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. 2024 Jul;54(3):260-271.
doi: 10.1177/27551938241234223. Epub 2024 Mar 31.

Labor Pains: Work-Related Barriers to Access to Health Care for People Living with HIV in Hyderabad, India

Sameena Azhar  1 , Casey Dean  1 , Riya Lerner  1 , Sabitha Gandham  1 , Ganesh Oruganti  2 , Vijay Yeldandi  2
Affiliations

Labor Pains: Work-Related Barriers to Access to Health Care for People Living with HIV in Hyderabad, India

Sameena Azhar et al. Int J Soc Determinants Health Health Serv. 2024 Jul.

Abstract

To explore themes regarding work-related barriers to access to health care, we conducted 32 interviews, 16 with third gender people and 16 with cisgender women, all of whom were all living with HIV in Hyderabad, India. Most respondents were members of Dalit castes and had been living with HIV for several years at the time of the interview. Using thematic content analysis, interviews were coded by two researchers using a social determinants of health conceptual framework. Themes highlighted in this study include the burden of taking time off from work, the loss of pay associated with missing work, and the interruption of gendered care work responsibilities that respondents faced when seeking treatment. Findings from this study support the claim that equitable work policies and practices for marginalized laborers can increase access to medical care for people living with HIV.

Keywords: Dalit; HIV; Hyderabad; India; gender; hijra; labor; sex work.

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Conflict of interest statement

Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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