Chronic political instability and HIV/AIDS response in Guinea-Bissau: a qualitative study

Abstract Background The Republic of Guinea-Bissau in West Africa has a high HIV/AIDS disease burden and has experienced political instability in the recent past. Our study used qualitative methods to better understand key stakeholders' perceptions of the effects of chronic political instability...

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Main Authors: Joshua Galjour (Author), Philip J. Havik (Author), Peter Aaby (Author), Amabelia Rodrigues (Author), Laura Hoemeke (Author), Michael J. Deml (Author), Jinkou Zhao (Author), Emmanuel Kabengele Mpinga (Author)
Format: Book
Published: BMC, 2021-05-01T00:00:00Z.
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001 doaj_049d34fee57547b4b61d5c6bb5e08f27
042 |a dc 
100 1 0 |a Joshua Galjour  |e author 
700 1 0 |a Philip J. Havik  |e author 
700 1 0 |a Peter Aaby  |e author 
700 1 0 |a Amabelia Rodrigues  |e author 
700 1 0 |a Laura Hoemeke  |e author 
700 1 0 |a Michael J. Deml  |e author 
700 1 0 |a Jinkou Zhao  |e author 
700 1 0 |a Emmanuel Kabengele Mpinga  |e author 
245 0 0 |a Chronic political instability and HIV/AIDS response in Guinea-Bissau: a qualitative study 
260 |b BMC,   |c 2021-05-01T00:00:00Z. 
500 |a 10.1186/s40249-021-00854-z 
500 |a 2049-9957 
520 |a Abstract Background The Republic of Guinea-Bissau in West Africa has a high HIV/AIDS disease burden and has experienced political instability in the recent past. Our study used qualitative methods to better understand key stakeholders' perceptions of the effects of chronic political instability on the HIV/AIDS response in Guinea-Bissau from 2000 to 2015 and lessons learned for overcoming them. Methods Seventeen semi-structured in-depth key informant interviews were conducted in Bissau, Guinea-Bissau in 2018. Interviews were recorded and transcribed verbatim, coded thematically, and analyzed inductively. Results Four themes emerged: (1) constantly start over; (2) the effects of instability rippling from central level throughout the health pyramid; (3) vulnerable populations becoming more vulnerable; and (4) coping mechanisms. Conclusions Stakeholders from government, civil society, and donor organizations have recognized instability's effects as a barrier to mounting an effective local response to HIV/AIDS in Guinea-Bissau. To mitigate the effects of the country's political instability on the health sector, concerted efforts should be made to strengthen the capacities of health officials within the Ministry of Health to shield them from the effects of the country's political instability. Graphic abstract 
546 |a EN 
690 |a Guinea-Bissau 
690 |a HIV/AIDS 
690 |a Political instability 
690 |a Governance 
690 |a Global health 
690 |a Qualitative health research 
690 |a Infectious and parasitic diseases 
690 |a RC109-216 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Infectious Diseases of Poverty, Vol 10, Iss 1, Pp 1-11 (2021) 
787 0 |n https://doi.org/10.1186/s40249-021-00854-z 
787 0 |n https://doaj.org/toc/2049-9957 
856 4 1 |u https://doaj.org/article/049d34fee57547b4b61d5c6bb5e08f27  |z Connect to this object online.