To Disclose or Not to Disclose, That is the Question! Antiretroviral Therapy, Access to Resources and Stigma in Southern Africa

Abstract

This article discusses the increasing evidence of a dilemma facing people living with HIV and AIDS in southern Africa who are on antiretroviral therapy (ART). Their enrolment in treatment programmes gives them access to resources provided by national and international organisations, but because these resources are insufficient for their households to make ends meet, they also rely on resources available through traditional means, such as social networks. Accessing resources through enrolling in treatment programmes requires disclosure of their HIV status, while accessing resources through social networks forces them to hide their HIV infection and treatment because of the stigma attached to AIDS treatment. In addition, their neighbours' suspicion and envy of their access to outside resources compromises their access to resources through social networks. Thus, HIV-positive individuals carefully balance hiding their HIV infection in some settings with cautiously disclosing it in...