E002399. doi:ten.1136bmjopen-2012002399 Prepublication history for this paper are readily available online. To view these files please visit the journal on-line (http:dx.doi.org10.1136 bmjopen-2012-002399). Received 23 November 2012 Revised 18 February 2013 Accepted 25 MarchABSTRACT Objectives: To characterise the experiences ofheterosexual guys and ladies living with HIV postdiagnosis and clarify these experiences in relation to their MedChemExpress CCT244747 identity and sexuality. Design: Qualitative study applying in-depth interviews and a theoretically informed biographic disruption theory. Setting: Interviews had been performed in two Nairobi slums (Kenya). Participants: 41 HIV-infected heterosexual men and girls aged 18 years or older. Benefits: People today living with HIV have divergent experiences surrounding HIV diagnosis. Postdiagnosis, you will discover various phases of identity transition, which includes status (non-)disclosure, and attempts at identity repair and normalcy. For many people, this approach involves a transition to a brand new self-identity, incorporating both HIV and antiretroviral remedy (ART) into their lives. For other folks, it includes a partial transition, with some elements of their prediagnosis identity persisting, and for others it includes a rejection of HIV identity. Those people who have been capable to incorporate PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21331907 HIVAIDS in their identity, without it getting disruptive to their biography, have been pursuing safer sexual and reproductive lives. By contrast, those individuals using a extra continuous biography continued to reflect their prediagnosis identity and sexual behaviour. Conclusions: Men and women living with HIVAIDS (PLWHA) had to rework their sense of identity following diagnosis within the context of living within a slum setting. Males and females living with HIV in slums are poorly supported by overall health systems and solutions 
as they try to cope having a diagnosis of HIV. Offered the availability of ART, health solutions and pros should support the rights of PLWHA to be sexually active if they need to and reach their fertility objectives, although minimising HIV transmission danger.Report SUMMARY Report focusSlum populations are under-researched, and pretty small empirical study examines the experiences of men and women living with HIV postdiagnosis. Effect of HIV postdiagnosis identity on sexual behaviour.Crucial messagesMen and ladies living with HIV in slums are poorly served by wellness solutions postdiagnosis. Well being service provision and help doesn’t incorporate the growing requires of people living with HIV and AIDS to navigate their sexual and reproductive lives. The sexual behaviours of PLWHA are influenced by their HIV postdiagnosis identity transformation.Strengths and limitations of this studyThe first in-depth study of the experiences of individuals living in slums following an HIV diagnosis in relation to their identity and sexuality. We didn’t include things like the perspectives of relevant stakeholders which include partners or policymakers.This final write-up is readily available for use beneath the terms of the Creative Commons Attribution Non-Commercial 2.0 Licence; see http:bmjopen.bmj.comLondon School of Economics–Social Policy, London, UK two Population Council, Reproductive Overall health System, Nairobi, Kenya Correspondence to Dr Eliud Wekesa; ewekesapopcouncil.orgINTRODUCTION Sub-Saharan Africa (SSA) may be the region most affected by the HIVAIDS pandemic, accounting for over 68 of the total global burden.1 A total of 1.6 million Kenyans are at present living with HIV and Kenyan adultHIV prevalence is estimated to become.