Helping people to shape their new identities, including the management of anxiety and depressionSafari: Mainly because I’m not taking ART I know 1 day, God will heal me by faith. It has been 15 years because I knew my status but I’ve not taken any of these drugs.Malaika PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21330118 had decided not to use ART due to the fact she had concerns about the requirement for superior nutrition so that you can be capable of take the drugsInt: Are you currently on ART Malaika: I’m not on any remedy, I just keep like that… I don’t see the will need to work with these drugs when I don’t really feel any discomfort in my physique. Actually, I hear you might want to eat nicely when you take these drugs and occasionally you don’t possess the means to buy meals.Prayer and religiosity played a pivotal part in some PLWHA’s lives, delivering an necessary source of spiritual assistance. Proof from the UK suggests that religion will help to manage anxiousness and depression postdiagnosis.62 ART can strengthen social relationships and selfidentity since it improves people’s capacity to work, important for social and financial viability and validation, enabling individuals to play their societal role as a breadwinner, parent or adult. For a lot of PLWHA, hope and uncertainty coexist, leading to contrasting and ambivalent views about ART, even among these people that have developed a positive identitySafari: I must have began working with the [ART] drugs, but I said no. The medical professional was pushing me to start the drugs, but I refused. Int: Why did you refuse Safari: Let me inform you, I fear those drugs. The issue that tends to make me worry them will be the reactions they trigger. I have seen the issues they cause to people today. The swelling of the feet, then there’s one that removes each of the fat from the body and it brings to 1 side. You find one’s breast has grown fat; you might have a bad shape. That is definitely why I fear them.Lack of food as an issue in non-adherence to ART was highlighted by healthcare providersClinical Officer: We’ve skilled some clients who complain that they can’t take the drugs as instructed on account of lack of food since the drugs are quite sturdy.Our case studies illustrate the variety of experiences about people’s identities post-HIV diagnosis. Safari, with full disclosure, had began to make a profession out of her HIV status, although she preferred to location her faith in religion, instead of ART, to preserve her health. Safari had entirely assimilated a new HIV identity. Jambo, alternatively, was motivated to adhere to ART in order that he would be capable to operate, but he had not disclosed his status to everyone outside the healthcare system. Jambo sought to preserve his biographic continuity, not enabling his identity to become affected by HIV diagnosis. For Malaika, an HIV diagnosis meant a biographical disruption, with neither incorporation of a new identity postdiagnosis nor adaptation of her identity. We explore how these diverse responses are linked with purchase MS023 sexual behaviours. Malaika’s biographical disruption has implications for her sexual lifeWekesa E, Coast E. BMJ Open 2013;3:e002399. doi:ten.1136bmjopen-2012-Living with HIV postdiagnosis: a qualitative study from Nairobi slumsMalaika: No, I have not had sex considering the fact that I knew about my status. I lost sexual need totally. I do not even lengthy to get a man… I in fact hate them [men]. You realize when a woman loses feeling I do not have [sexual] feeling at all.These PLWHA who were able to incorporate HIV AIDS in their identity without having it becoming disruptive to their biography had been pursuing sexual lives. At the time of.