Getting to zero HIV/AIDS in sub‐Saharan Africa: Understanding perceptions of locals using the social determinants of health framework

This study explored a community perception of the facilitators and inhibitors of Getting to Zero (GTZ) in rural Zambia, sub‐Saharan Africa. Data were collected in 2017. We use the Social Determinants of Health framework to guide organisation of key themes emerging from semistructured, focus group in...

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Bibliographic Details
Published in:Health & social care in the community 2022-05, Vol.30 (3), p.e739-e748
Main Authors: McMahan, Lyndsey D., Lombe, Margaret, Evans, Caroline B.R., Enelamah, Ngozi Victoria, Chu, Yoosun, Simms, Stewart, Verkamp‐Ruthven, Jennifer, Martinez, Javier Reyes, Mweemba, Odericky, LaForest, Lubenji, Weiss, Deborah J., Wideman, Laura
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Acquired Immunodeficiency Syndrome
Africa South of the Sahara
AIDS
community agency
Disease control
Economic factors
Focus Groups
Food security
Gender roles
getting to zero
Health care access
Health services
Healthy food
HIV
HIV Infections - drug therapy
HIV Infections - prevention & control
Human immunodeficiency virus
Humans
Public opinion
Rural Population
Social Determinants of Health
Social factors
Sociocultural factors
sub‐Saharan Africa
Treatment compliance
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Summary:This study explored a community perception of the facilitators and inhibitors of Getting to Zero (GTZ) in rural Zambia, sub‐Saharan Africa. Data were collected in 2017. We use the Social Determinants of Health framework to guide organisation of key themes emerging from semistructured, focus group interviews with community members (N = 52). Data were analysed through an iterative descriptive/thematic approach which allowed for the highlighting of key themes. Emerging themes point to the significance of (a) individual, (b) sociocultural, (c) environmental and (d) economic factors, for example, treatment adherence, gender norms, food security and access to health care as important in GTZ. Implications for policy, practise and scholarship are suggested.
ISSN:0966-0410
1365-2524
DOI:10.1111/hsc.13444