Host country responses to Black African migrants and refugees living with HIV

Abstract

HIV has never respected national borders. In the context of displaced Africans the pan- demic takes on increased significance. This article reports findings from an exploratory study of Black African migrants and refugees living with HIV in New Zealand. While the issues are specific to this country and these participants, they have relevance to all coun- tries hosting newcomers; the need for a shift in meeting a changing demographic will be true for countries experiencing the African diaspora and resulting increase in HIV disease. Thirteen semi-structured interviews highlighted the importance of both African culture and host-country culture on experiences of stigma and decisions to access services. Participants’ African heritage played a crucial role in their decision to disclose while the host country culture was reflected in immigration requirements and participants’ experiences of care. Findings have relevance for shaping services to meet the needs of the increasing population of migrants and refugees globally.