Strategies for reinventing and reinforcing the disrupted biography of people with HIV in Nepal

Abstract

This study explored the strategies for reinventing the disrupted biography of 20 people with HIV in Nepal. The study used a descriptive thematic analysis approach. The desire to strengthen the body's defense mechanisms evolved as a theme, which encouraged the participants to enroll in anti retro viral (ARV) treatment. However, none of the participants were able to afford ARV. Some enrolled in donor funded ARV therapy. Due to inadequate assistance in managing ARV-related side effects, many of the participants experienced the additional burden of illnesses associated with side effects, and they discontinued the treatment, leaving their biography at risk of further disruption. Natural therapies or ethnomedicines, such as Ayurvedic, homeopathic and home remedies appear to be the last resort to reinvent their biography, and change the trajectory of their illness. The acceptance of ethno-medicines is high, as they are rooted in Nepalese culture. However, the competency of the practitioners providing the treatment and effi cacy of the treatment itself is untested empirically. Efforts should be made to engage qualified Ayurvedic and homeopathic practitioners to provide symptomatic treatment to people with HIV, as well as to foster collaboration between modern and alternative treatments.