@article{29884,
  keywords = {Spirituality, Social Support, Social stigma, Resilience, Psychological, Qualitative Research, Photography, Patient Education as Topic, Medication adherence, Male, Interviews as Topic, Humans, HIV Seropositivity, Female, Ethiopia, Community health workers, Adult},
  author = {Hussen SA and Tsegaye M and Argaw MG and Andes K and Gilliard D and Rio C},
  title = {Spirituality, social capital and service: factors promoting resilience among Expert Patients living with HIV in Ethiopia.},
  abstract = {<p>People living with HIV (PLHIV) in Ethiopia and other developing nations face numerous challenges to their health and well-being, including poverty, limited healthcare infrastructure and high levels of societal stigma. Despite these challenges, resilient trajectories have been observed even within such resource-limited settings. In Ethiopia, such resilience is exemplified by the 'Expert Patients (EPTs)', HIV-positive lay health workers who function as adherence counsellors, health educators, outreach workers and community advocates. We conducted a multi-method qualitative study with 20 EPTs in Addis Ababa, Ethiopia in order to understand pathways to resilience in this selected population. Participants described three key mechanisms of resilient coping: (1) the use of spirituality and faith-based practices to manage psychological difficulties associated with living with HIV; (2) utilisation of social capital from family and community networks as a buffer against the psychological and economic consequences of societal stigma; and (3) serving others as a mechanism for finding optimism and purpose in life. Interventions designed to facilitate and/or augment these social processes in the wider community may be promising strategies for improving health among PLHIV in Ethiopia and other resource-limited settings.</p>
},
  year = {2014},
  journal = {Global public health},
  volume = {9},
  pages = {286-98},
  issn = {1744-1706},
  url = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4033693/pdf/nihms564006.pdf},
  doi = {10.1080/17441692.2014.880501},
  language = {eng},
}