LGBTQI+ Experiences of HIV Management Services at Primary Healthcare Facilities in Gauteng Province, South Africa

Lesbian, gay, bisexual, transgender, queer, intersex, and plus (LGBTQI+) people are still discriminated against in South Africa, irrespective of their protection by the constitution of South Africa. The study explores the experiences of LGBTQI+ people when accessing HIV management services at public...

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Main Authors: Desirée Morakane Mulemfo, Idah Moyo, Azwihangwisi Helen Mavhandu-Mudzusi
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Advances in Public Health
Online Access:http://dx.doi.org/10.1155/2023/1279409
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author Desirée Morakane Mulemfo
Idah Moyo
Azwihangwisi Helen Mavhandu-Mudzusi
author_facet Desirée Morakane Mulemfo
Idah Moyo
Azwihangwisi Helen Mavhandu-Mudzusi
author_sort Desirée Morakane Mulemfo
collection DOAJ
description Lesbian, gay, bisexual, transgender, queer, intersex, and plus (LGBTQI+) people are still discriminated against in South Africa, irrespective of their protection by the constitution of South Africa. The study explores the experiences of LGBTQI+ people when accessing HIV management services at public primary healthcare (PHC) facilities in Gauteng Province. Interpretive phenomenological analysis (IPA) was used. Data were collected through in-depth face-to-face interviews with six individuals who self-identified as LGBTQI+. The interviews were audio recorded with the permission of the participants. The data were transcribed verbatim and analyzed using the IPA framework. The findings indicate that LGBTQI+ people are marginalized, discriminated against, and stigmatized in the public PHC system, exposing them to unequal access to healthcare services. The heterocentric system disadvantages them from accessing specific HIV management services and appropriate preventive commodities. The study concludes that gender diversity, inclusion and sensitivity in healthcare provision, and specific LGBTQI+ training for healthcare providers, are crucial components of ensuring LGBTQI+ people’s access to quality HIV management services.
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spelling doaj-art-7dddb8904e2f491681276af18a12d4012025-08-20T03:35:23ZengWileyAdvances in Public Health2314-77842023-01-01202310.1155/2023/1279409LGBTQI+ Experiences of HIV Management Services at Primary Healthcare Facilities in Gauteng Province, South AfricaDesirée Morakane Mulemfo0Idah Moyo1Azwihangwisi Helen Mavhandu-Mudzusi2Department of Health StudiesDepartment of Health StudiesDepartment of Health StudiesLesbian, gay, bisexual, transgender, queer, intersex, and plus (LGBTQI+) people are still discriminated against in South Africa, irrespective of their protection by the constitution of South Africa. The study explores the experiences of LGBTQI+ people when accessing HIV management services at public primary healthcare (PHC) facilities in Gauteng Province. Interpretive phenomenological analysis (IPA) was used. Data were collected through in-depth face-to-face interviews with six individuals who self-identified as LGBTQI+. The interviews were audio recorded with the permission of the participants. The data were transcribed verbatim and analyzed using the IPA framework. The findings indicate that LGBTQI+ people are marginalized, discriminated against, and stigmatized in the public PHC system, exposing them to unequal access to healthcare services. The heterocentric system disadvantages them from accessing specific HIV management services and appropriate preventive commodities. The study concludes that gender diversity, inclusion and sensitivity in healthcare provision, and specific LGBTQI+ training for healthcare providers, are crucial components of ensuring LGBTQI+ people’s access to quality HIV management services.http://dx.doi.org/10.1155/2023/1279409
spellingShingle Desirée Morakane Mulemfo
Idah Moyo
Azwihangwisi Helen Mavhandu-Mudzusi
LGBTQI+ Experiences of HIV Management Services at Primary Healthcare Facilities in Gauteng Province, South Africa
Advances in Public Health
title LGBTQI+ Experiences of HIV Management Services at Primary Healthcare Facilities in Gauteng Province, South Africa
title_full LGBTQI+ Experiences of HIV Management Services at Primary Healthcare Facilities in Gauteng Province, South Africa
title_fullStr LGBTQI+ Experiences of HIV Management Services at Primary Healthcare Facilities in Gauteng Province, South Africa
title_full_unstemmed LGBTQI+ Experiences of HIV Management Services at Primary Healthcare Facilities in Gauteng Province, South Africa
title_short LGBTQI+ Experiences of HIV Management Services at Primary Healthcare Facilities in Gauteng Province, South Africa
title_sort lgbtqi experiences of hiv management services at primary healthcare facilities in gauteng province south africa
url http://dx.doi.org/10.1155/2023/1279409
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