Disclosure Deficit Experienced by People Living with HIV/AIDS in Alice and Its Environs in Eastern Cape Province, South Africa: Perceptions of Selected Stakeholders

Aim: This article investigated the underpinnings of low HIV disclosure among people living with HIV/AIDS (PLWHA) in Alice town and its environs in South Africa. Methods: This article adopted qualitative methodologies of interviews and focus groups involving 38 selected stakeholders to tap their insights and perceptions on the position of disclosure rate in Alice town and its environs. Results: The findings indicated that disclosure rate was confounded by state of immense stigma; state of conflict faced by the PLWHA from their kins and community; PLWHA fearing job victimization; and lack of adequate psychosocial support. Conclusions: The article recommends that the disclosure process takes place amid an environment of equilibrium between the PLWHA's intrinsic and extrinsic motivation, as well as when environment promises adequate psychosocial support. Moreover, the role of the members of social service profession is critical in advocating and preparing PLWHA for disclosure, as well as putting a conducive environment to allow disclosure.