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 2594-1917.  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 )