Browsing by Author "Lomboleni, Ndinomukulili N."

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    Perceptions and barriers to disclosure of HIV status of children by caregivers at Donkerhook clinic, Windhoek, Khomas region, Namibia
    (University of Namibia, 2025) Lomboleni, Ndinomukulili N.
    Children HIV disclosure remains a complicated process influenced by caregivers’ perceptions, emotional readiness, stigma, and access to support systems. This study investigates the factors affecting caregivers’ decisions regarding HIV status disclosure to children, with a particular focus on barriers, facilitators, and the role of structured disclosure programs. Grounded in the Social Ecological Model (SEM), the study applied a qualitative research design, using in-depth interviews with caregivers and healthcare providers at Donkerhoek Clinic, a local health facility in Windhoek, Namibia. Thematic analysis was conducted to identify key patterns in disclosure practices, emotional responses, and support mechanisms. Findings indicate that while some caregivers recognize the benefits of early disclosure, many opt for a delayed or phased approach due to concerns about the child's mental ability to understand their diagnosis, fear of emotional distress, and societal stigma. Limited access to structured disclosure counselling and inconsistent healthcare support further hinder disclosure efforts. On the other hand, caregivers with access to healthcare-led disclosure programs and peer support groups reported greater confidence and improved disclosure outcomes. The study also highlights that stigma remains a persistent barrier, emphasizing the need for community-driven interventions to promote positive disclosure environments. These findings highlight the necessity of integrating structured disclosure frameworks into children's HIV care services. Strengthening healthcare provider training, increasing caregiver support networks, and developing culturally sensitive disclosure strategies can facilitate timely and effective disclosure. Future research should explore children’s post-disclosure experiences and the long-term psychosocial impact of disclosure on their well-being. By i addressing these gaps, the study contributes to a more comprehensive understanding of children's HIV disclosure changing aspects and informs policy recommendations for improved disclosure practices in Namibia