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

Joshua Galjour; Philip J Havik; Peter Aaby; Amabelia Rodrigues; Laura Hoemeke; Michael J Deml; Jinkou Zhao; Emmanuel Kabengele Mpinga

doi:10.1186/s40249-021-00854-z

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

Joshua Galjour, Philip J Havik, Peter Aaby, Amabelia Rodrigues, Laura Hoemeke, Michael J Deml, Jinkou Zhao, Emmanuel Kabengele Mpinga

Research output: Contribution to journal › Article › peer-review

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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.

Original language	English
Article number	68
Pages (from-to)	68
Journal	Infectious diseases of poverty
Volume	10
Issue number	1
DOIs	https://doi.org/10.1186/s40249-021-00854-z
Publication status	Published - 11 May 2021

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title = "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 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.",

author = "Joshua Galjour and Havik, {Philip J} and Peter Aaby and Amabelia Rodrigues and Laura Hoemeke and Deml, {Michael J} and Jinkou Zhao and Mpinga, {Emmanuel Kabengele}",

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T1 - Chronic political instability and HIV/AIDS response in Guinea-Bissau

T2 - a qualitative study

AU - Galjour, Joshua

AU - Havik, Philip J

AU - Aaby, Peter

AU - Rodrigues, Amabelia

AU - Hoemeke, Laura

AU - Deml, Michael J

AU - Zhao, Jinkou

AU - Mpinga, Emmanuel Kabengele

PY - 2021/5/11

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N2 - 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.

AB - 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.

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JO - Infectious diseases of poverty

JF - Infectious diseases of poverty

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

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