G conditions in these slums are temporary, commonly single rooms constructed from mud, iron sheets, cardboard boxes and polythene.31 The settings are characterised by overcrowding, insecurity, poor sanitary conditions, poverty, higher unemployment levels, poor amenities and infrastructure, BET-IN-1 restricted access to preventative and curative services and reliance on poor high quality, typically informal and unregulated PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21331531 health services.32 45 These situations contribute to poor well being outcomes for slum residents relative to other subpopulations in Kenya, like higher levels of mortality and morbidity, HIV prevalence, risky sexual behaviours, unmet will need for contraception and unintended pregnancies.469 Sampling and recruitment We analyse qualitative data collected as aspect of a larger mixed solutions study of PLWHA (18 years and above) performed in 2010. The study adopted a sequential design, with quantitative survey interviews (n=513) followed by in-depth interviews with a subsample (n=41) drawn from the survey. The quantitative sample size was determined on the basis of sample size calculations.50 Respondents had been recruited in the Nairobi Urban Demographic and Health Surveillance Method via quota sampling on the basis of seroprevalence ratios and sociodemographic qualities inside the study web sites.49 Purposive choice of respondents for the qualitative interview was based on analyses from the survey information, and identification of a variety of experiences. Crucial informant interviews (n=14) were conducted with health providers. Eight research assistants (RA) (four per web-site) have been recruited for the quantitative survey, of which two per site had been retained for the qualitative in-depth interviews. All RA had quite a few years’ practical experience of data collection in the study sites, have been trained HIVAIDS counsellors, and one particular RA was a PLWHA. Interviews had been performed in Kiswahili and the qualitative interviews have been recorded, transcribed verbatim, translated into English and analysed utilizing NVivo.51 Ethical considerations We obtained written consent from all respondents and all interviews were carried out in a setting of theMETHODS Theoretical framework We organised and analysed our data using the theoretical concept of biographical disruption,33 to know how HIV acts as a disruptive practical experience on an individual’s life, social relations and identity.346 You’ll find 3 elements to biographic disruption–disruption of an individual’s former behaviour or assumptions; modifications in an individual’s perceptions of self and an try to repair or alter one’s biography. Biographical disruption of HIV has been studied inside the global North, and also the extent to which it applies to PLWHA in other settings is much less properly understood.35 37 38 Prior to the widespread availability of ART, evidence with the methods in which identity formation was impacted by a HIV diagnosis focused around the mortality implications,35 stigma39 and any subsequent disclosure.34 Earlier analyses tended to become primarily based on quantitative questions in surveys34 with limited analytic insights. Current analyses have incorporated proof from qualitative and mixed procedures studies and highlight the strategies inWekesa E, Coast E. BMJ Open 2013;3:e002399. doi:ten.1136bmjopen-2012-Living with HIV postdiagnosis: a qualitative study from Nairobi slums respondent’s option. Privacy in property settings in slums is tough to achieve, and respondents have been offered the choice of becoming interviewed in the offices of a nearby health organisation. A compact.
