02391nas a2200385   4500000000100000008004100001653001700042653001900059653001800078653003000096653002500126653001600151653003100167653002500198653000900223653002400232653001100256653002300267653001100290653001300301653002900314653001000343100001400353700001400367700001300381700001200394700001500406700001000421245012600431856007700557300001100634490000600645520134000651022001401991       2014                            d10aSpirituality10aSocial Support10aSocial stigma10aResilience, Psychological10aQualitative Research10aPhotography10aPatient Education as Topic10aMedication adherence10aMale10aInterviews as Topic10aHumans10aHIV Seropositivity10aFemale10aEthiopia10aCommunity health workers10aAdult1 aHussen SA1 aTsegaye M1 aArgaw MG1 aAndes K1 aGilliard D1 aRio C00aSpirituality, social capital and service: factors promoting resilience among Expert Patients living with HIV in Ethiopia.  uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4033693/pdf/nihms564006.pdf  a286-980 v93 a<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>
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