Ref# Author name Year Study type Setting / place Description
[@312280] Sandrine Loubiere, Sylvie Boyer, Camélia Protopopescu, Cécile Renée Bonono, Séverin-Cécile Abega, Bruno Spire, Jean-Paul Moatti 2009 Quantitative study Cameroon Barriers to accessing ART, urgent initiation of ART, unawareness of serostatus and seeking healthcare after diagnosis differences in healthcare infrastructure, healthcare providers’ experience, and patients’ characteristics,
[@312281] Kimera, E. Vindevogel, S. De Maeyer, J. Reynaert, D. Engelen, A. M. Nuwaha, F. Rubaihayo, J. Bilsen, J. 2019 Systemic review16 primary studies with qualitative or mixed methods East Africa Experience with Challenges in school
[@312282] Li, Y., Zhang, XW., Liao, B. , et al. 2021 Quantitative study China Low income and low social support- increased medical costs- Encourage them to seek help and support from their families and communities. In this way, infected people may be optimistic in facing HIV, actively cooperate with treatment, improve their quality of life, and prolong their life span.
[@312283] Troya 2020 Retrospective study Spain Vulnerable populations like young transgender people have delayed access to healthcare, resulting in late recognition of HIV and No health insurance.
[@312284] Olaleye 2013 Structured interviews, multi-stage cluster sampling method Nigeria HIV healthcare programs are not accessible & beneficial due to inequities of less educated and less wealthy SES. Moreover, no health insurance coverage was available
[@312285] Hussain MM, Khalily MT, Zulfiqar Z 2021 Face to Face interviews Govt hospitals Examined the treatment motivation, stigma, and disclosure
[@312286] Naswa S, Marfatia YS 2010 Review paper India Limited access to STD treatment facilities, low knowledge, information & counseling
[@312287] Sakineh Dadipoor, Mohtasham Ghaffari and Ali Safari-Moradabadi 2020 Systematic review Iran AIDS is socially condemned in Iran, and awareness and attitude are unacceptable.
[@312288] Adam N Akullian, Aggrey Mukose, Gillian A Levine, and Joseph B Babigumira 2016 Cross-sectional Bugala Island, Uganda PLH in a rural setting has difficulty accessing healthcare due to long travels.
[@312289] Plazy M, Farouki KE, Iwuji C, Okesola N, Orne-Gliemann J, Larmarange J, Lert F, Newell ML, Dabis F, Dray-Spira R 2016 Cluster-randomized trial South Africa Non-Linkage to HIV care also decreased significantly with distance to the clinic.
[@312290] Gabrielle Bruser, Ritah Katasi, Lily Ziyue Zhang, Miriam Namasinga, Eric Arts, Cissy Kityo, Isaac Luginaah 2021 Cohort study Uganda Adherence to treatment is affected by the distance to the clinic
[@312291] Vaswani 2014 India Age, gender, and income are factors that affect confidentiality, counseling, and stigma in accessing healthcare. PLH considers general healthcare more accessible than HIV-related care.
[@312292] Vaughan 2020 Qualitative study Ireland Stigmatizing experiences affected & decreased participants’ health-seeking behavior, treatment adherence, accessing healthcare for screening, treatment, and care
[@312293] Darigg C. Brown, Rhonda BeLue, and Collins O. Airhihenbuwa 2010 16-item multi-part questionnaire two communities Race, cultural values, religious and spiritual values contribute to HIV stigma
[@312294] Fatemeh Rahmati-Najarkolaei, Shamsaddin Niknami, Farkhondeh Aminshokravi, Mohsen Bazargan, Fazlollah Ahmadi, Ebrahim Hadjizadeh, and Sedigheh S Tavafian 2010 In-depth, semi-structured interviews HIV care clinics in Iran-Tehran Preceptions & experiences of PLHIV regarding the quality of care and behaviors of HCP. Stigma among healthcare professionals (fear of infection, values, beliefs, and differences in understanding about concepts of prostitution and homosexuality) related to HIV affects access to healthcare. Religious barriers also create stigma and discrimination, affecting healthcare access.
[@312295] Colleen Blue, Mara Buchbinder, Mercedes E. Brown , Steve Bradley-Bull , David L. Rosen 2022 Semi-structured interviews Jail settings HIV surveillance in jail settings
[@312296] Ahmed Hakawi, Jacques Mokhbat 2022 Review paper Middle east Association of health care services and stigma, inaccessible HIV care centers, social stigma, discrimination and lack of protective regulations, lack of awareness &negative attitude among healthcare workers towards PLHIV
[@312297] Hilary L. Surratt, Janet K. Otachi, Christopher J. McLouth, Nikita Vundi, 2021 mixed method study Kentucky Stigma from healthcare providers, discrimination in healthcare settings
[@312298] Carl Mhina, Hayden Bosworth, John A. Bartlett, Helene Vilme, Joyce H. Mosha, Deborah F. Shoo, Tom J. Kakumbi 2021 Cross-sectional study Tanzania Medical health expenditures & low social support incurred by PLHIV are associated to missing clinic appointments
[@312299] Nasir H 2014 Narrative review Pakistan Knowledge gap in developing teenagers. Lack of knowledge leads to careless decision-making around risky sexual and non-sexual behaviors.
[@312300] Senyurek G, Kavas MV, Ulman YI. 2021 Qualitative analysis Istanbul Healthcare professionals' discriminative or inappropriate attitudes and customs in healthcare institutions are perceived to impair PLWH's utilization of healthcare services. Structural factors such as social pressure, societal ignorance about HIV, limited access to HIV prevention, and regulatory barriers might contribute to these challenges.
[@312301] Sylvie Boyer, Isabelle Clerc, Cécile-Renée Bonono, Fabienne Marcellin, Paule-Christiane Bilé, Bruno Ventelou 2011 Quantitative study Cameroon Non-adherence and treatment interruption behaviors are influenced by individual characteristics and structural factors related to the healthcare supply
[@312302] Salima Davlidova, Syed Hani Abidi, Syed Ali 2019 Review paper Pakistan Lack of awareness about HIV transmission has played the biggest role in facilitating these epidemics
[@312303] Lillian B Brown, James Ayieko, Florence Mwangwa, Asiphas Owaraganise, Dalsone Kwarisiima,Vivek Jain,Theodore Rue, Tamara Clark, Douglas Black, Gabriel Chamie, Elizabeth A Bukusi, Craig R Cohen, Moses R Kamya, Maya L Petersen, Edwin D Charlebois, and Diane V Havlir 2017 Cluster-randomized controlled trial Rural Kenya & Rural Uganda Understanding factors related to retention in care attrition among youth who initiated ART was lower in clinics offering adolescent support groups. An HIV support group and good parental supervision/monitoring were associated with lower nonadherence among adolescents in South Africa unemployment and decreased retention.
[@312304] Ann E Kurth, Michelle A Lally Augustine T Choko, Irene W Inwani, and J Dennis Fortenberry 2015 Commentary Newyork Internalized stigma may particularly affect HIV testing behaviors, while anticipated stigma may have especially strong effects on care-seeking and adherence
[@312305] Asghari, S., Hurd, J., Marshall, Z., Maybank, A., Hesselbarth, L., Hurley, O., … Liddy, C. 2018 Scoping review Canada Current practices have left patients feeling as though their healthcare providers are not as informed as they should
be, therefore limiting their access to optimal care.
[@312306] Brian J. Hall, Ka-Lon Sou, Rachel Beanland, Mellanye Lacky, Lai Sze Tso, Qingyan Ma, Meg Doherty & Joseph D. Tucker 2017 Qualitative Evidence Meta-Synthesis NewYork Barriers to HIV care retention include stigma, disclosure, institutional challenges, social support
[@312307] Sarah MacCarthy, Uzaib Saya, Clare Samba, Josephine Birungi, Stephen Okoboi & Sebastian Linnemayr 2018 Qualitative, FGDs Kampala, Uganda Barriers to ART adherence include poverty, privacy, family support
[@312308] Amina Abubakar, Fons J. R. Van de Vijver, Ronald Fischer, Amin S. Hassan, Joseph K Gona, Judith Tumaini Dzombo, Grace Bomu, Khamis Katana & Charles R. Newton 2016 In-depth Interviews Kenyan coast Psychosocial Challenges such as poverty, poor physical and mental health, disclosure, stigma
[@312309] Natalie St Clair-Sullivan, Chanda Mwamba, Jennifer Whetham, Carolyn Bolton Moore, Mary Darking, and Jaime Vera 2019 Qualitative in-depth interviews and focus group discussions Health facilities in Lusaka, Zambia Barriers to care in terms of acceptability and feasibility of using mHealth
[@312310] Rab Nawaz Samo, Arshad Altaf, and Sharaf Ali Shah 2017 Nested case–control study Karachi Association between knowledge of HIV transmission and HIV cases
[@312311] Sian Churcher 2013 Electronic databases and websites Thailand Health care worker atitudes
[@312292] Elena Vaughan, Martin Power, Jane Sixsmith 2020 Qualitative study Ireland Stigma experiences
[@312312] Richard J. Wolitski, Sherri L. Pals, Daniel P. Kidder, Cari Courtenay-Quirk & David R. Holtgrave 2008 Computer-assisted interviews 3 U.S. cities How sigma affects people lives
[@312313] Syed Farid-ul-Hasnain, Eva Johansson & Gunilla Krantz 2009 Cross sectional Karachi Knowledge & awareness about the disease