Ramifications of status non-disclosure by people living with HIV/AIDS in Alice, Eastern Cape

Non-disclosure of HIV/AIDS status is a topical issue in South Africa and across the globe. This study explored the ramifications of status non-disclosure by people living with HIV/AIDS (PLWHA) in Alice, Eastern Cape. The study aimed to explore the benefits and opportunities associated with HIV/AIDS disclosure; to examine the underlying factors discouraging Alice PLWHA from disclosing their status; to ascertain the ramifications of HIV/AIDS non-disclosure and to describe the coping strategies PLWHA and their families adopt in dealing with the ramifications of non-disclosure. The study employed the qualitative case study design, which was underpinned by the interpretive paradigm. The key informant’s method, in-depth interviews and focus group discussions were the main data collection methods. The sample of 35 participants was selected through the purposive and snowballing sampling technique. This sample comprised of 10 PLWHA, 20 family members and 5 key informants. The data collected from this sample was analysed through thematic content analysis. Findings indicated that PLWHA who disclosed their status accessed benefits and opportunities such as medication, psychosocial support, employment and the helping hands needed to manage their illness. In addition, the findings revealed that stigma, discrimination and socio-cultural factors inhibited some PLWHA from disclosing their status. Consequently, non-disclosure resulted in PLWHA experiencing ramifications such ramifications such as internal stigma, conflict in relationships, diminished career and educational achievement