Abstract
PURPOSE
This qualitative review applies an intersectional lens to explore the lived experiences of persons with disabilities (PWDs) living with human immunodeficiency virus (HIV) in accessing HIV services.
METHODS
Using thematic analysis, the intersections relating to HIV, disability, gender, stigma, and poverty were explored.
RESULTS
Three themes were identified from the analysis: (1) intersection of gender, HIV, and disability - ; (2) intersection of stigma, HIV, and disability - ; (3) intersection of poverty, HIV, and disability . The findings highlighted how stigma, poverty, and gender collide in a hierarchy of identities to impede accessibility to HIV services.
CONCLUSIONS
Researchers and programme implementers should note the intersecting issues of marginalisation that influence inequities in access to HIV services for PWDs living with HIV. National Strategic Plans should address these specific barriers to ensure accessibility for this marginalised population.Implications for rehabilitationGovernments within Africa should commit to including persons with disabilities (PWDs) living with human immunodeficiency virus (HIV) in National Strategic Plans (NSPs), which will support disability-inclusive HIV programming. The development process of NSPs should also include PWDs living with HIV.The inaccessibility of HIV services for PWDs living with HIV is multifaceted and intersectional. Interventions that consider the different social identities such as gender and socioeconomic status of PWDs living with HIV may be more impactful.Understanding the specific dimensions of access that impacted both the demand and supply side will facilitate efficient HIV programming for PWDs living with HIV.