Lived experiences of individuals with diabetes mellitus and HIV comorbidity in Kyamulibwa Sub-County, Kalungu District. A cross-sectional study.

Sylivia Daphine  Luwedde; Charles  Etyang

doi:10.51168/sjhrafrica.v7i2.2573

Authors

Sylvia Daphine Luwedde Department of Nursing, Mbarara University of Science and Technology
Mr. Charles Etyang Department of Nursing, Mbarara University of Science and Technology.

DOI:

https://doi.org/10.51168/sjhrafrica.v7i2.2573

Keywords:

Human Immunodeficiency Virus, Diabetes Mellitus, Comorbidity, Lived Experiences, Treatment Adherence, Healthcare Access, People living with HIV

Abstract

Background:

The study aimed to explore the lived experiences of individuals with diabetes mellitus and HIV comorbidity in Kyamulibwa Sub-County, Kalungu District.

Methodology:

This study employed a narrative inquiry qualitative design to explore the lived experiences of individuals with both diabetes and HIV in Kyamulibwa Sub-County, Kalungu district. Participants were purposively selected from patients previously involved in a 2022 Medical Research Council study, with a sample size of 10–15 determined by data saturation. Data were collected through in-depth interviews using a semi-structured guide, audio-recorded, and conducted in participants’ homes. Thematic content analysis was applied using NVivo. Ethical approval and informed consent were obtained, ensuring confidentiality, credibility, and rigorous data management throughout the study.

Results:

Thematic analysis revealed seven core themes that characterized the lived experiences of participants. These included adherence to treatment, where managing multiple medications and complex regimens proved challenging; health care accessibility and quality; psychosocial adaptation, as individuals adapted their lifestyles and identities in response to dual diagnoses; and emotional and psychological resilience, built through personal strength, spirituality, and support networks. Other key themes were social support and community engagement, where family, peer groups, and community organizations played a critical role; treatment and medication management; and health literacy and patient empowerment, which varied among participants and influenced their ability to manage both conditions effectively. Two additional themes emerged as major barriers to accessing care: health care access and systemic challenges, including drug stock-outs, limited integration of services, and financial constraints; and cultural and personal beliefs, which shaped illness perceptions and influenced treatment decisions.

Conclusion:

People with HIV and diabetes showed resilience but faced stigma, financial challenges, and fragmented healthcare, limiting effective management.

Recommendation:

The Ministry of Health and healthcare providers should strengthen integrated, patient-centred care with improved education and reliable medication supply.

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