SciELO - Scientific Electronic Library Online

 
vol.15 issue36Emotions, collective identity and strategies in socio-environmental conflictsThe youth experience of time and space from the appropriation of information and communication technologies in La Plata, Argentina author indexsubject indexsearch form
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • Have no similar articlesSimilars in SciELO

Share


Andamios

Print version ISSN 1870-0063

Abstract

MUNOZ MARTINEZ, Rubén. Structural stigma, adherence to antiretroviral treatment and organizational culture of care in hospital care in HIV and AIDS in Guayaquil, Ecuador. Andamios [online]. 2018, vol.15, n.36, pp.311-341. ISSN 1870-0063.  https://doi.org/10.29092/uacm.v15i36.612.

In this article, I present the results of an ethnographic study related to the impact of structural stigma and institutional violence, toward HIV positive people, in non-adherence to antiretroviral treatment for patients in a hospital specialized in medical care to this infection in Guayaquil, Ecuador; from the analysis of health care organizational culture within three dimensions: a) the primary care and overcrowded hospital attention, b) the lack of arvs, CD4 and viral load tests and the Social Representations and Praxis, related with this, of patients and doctors, and c) the involvement of civil society, non-medical areas and patient engagement in that culture.

Keywords : HIV and AIDS; adherence to antiretroviral treatment; structural stigma; institutional violence; health care organizational culture.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )