Understanding Antiretroviral Therapy Adherence in Rural Zimbabwe
Author Information
Author(s): Skovdal Morten, Campbell Catherine, Nhongo Kundai, Nyamukapa Constance, Gregson Simon
Primary Institution: London School of Economics and Political Science
Hypothesis
What social factors influence adherence to antiretroviral therapy (ART)?
Conclusion
The study developed a framework identifying contextual and psychosocial factors that influence ART adherence in rural Zimbabwe.
Supporting Evidence
- Patients' adherence to ART is influenced by material, symbolic, relational, and institutional contexts.
- Social support from family and community members significantly enhances ART adherence.
- Stigma and fear of being recognized as HIV positive are major barriers to accessing ART services.
- Patients who experience health improvements are more likely to adhere to their treatment regimen.
- Engagement in income-generating activities helps patients maintain a healthy diet necessary for ART.
Takeaway
This study looked at how people's lives and feelings affect their ability to stick to their HIV medicine in Zimbabwe. It found that support from family and friends, as well as access to food and healthcare, are really important.
Methodology
The study used interviews and focus group discussions with 25 nurses and 53 adult ARV users, analyzed through a thematic approach.
Limitations
The study's findings may not be generalizable beyond the rural areas of eastern Zimbabwe and the Shona-speaking population.
Participant Demographics
Participants included 25 nurses and 53 adult ARV users from three rural sites in Zimbabwe, characterized by high levels of poverty.
Digital Object Identifier (DOI)
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