Hunger, waiting time and transport costs: Time to confront challenges to ART adherence in Africa

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dc.contributor.authorHardon, A. P.
dc.contributor.authorAkurut, D.
dc.contributor.authorComoro, C.
dc.contributor.authorEkezie, C.
dc.contributor.authorIrunde, H. F.
dc.contributor.authorGerrits, T.
dc.contributor.authorKglatwane, J.
dc.contributor.authorKinsman, J.
dc.contributor.authorKwasa, R.
dc.contributor.authorMaridadi, J.
dc.contributor.authorMoroka, T. M.
dc.contributor.authorMoyo, S.
dc.contributor.authorNakiyemba, A.
dc.contributor.authorNsimba, S.
dc.contributor.authorOgenyi, R.
dc.contributor.authorOyabba, T.
dc.contributor.authorTemu, F.
dc.contributor.authorLaing, R.
dc.date.accessioned2022-12-28T08:30:59Z
dc.date.available2022-12-28T08:30:59Z
dc.date.issued2007
dc.description.abstractAdherence levels in Africa have been found to be better than those in the US. However around one out of four ART users fail to achieve optimal adherence, risking drug resistance and negative treatment outcomes. A high demand for 2nd line treatments (currently ten times more expensive than 1st line ART) undermines the sustainability of African ART programs. There is an urgent need to identify context-specific constraints to adherence and implement interventions to address them. We used rapid appraisals (involving mainly qualitative methods) to find out why and when people do not adhere to ART in Uganda, Tanzania and Botswana. Multidisciplinary teams of researchers and local health professionals conducted the studies, involving a total of 54 semi-structured interviews with health workers, 73 semi-structured interviews with ARTusers and other key informants, 34 focus group discussions, and 218 exit interviews with ART users. All the facilities studied in Botswana, Tanzania and Uganda provide ARVs free of charge, but ART users report other related costs (e.g. transport expenditures, registration and user fees at the private health facilities, and lost wages due to long waiting times) as main obstacles to optimal adherence. Side effects and hunger in the initial treatment phase are an added concern. We further found that ART users find it hard to take their drugs when they are among people to whom they have not disclosed their HIV status, such as co-workers and friends. The research teams recommend that (i) health care workers inform patients better about adverse effects; (ii) ART programmes provide transport and food support to patients who are too poor to pay; (iii) recurrent costs to users be reduced by providing three-months, rather than the one-month refills once optimal adherence levels have been achieved; and (iv) pharmacists play an important role in this follow-up care.en_US
dc.identifier.citationA. P. Hardon , D. Akurut , C. Comoro , C. Ekezie , H. F. Irunde , T. Gerrits , J. Kglatwane , J. Kinsman , R. Kwasa , J. Maridadi , T. M. Moroka , S. Moyo , A. Nakiyemba , S. Nsimba , R. Ogenyi , T. Oyabba , F. Temu & R. Laing (2007) Hunger, waiting time and transport costs: Time to confront challenges to ART adherence in Africa, AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV, 19:5, 658-665, DOI: 10.1080/09540120701244943en_US
dc.identifier.other10.1080/09540120701244943
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/6673
dc.language.isoenen_US
dc.publisherPsychological and Socio-medical Aspects of AIDS/HIVen_US
dc.subjectHungeren_US
dc.subjectTimeen_US
dc.subjectTransport costsen_US
dc.subjectART adherenceen_US
dc.titleHunger, waiting time and transport costs: Time to confront challenges to ART adherence in Africaen_US
dc.typeArticleen_US
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