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Getting to zero HIV/AIDS in sub-Saharan Africa: Understanding perceptions of locals using the social determinants of
Lyndsey D McMahan1,2, Margaret Lombe1, Caroline B R Evans3
1School of Social Work, Boston College, Chestnut Hill, MA, USA.
Abstract:
This study explored a community perception of the facilitators and inhibitors of Getting to Zero (GTZ) in rural Zambia, sub-Saharan Africa. Data were collected in 2017. We use the Social Determinants of Health framework to guide organisation of key themes emerging from semistructured, focus group interviews with community members (N = 52). Data were analysed through an iterative descriptive/thematic approach which allowed for the highlighting of key themes. Emerging themes point to the significance of (a) individual, (b) sociocultural, (c) environmental and (d) economic factors, for example, treatment adherence, gender norms, food security and access to health care as important in GTZ. Implications for policy, practise and scholarship are suggested.
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