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Patient-reported barriers and drivers of adherence to antiretrovirals in sub-Saharan Africa : a meta-ethnography
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 524569
Author(s) Merten, S.; Kenter, E.; McKenzie, O.; Musheke, M.; Ntalasha, H.; Martin Hilber A.,
Author(s) at UniBasel Merten, Sonja
Martin Hilber, Adriane
Year 2010
Title Patient-reported barriers and drivers of adherence to antiretrovirals in sub-Saharan Africa : a meta-ethnography
Journal Tropical medicine and international health : TM & IH : a European journal
Volume 15
Number 1
Pages / Article-Number 16-33
Keywords adherence, antiretroviral, HIV, sub-Saharan Africa, meta-ethnography
Mesh terms Africa South of the Sahara; Anthropology, Cultural; Antiretroviral Therapy, Highly Active, psychology; Attitude to Health; HIV Infections, psychology; Health Services Accessibility; Humans; Medication Adherence, psychology; Motivation; Social Support
Abstract This meta-ethnography aims at providing a synthesis and an interpretation of the findings of recent social science research on the questions of retention in antiretroviral therapy (ART) programmes in sub-Saharan Africa (SSA). The literature reviewed comprises ethnographic studies of the barriers to adherence to ART in various cultural settings. The results show that the quality of services, treatment-related costs, as well as the need to maintain social support networks - which can be negatively affected by HIV-related stigma - are important barriers to adherence. In addition, they show how African concepts of personhood are incompatible with the way services are conceived and delivered, targeting the individual. In SSA, individuals must balance physical health with social integrity, which is sometimes achieved by referring to traditional medicine. The ability of local concepts of illness to address social relations in addition to health, together with a historically grounded distrust in Western medicine, explains why traditional medicine is still widely used as an alternative to ART
Publisher Blackwell Science
ISSN/ISBN 1360-2276
Full Text on edoc No
Digital Object Identifier DOI 10.1111/j.1365-3156.2010.02510.x
PubMed ID
ISI-Number WOS:000277205500002
Document type (ISI) Article

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