Imperial College London
Alternate

Dr Tanvi Rai

Faculty of Medicine, School of Public Health

Visiting Researcher
 
 
 
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Contact

 

tanvi.rai07

 
 
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Location

 

Norfolk PlaceSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Rai:2015:10.1080/09540121.2015.1114988,
author = {Rai, T and Lambert, HS and Ward, H},
doi = {10.1080/09540121.2015.1114988},
journal = {Aids Care-Psychological and Socio-Medical Aspects of Aids/Hiv},
pages = {1418--1423},
title = {Complex routes into HIV care for migrant workers: a qualitative study from north India},
url = {http://dx.doi.org/10.1080/09540121.2015.1114988},
volume = {27},
year = {2015}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Migrant workers are designated a bridge population in the spread of HIV and therefore if infected, should be diagnosed and treated early. This study examined pathways to HIV diagnosis and access to care for rural-to-urban circular migrant workers and partners of migrants in northern India, identifying structural, social and individual level factors that shaped their journeys into care. We conducted a qualitative study using in-depth interviews with HIV-positive men (n = 20) and women (n = 13) with a history of circular migration, recruited from an antiretroviral therapy centre in one district of Uttar Pradesh, north India. Migrants and partners of migrants faced a complex series of obstacles to accessing HIV testing and care. Employment insecurity, lack of entitlement to sick pay or subsidised healthcare at destination and the household's economic reliance on their migration-based livelihood led many men to continue working until they became incapacitated by HIV-related morbidity. During periods of deteriorating health they often exhausted their savings on private treatments focused on symptom management, and sought HIV testing and treatment at a public hospital only following a medical or financial emergency. Wives of migrants had generally been diagnosed following their husbands' diagnosis or death, with access to testing and treatment mediated via family members. For some, a delay in disclosure of husband's HIV status led to delays in their own testing. Diagnosing and treating HIV infection early is important in slowing down the spread of the epidemic and targeting those at greatest risk should be a priority. However, despite targeted campaigns, circumstances associated with migration may prevent migrant workers and their partners from accessing testing and treatment until they become sick. The insecurity of migrant work, the dominance of private healthcare and gender differences in health-seeking behaviour delay early diagnosis and tr
AU  - Rai,T
AU  - Lambert,HS
AU  - Ward,H
DO  - 10.1080/09540121.2015.1114988
EP  - 1423
PY  - 2015///
SN  - 1360-0451
SP  - 1418
TI  - Complex routes into HIV care for migrant workers: a qualitative study from north India
T2  - Aids Care-Psychological and Socio-Medical Aspects of Aids/Hiv
UR  - http://dx.doi.org/10.1080/09540121.2015.1114988
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000369814100009&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - http://hdl.handle.net/10044/1/32774
VL  - 27
ER  -
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