Determinants of Adherence to Antiretroviral Therapy among HIV-Infected Patients in Africa
Background. There are only a few comprehensive studies of adherence to ART and its challenges in Africa. This paper aims to assess the evidence on the challenges and prospects of ART adherence in sub-Saharan Africa. Methods. The authors reviewed original and review articles involving HIV-positive in...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2012/574656 |
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| _version_ | 1849404418785542144 |
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| author | Ayalu A. Reda Sibhatu Biadgilign |
| author_facet | Ayalu A. Reda Sibhatu Biadgilign |
| author_sort | Ayalu A. Reda |
| collection | DOAJ |
| description | Background. There are only a few comprehensive studies of adherence to ART and its challenges in Africa. This paper aims to assess the evidence on the challenges and prospects of ART adherence in sub-Saharan Africa. Methods. The authors reviewed original and review articles involving HIV-positive individuals that measured adherence to ART and its predictors in the past decade. Findings. Against expectations, sub-Saharan Africa patients have similar or higher adherence levels compared to those of developed countries. The challenges to ART adherence include factors related to patients and their families, socioeconomic factors, medication, and healthcare systems. Conclusion. Despite good adherence and program-related findings, antiretroviral treatment is challenged by a range of hierarchical and interrelated factors. There is substantial room for improvement of ART programs in sub-Sahara African countries. |
| format | Article |
| id | doaj-art-8fb266befd8f4ad98e99e7df1ea9291d |
| institution | Kabale University |
| issn | 2090-1240 2090-1259 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-8fb266befd8f4ad98e99e7df1ea9291d2025-08-20T03:36:59ZengWileyAIDS Research and Treatment2090-12402090-12592012-01-01201210.1155/2012/574656574656Determinants of Adherence to Antiretroviral Therapy among HIV-Infected Patients in AfricaAyalu A. Reda0Sibhatu Biadgilign1Department of Public Health, College of Health Sciences, Haramaya University, P.O. Box 1014, Harar, EthiopiaDepartment of Epidemiology and Biostatistics, Jimma University, P.O. Box 24414, Jimma, EthiopiaBackground. There are only a few comprehensive studies of adherence to ART and its challenges in Africa. This paper aims to assess the evidence on the challenges and prospects of ART adherence in sub-Saharan Africa. Methods. The authors reviewed original and review articles involving HIV-positive individuals that measured adherence to ART and its predictors in the past decade. Findings. Against expectations, sub-Saharan Africa patients have similar or higher adherence levels compared to those of developed countries. The challenges to ART adherence include factors related to patients and their families, socioeconomic factors, medication, and healthcare systems. Conclusion. Despite good adherence and program-related findings, antiretroviral treatment is challenged by a range of hierarchical and interrelated factors. There is substantial room for improvement of ART programs in sub-Sahara African countries.http://dx.doi.org/10.1155/2012/574656 |
| spellingShingle | Ayalu A. Reda Sibhatu Biadgilign Determinants of Adherence to Antiretroviral Therapy among HIV-Infected Patients in Africa AIDS Research and Treatment |
| title | Determinants of Adherence to Antiretroviral Therapy among HIV-Infected Patients in Africa |
| title_full | Determinants of Adherence to Antiretroviral Therapy among HIV-Infected Patients in Africa |
| title_fullStr | Determinants of Adherence to Antiretroviral Therapy among HIV-Infected Patients in Africa |
| title_full_unstemmed | Determinants of Adherence to Antiretroviral Therapy among HIV-Infected Patients in Africa |
| title_short | Determinants of Adherence to Antiretroviral Therapy among HIV-Infected Patients in Africa |
| title_sort | determinants of adherence to antiretroviral therapy among hiv infected patients in africa |
| url | http://dx.doi.org/10.1155/2012/574656 |
| work_keys_str_mv | AT ayaluareda determinantsofadherencetoantiretroviraltherapyamonghivinfectedpatientsinafrica AT sibhatubiadgilign determinantsofadherencetoantiretroviraltherapyamonghivinfectedpatientsinafrica |