Challenges of accessing nutrition education and counselling by people living with HIV and AIDS in Lusaka district Zambia

Abstract

Nutrition education and counselling are critical components of comprehensive care for people living with HIV (PLWHIV), as they play a pivotal role in improving dietary practices and overall health outcomes.

The purpose of the study was to explore the challenges faced by PLWHIV in accessing nutrition education and counselling. The study used qualitative methodology driven by hermeneutic phenomenological research design. The homogenous purposive sampling technique was used to select participants until saturation of the idea was reached. The sample consists of 25 adults living with HIV and AIDS, aged 20 to 60, receiving health care support at the centre.

Data was collected using semi-structured interviews to describe lived experiences. Data was analysed using thematic analysis by Ajjawi and Higgs (2007) data analysis stages. The study reveals transportation challenges, inadequate time for patient care, and health personnel shortages as significant barriers to accessing healthcare, leading to rushed counselling sessions and limited nutritionist availability. The contribution of the study extended beyond identifying the challenges; it provided actionable recommendations to enhance the accessibility and quality of nutrition education and counselling services.

Ultimately, these measures aim to improve the health and wellbeing of PLWHIV and contribute to better health care outcomes for this vulnerable population.