The healthcare settings structure lacks cultural sensitivity because there is under-investment in culturally competent services which may result in misconception about this group (Arco et al 2012).
Anxiety in HIV positive patients especially those receiving antiretroviral therapy are higher compared to patients with other chronic disease. Depression in HIV patients result in decreased adherence to HIV treatment regimen leading to viral resistance, treatment failure and increase re-infection. It is important that healthcare providers addressed psychosocial problems to increase compliant to treatment regimen (Collister et al2015).
It is significant that socio-economic inequalities are linked with HIV infection because people with lower socio-economic status have higher risk sexual behaviour, which place them at greater risk of contracting HIV infection (Roger 2014). The socio-economic and cultural issues reduce th...
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...ng and testing of HIV. These policies or strategies are significant in protecting and improving the public health because approximately 21,900 people were unaware of their HIV status in 2012 (PHE 2014).
The NICE guidelines (2011) recommend increase of HIV testing among black African communities and men who sleep with men. One of NICE strategy is to establish the need of this group through community engagement.
HIV testing in Antenatal services started in 1991 by The UK National Screening Committee. This policy consequently result in the fallen of mother to child transmission from 20 percent in the 1990s to 0.5 percent in 2011(Townsend et al 2012). The Public Health England (2014) evident to late HIV diagnosis with Screening and testing Policies include HIV testing in termination of pregnancy services and testing in general medical admission in high prevalence area.
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