Barriers and facilitators to antiretroviral therapy adherence among patients with HIV in Bissau, Guinea-Bissau: a qualitative study.

Research output: Research - peer-reviewJournal article

  • Dlama Rasmussen
    Dlama RasmussenInfektionsmedicinDenmark
  • David da Silva Te
    David da Silva TeBandim Health ProjectGuinea-Bissau
  • Lotte Ørneborg Rodkjær
  • Ines Oliviera
    Ines OlivieraDept of Infectious Diseases, Barcelona University HospitalSpain
  • Candida Medina
    Candida MedinaBandim Health ProjectGuinea-Bissau
  • Toke Seierøe Barfod
    Toke Seierøe BarfodInstitut for Klinisk MedicinDenmark
  • Alex Lund Laursen
  • Peter Aaby
    Peter AabyPh.d.-studienævnet for MedicinDenmark
  • Morten Sodemann
    Morten SodemannInfektionsmedicinDenmark
  • Christian Wejse
Adherence is a decisive factor in achieving a successful response to antiretroviral therapy (ART) for HIV infection. No previous studies have been conducted regarding HIV treatment adherence in Guinea-Bissau. In this study we assessed barriers and facilitators to patient ART adherence. Semi-structured interviews were conducted with 20 adult, HIV infected individuals receiving ART at a HIV treatment centre in Bissau, Guinea-Bissau. The grounded theory method was used to gather and analyse data. Results indicated that HIV-related knowledge
was a determining factor for optimal adherence. The facilitators were experienced treatment benefits and complementing social networks. The barriers were treatment-related costs and competing livelihood needs; poor
clinic infrastructure; perceived stigma; and traditional practices. Our findings indicate that good ART adherence, especially in resource-limited settings, requires that patients achieve adequate HIV-related knowledge. More studies
on HIV-related knowledge and adherence among HIV infected individuals are currently needed.
Original languageEnglish
JournalAfrican Journal of AIDS Research
Volume12
Issue number1
ISSN1608-5906
DOIs
StatePublished - 26 Jul 2013

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