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

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    Dlama Rasmussen, Infektionsmedicin, DenmarkDavid da Silva Te, Bandim Health Project, Guinea-Bissau
  • Lotte Ørneborg Rodkjær
  • Ines Oliviera, Dept of Infectious Diseases, Barcelona University Hospital, SpainCandida Medina, Bandim Health Project, Guinea-BissauToke Seierøe Barfod, Institut for Klinisk Medicin, Denmark
  • Alex Lund Laursen
  • Peter Aaby, Ph.d.-studienævnet for Medicin, DenmarkMorten Sodemann, Infektionsmedicin, Denmark
  • 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.
Translated title of the contributionBarrierer og fremmere for tilslutning til antiretroviral behandling blandt patienter med hiv i Bissau, Guinea-Bissau: en kvalitativ undersøgelse.
Original languageEnglish
JournalAfrican Journal of AIDS Research
Issue number1
Publication statusPublished - 26 Jul 2013

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