E002399. doi:10.1136bmjopen-2012002399 Prepublication history for this paper are accessible on-line. To view these files please pay a visit to the journal on the net (http:dx.doi.org10.1136 bmjopen-2012-002399). Received 23 November 2012 Revised 18 February 2013 Accepted 25 MarchABSTRACT Objectives: To characterise the experiences ofheterosexual guys and women living with HIV postdiagnosis and clarify these experiences in relation to their identity and sexuality. Design and style: Qualitative study applying in-depth interviews along with a theoretically informed biographic disruption theory. Setting: Interviews were conducted in two Nairobi slums (Kenya). Participants: 41 HIV-infected heterosexual men and females aged 18 years or older. Benefits: Persons living with HIV have divergent experiences surrounding HIV diagnosis. Postdiagnosis, you’ll find multiple phases of identity transition, including status (non-)disclosure, and attempts at identity repair and normalcy. For many people, this process involves a transition to a new self-identity, incorporating both HIV and antiretroviral treatment (ART) into their lives. For other people, it includes a partial transition, with some elements of their prediagnosis identity persisting, and for other people it requires a rejection of HIV identity. These individuals who have been able to incorporate PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21331907 HIVAIDS in their identity, devoid of it being disruptive to their biography, had been pursuing safer sexual and reproductive lives. By contrast, those individuals with a far more continuous biography continued to reflect their prediagnosis identity and sexual behaviour. Conclusions: Individuals living with HIVAIDS (PLWHA) had to rework their sense of identity following diagnosis within the context of living inside a slum setting. Males and females living with HIV in slums are poorly supported by wellness systems and solutions as they attempt to cope having a diagnosis of HIV. Offered the availability of ART, wellness solutions and professionals need to help the rights of PLWHA to become sexually active if they need to and accomplish their fertility ambitions, while minimising HIV transmission threat.Write-up SUMMARY Post focusSlum populations are under-researched, and extremely little empirical study examines the experiences of people living with HIV postdiagnosis. Impact of HIV postdiagnosis identity on sexual behaviour.Important messagesMen and females living with HIV in slums are poorly served by health services postdiagnosis. Wellness service provision and support doesn’t incorporate the increasing desires of individuals living with HIV and AIDS to FT011 site navigate their sexual and 
reproductive lives. The sexual behaviours of PLWHA are influenced by their HIV postdiagnosis identity transformation.Strengths and limitations of this studyThe initially in-depth study with the experiences of folks living in slums following an HIV diagnosis in relation to their identity and sexuality. We did not incorporate the perspectives of relevant stakeholders including partners or policymakers.This final post is offered for use beneath the terms in the Creative Commons Attribution Non-Commercial 2.0 Licence; see http:bmjopen.bmj.comLondon School of Economics–Social Policy, London, UK two Population Council, Reproductive Overall health Program, Nairobi, Kenya Correspondence to Dr Eliud Wekesa; ewekesapopcouncil.orgINTRODUCTION Sub-Saharan Africa (SSA) would be the area most impacted by the HIVAIDS pandemic, accounting for over 68 in the total international burden.1 A total of 1.6 million Kenyans are presently living with HIV and Kenyan adultHIV prevalence is estimated to be.
