Logics of Actors in the Resilience Trajectory of People Living with HIV/Type 2 Diabetes Comorbidity

Abstract

The person living with HIV/diabetes a type 2 comorbidity (PLHIV/DT2) faces adversities from the moment the diagnosis is announced, such as uncertainty about the course of the pathology, chronicity and the management of complex recommendations. Different professional and social actors intervene in his different environments to support him. In spite of this, PLWHIV/AIDS oscillate between improvement and relapse, acceptance and denial, stability and instability, autonomy and dependence. This reflects a fluctuating trajectory of resilience. The aim of this article is to analyse the logics of the actors in the trajectory of resilience of PLWHA/DT2. In order to answer this question, we have opted for a phenomenological qualitative research. The biographical writings of 05 PLWHA/DT2, who attend the National Obesity Centre and the Cameroonian Association of Diabetics, and in-depth interviews with 20 social and professional actors were carried out and were the subject of a content analysis. The results showed that the characteristics of the actors are diversified and their action strategies are complex. The logics of positioning (power games, confrontation of scientific and secular knowledge), standardisation (respect for deontology, ethics and institutional culture) and complementarities (négociations, intégration, interactions) were identified. Interdisciplinarity is suggested.