations becoming more vulnerable; and (4) coping mechanisms.
CONCLUSIONS
CONCLUSIONS
Stakeholders from government, civil society, and donor organizations have recognized instability's effects as a barrier to mounting an effective local response to HIV/AIDS in Guinea-Bissau. To mitigate the effects of the country's political instability on the health sector, concerted efforts should be made to strengthen the capacities of health officials within the Ministry of Health to shield them from the effects of the country's political instability.
Identifiants
pubmed: 33975626
doi: 10.1186/s40249-021-00854-z
pii: 10.1186/s40249-021-00854-z
pmc: PMC8112002
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
68Références
PLoS One. 2018 Aug 1;13(8):e0199819
pubmed: 30067793
Hum Resour Health. 2017 Feb 7;15(1):12
pubmed: 28173813
AIDS. 2018 Jun 1;32(9):1193-1198
pubmed: 29683842
Health Res Policy Syst. 2012 Feb 09;10:5
pubmed: 22321566
Glob Public Health. 2014;9(1-2):210-23
pubmed: 24499102
Infect Dis Poverty. 2013 May 02;2(1):9
pubmed: 23849141
Sex Transm Infect. 2007 Oct;83(6):463-7
pubmed: 17611233
Hum Resour Health. 2013 Jun 14;11:26
pubmed: 23768178
JAMA. 2001 Aug 1;286(5):599-603
pubmed: 11476664
AIDS. 2009 Jul 31;23(12):1575-82
pubmed: 19521234
Qual Quant. 2018;52(4):1893-1907
pubmed: 29937585