This study aimed to explore the lived experiences of people living with HIV/AIDS in Cebu, Philippines. The study utilized Husserlian qualitative phenomenological design. Ethics clearance was acquired from Vicente Sotto Memorial Medical Center - Ethics Review Committee. There were 7 informants that were recruited through purposive sampling and research referral techniques. The researchers used an open ended interview guide where interviews were audio recorded, transcribed and analyzed using Collaizi's method. Three (3) themes have emerged in this study. The first emerging theme is, (1) Why get tested? With the following subthemes of, (a) Presence of Risky Behavior; and (b) Knowledge that lead to testing. The second theme is, (2) Challenges after diagnosis with subthemes of, (a) Psychosocial challenges; and (b) Physical Challenges. Lastly, the third theme is, (3) Response and Coping with HIV/AIDS with the following subthemes, (a) Establishing old and new networks: Support systems; (b) Socio-spiritual changes: lifestyle changes and being more religious; and (c) Moving Forward. High risk sexual patterns, knowing that a partner is HIV positive and the presence of some signs and symptoms are the factors considered for testing. PLWHA's compliant of their treatment regimen despite the undesirable side effects and opportunistic infections. Stigma results to non-disclosure of status and mental health issues are common. The presence of support groups is essential; PLWHA's are willing to adapt a healthy lifestyle; and they become advocates of the disease. There is a need to increase the promotion of safe sex practices and health education about HIV/AIDS. Continuous support is needed in order to increase visibility of support groups, and the development of self-advocacy skills of PLWHA's. Mental health should also be given attention.

Human ; Hiv Seropositivity ; Philippines ; Acquired Immunodeficiency Syndrome

INTRODUCTION

The aging process can be different for those who have been incarcerated, including issues related to physical health, mental health, and social dynamics. Much of the existing research on incarceration tends to focused on younger or middle-aged populations. The unique experiences, needs, and challenges faced by older adults who are incarcerated often received less attention and can be better explored qualitatively. This study could address the gap in how existing policies and reforms consider the specific needs of older incarcerated individuals. By addressing these gaps, the study aimed to explore the lived experiences of incarcerated older adults in Cebu Province and contribute to a more complete and empathetic understanding of incarceration from the perspective of older individuals, ultimately supporting more informed and compassionate approaches to criminal justice and prison reform.

METHODS

The study employed Husserl's qualitative phenomenological design. There were a total of 9 key informants interviewed from various jails in Cebu Province. An open ended interview guide was used in audio recorded interviews which were transcribed and analyzed using the steps of Colaizzi's method.

RESULTS

The emerging themes were (1) Adversities Behind Bars with the following subthemes, (a) Psychosocial Concerns, (b) Health Problems, and (c) Issues on Basic Needs: Food and Sleep. The second theme was (2) Significance of Supporting Factors with the following subthemes, (a) The Importance of Health and Wellness in Health Promotion and Management and (b) How Meaningful Social Relations and Visitations are. The last theme was (3) Rebound from Hardships with the following subthemes, (a) Blending in, (b) Renewed Faith, and (c) Positive Outlook.

CONCLUSION

Prison life challenged the mental, social, and physical health of Older PDL's including meeting some basic needs. The jail system addressed health and medical concerns depending on availability and managed visitations, social, and spiritual programs. Older PDL's adapt to life in jail and develop a positive outlook. Overall health should be prioritized, especially mental health. Regular inventory of medical and healthcare stocks for earlier procurement of supplies. Visitations, social, and spiritual programs should be continued and monitored. Nurses inside the jail were tasked to take care of the entire community without any special considerations on older PDL's. Jails should strengthen their healthcare system and give importance to the special needs of older PDL's such as but not limited to: 1. Comprehensive Health Assessments; 2. Specialized Medical Care; 3. Enhanced Medical Facilities and Resources; 4. Mental Health Support; 5. Training and Education; 6. Nutrition and Exercise; 7. Accessibility and Adaptations; 8. Collaboration with External Healthcare Providers; 9. Legal and Ethical Considerations. By implementing these strategies, jails could better address the complex and diverse needs of older persons deprived of liberty, promoting their health, well-being, and dignity.

Human