title: "What Will Become of Me if They Take This Away?" Zimbabwean Women's Perceptions of "Free" ART.
abstract: The evolution of antiretroviral therapies (ART) has redefined HIV infection from a life-threatening disease to a chronic manageable condition. Despite ART, HIV infection remains a serious health burden in Zimbabwe, particularly among women of reproductive age. In this interpretive phenomenology study, we interviewed 17 women with advanced HIV infection to uncover and understand their experiences of living with HIV infection in the ART era. Two themes (knowing the restorative power of ART and the heavy burden of being infected with HIV) reflected the women's experiences. ART brought physical and mental relief, but did not change the sobering reality of poverty or the challenges posed by the infective nature of HIV. The heavily donor-funded Zimbabwean ART program has been a success story, but there is uncertainty over its long-term sustainability. In resource-limited countries, clinicians and other stakeholders should continue to focus on HIV prevention as the cornerstone of HIV programming.
authors.forename: Clara M
authors.initials: CM
authors.lastname: Gona
authors.forename: Eileen
authors.initials: E
authors.lastname: McGee
authors.forename: Rosanna
authors.initials: R
authors.lastname: DeMarco
mesh_terms: D000222:Adaptation, Physiological; D000328:Adult; D019380:Anti-HIV Agents / Q000191:economics / Q000627:therapeutic use; D023241:Antiretroviral Therapy, Highly Active / Q000191:economics* / Q000379:methods; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000523:psychology*; D006297:Health Services Accessibility / Q000191:economics*; D054625:Healthcare Disparities; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control; D007407:Interviews as Topic; D010465:Perception; D011788:Quality of Life; D012737:Sex Factors; D015030:Zimbabwe
chemical_list: D019380:Anti-HIV Agents
keywords: HIV; Zimbabwe; antiretroviral therapy (ART); interpretive phenomenology; uncertainty