Lived experiences of persons with disabilities living with HIV in accessing HIV services in Africa: a qualitative systematic review

Purpose This qualitative review applies an intersectional lens to explore the lived experiences of persons with disabilities (PWDs) living with human immunodeficiency virus (HIV) in accessing HIV services. Methods Using thematic analysis, the intersections relating to HIV, disability, gender, stigma, and poverty were explored. Results Three themes were identified from the analysis: (1) intersection of gender, HIV, and disability - "For a man, it is easier because we women have a lot to take care of at the home and would not have enough time to go get services"; (2) intersection of stigma, HIV, and disability - " horizontal ellipsis Look at that one. He's disabled, at the same time HIV-positive. He doesn't even feel sorry for himself horizontal ellipsis to die quietly at home"; (3) intersection of poverty, HIV, and disability - " horizontal ellipsis maybe you don't even have money to buy food and if you're on medication you need to eat frequently". The findings highlighted how stigma, poverty, and gender collide in a hierarchy of identities to impede accessibility to HIV services. Conclusions Researchers and programme implementers should note the intersecting issues of marginalisation that influence inequities in access to HIV services for PWDs living with HIV. National Strategic Plans should address these specific barriers to ensure accessibility for this marginalised population.