“We are experiencing pain on our own”: mental health care to prevail over impacts of cultural silence on HIV
International Journal of Human Rights in Healthcare
ISSN: 2056-4902
Article publication date: 29 March 2023
Issue publication date: 29 August 2024
Abstract
Purpose
This qualitative case study aims to investigate how current services meet the emotional needs of young women growing up with perinatally acquired human immunodeficiency virus (HIV). Young women (15–19 years old), caregivers and service providers were recruited through three multidisciplinary HIV management centres in Malawi.
Design/methodology/approach
In-depth interviews were used to collect data for 14 “cases” (each “case” involved a young woman, a caregiver and a service provider, for a total of 42 participants). The interviews with adolescents were conducted using an innovative visual method known as the “my story” book.
Findings
Thematic analysis revealed that young women experienced traumatic experiences and emotional neglect after being diagnosed as HIV positive. Lack of adult support networks and social isolation were identified as intersecting factors contributing to their mental distress. According to the findings of this study, HIV care should more explicitly include comprehensive mental health-care services. This provision should include ongoing individualised counselling sessions, supplemented by communication skills training to help break the prevalent cultural silence on HIV issues. Young people living with HIV, in general, and young women, are more likely to experience mental health issues than their non-infected peers. Integrating comprehensive mental health evaluation and treatment into HIV care for young people can be beneficial.
Practical implications
Mental health issues are critical and underserved challenges among young people living with perinatally acquired HIV. Women experience a higher prevalence of mental challenges than men. Integrating comprehensive mental health evaluation and treatment into HIV care for young people can be beneficial. Therefore, interventions to assist young people with mental health issues are needed within the context of HIV management in Malawi.
Originality/value
Many studies on mental health and HIV/AIDS have been conducted. However, there is very little information as regards the emotional needs of young women growing up with perinatally acquired HIV. This study fills the void.
Keywords
Citation
Mwalabu, G., Evans, C., Redsell, S., Petruka, P. and Mapulanga, P. (2024), "“We are experiencing pain on our own”: mental health care to prevail over impacts of cultural silence on HIV", International Journal of Human Rights in Healthcare, Vol. 17 No. 4, pp. 463-474. https://doi.org/10.1108/IJHRH-08-2022-0089
Publisher
:Emerald Publishing Limited
Copyright © 2023, Emerald Publishing Limited