Building self-advocacy in HIV care: the use of role-play to examine healthcare access for HIV-positive MSM in rural South Africa

Joseph Daniels, Helen Struthers, Joshua Soler, Emilio Ricco, Joshaun Blackmon, Senait Teklehaimanot, James McIntyre, Thomas Coates

Research output: Contribution to journalArticlepeer-review

Abstract

There is high HIV prevalence and low rates of viral suppression for men who have sex with men (MSM) in South Africa, with few MSM-centered interventions to address these outcomes along the HIV treatment cascade. Participatory interventions may support community building among HIV-positive MSM through which they can share approaches of self-advocacy that are contextually grounded. We conducted a pilot study to assess the use of role-plays in influencing social isolation while also updating our understanding of MSM healthcare experiences in Mpumalanga, South Africa. The study was conducted with 21 MSM leaders who were HIV-positive. There were three groups of seven participants each who created and performed role-plays based on their healthcare experiences, with a focus group discussion (FGD) conducted afterward. Audio-recordings were transcribed, translated, and analyzed using a constant comparison approach. We found that MSM described role-play as cathartic and a future HIV care educational tool for other MSM, and that they outlined points of self-advocacy during HIV care in clinics. Our study suggests that future research should utilize role-play so to integrate contextual factors influencing HIV treatment, especially in high HIV prevalence settings.

Original languageEnglish (US)
Pages (from-to)32-40
Number of pages9
JournalGlobal Health Promotion
Volume28
Issue number3
DOIs
StatePublished - Sep 2021
Externally publishedYes

Keywords

  • coming out
  • HIV care
  • Men who have sex with men (MSM)
  • role-play
  • South Africa

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Fingerprint

Dive into the research topics of 'Building self-advocacy in HIV care: the use of role-play to examine healthcare access for HIV-positive MSM in rural South Africa'. Together they form a unique fingerprint.

Cite this