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Building adherence-competent communities: factors promoting children's adherence to anti-retroviral HIV/AIDS treatment in rural Zimbabwe

By Catherine Campbell, Morten Skovdal, Zivai Mupambireyi, Claudius Madanhire, Constance Nyamukapa and Simon Gregson

Abstract

Given relatively high levels of adherence to HIV treatment in Africa, we explore factors facilitating children's adherence, despite poverty, social disruption and limited health infrastructure. Using interviews with 25 nurses and 40 guardians in Zimbabwe, we develop our conceptualisation of an 'adherence competent community', showing how members of five networks (children, guardians, community members, health workers and NGOs) have taken advantage of the gradual public normalisation of HIV/AIDS and improved drug and service availability to construct new norms of solidarity with HIV and AIDS sufferers, recognition of HIV-infected children's social worth, an ethic of care/assistance and a supporting atmosphere of enablement/empowerment

Topics: RA Public aspects of medicine
Publisher: Elsevier
Year: 2012
DOI identifier: 10.1016/j.healthplace.2011.07.008
OAI identifier: oai:eprints.lse.ac.uk:39008
Provided by: LSE Research Online

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Citations

  1. (2011). A ‘good hospital’: nurse and patient perceptions of good clinical care for HIV-positive people on antiretroviral treatment in rural Zimbabwe—a mixed-methods qualitative study. doi
  2. (2008). A systematic review of pediatric adherence to antiretroviral therapy in low- and middle-income countries. Pediatric Infectious Disease doi
  3. (2003). Adherence is not a barrier to successful antiretroviral therapy in South Africa. doi
  4. Adherence to antiretroviral therap for pediatric HIV infection: review of the literature and recommendations for research. doi
  5. (2003). Adherence to antiretroviral therapy for pediatric HIV Infection: review of the literature and recommendations for research.
  6. (2007). Adherence to antiretroviral therapy in children attending Mulago hospital. Kampala Annals of Tropical pediatrics: doi
  7. (2006). Adherence to antiretroviral therapy in sub-Saharan Africa and North America: a meta-analysis. doi
  8. (2006). Adherence to HAART: a systematic review of developed and developing nation patient-reported barriers and facilitators. doi
  9. (2007). Adherence to HAART: Africans take medicines more faithfully than North Americans. doi
  10. (2003). Adherence to prescribed antiretroviral therapy in human immunodeficiency virus-infected children in the PENTA 5 trial. Pediatric Infectious Disease doi
  11. (2010). Africa Health Financing Scorecard. Africa Public Health Alliance.
  12. (2009). AIDS among older children and adolescents in Southern Africa: projecting the time course and magnitude of the epidemic. doi
  13. (2002). An Introduction to Qualitative Research, doi
  14. (1998). Antiretroviral therapy in sub-Saharan Africa. doi
  15. (2003). Assessment of adherence to antiviral therapy in HIV-infected children using the medication event monitoring system, pharmacy refill, provider assessment, caregiver selfreport, and appointment keeping. doi
  16. (2000). Bowling Alone: The Collapse and Revival of American Community. doi
  17. (2000). Breaking the silence: setting realistic priorities for AIDS control in less-developed countries. doi
  18. (2007). Building contexts that support effective community responses to HIV/AIDS: a South African case study. doi
  19. (2010). Building orphan competent communities: experiences from a community-based capital cash transfer initiative doi
  20. (2011). Challenges faced by elderly guardians in sustaining the adherence to antiretroviral therapy in HIV-infected children in Zimbabwe. AIDS Care. doi
  21. (2004). Community group participation: can it help young women to avoid HIV? An exploratory study of social capital and school education in rural Zimbabwe. doi
  22. (2010). Community relations and child-led microfinance: a case study of caregiving children in Western Kenya. doi
  23. (2011). Contextual and psychosocial influences on antiretroviral therapy adherence in rural Zimbabwe: towards a systematic framework for programme planners. doi
  24. (2009). Correlates of adherence to antiretroviral therapy in HIV-infected children in Lome ´, Togo, West Africa. doi
  25. (2006). Disclosure of HIV status and adherence to daily drug regimens among HIV-infected children in Uganda. doi
  26. (2011). Disclosure of HIV status to infected children in a Nigerian HIV Care Programme. AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV. doi
  27. (1999). Efficacy of and adherence to highly active antiretroviral therapy in children infected with human immunodeficiency virus type 1. The Pediatric Infectious Disease doi
  28. (2002). Efficacy of highly active antiretroviral therapy in HIV-1 infected children. doi
  29. (2010). Evaluating the opinions of staff and health care service provision of an STD/HIV clinic in Africa: indications for recovery. doi
  30. (2011). Excellent adherence to antiretrovirals in HIVþ Zambian children is compromised by disrupted routine, HIV nondisclosure, and paradoxical income effects. doi
  31. (2009). Explaining adherence success in sub-Saharan Africa: an ethnographic study. doi
  32. (2010). Factors associated with access to HIV care and treatment in a prevention of mother to children transmission prgramme in urban Zimbabwe. doi
  33. (2009). Factors influencing adherence to anti-retroviral treatment in children with human immunodefi-ciency virus in South India ˆ ah‘‘ a qualitative study. doi
  34. Factors sustaining pediatric adherence to antiretroviral therapy in Western Kenya. doi
  35. (2005). From treatment to prevention: the interplay between HIV/AIDS treatment availability and HIV/AIDS prevention programming in Khayelitsha, South Africa. doi
  36. (2009). High levels of psychosocial readiness for ART in an African population at the onset of treatment. doi
  37. (2010). HIV decline in Zimbabwe due to reductions in risky sex? Evidence from a comprehensive epidemiological review. doi
  38. (2008). HIV-related stigma and social capital in South Africa. doi
  39. (2007). Hope is the pillar of the universe: health-care providers’ experiences of delivering anti-retroviral therapy in primary healthcare clinics in the Free State province of South Africa. doi
  40. (2011). Hospitalization for severe malnutrition among HIV-infected children starting antiretroviral therapy. doi
  41. (2002). Is social capital a useful conceptual tool for exploring community level influences on HIV infection? An exploratory case study from South Africa. AIDS Care: Psychological and Socio-medical Aspects doi
  42. (2008). Is social capital associated with HIV risk in rural South Africa? doi
  43. (1993). Making Democracy Work: Civic Traditions in Modern Italy. doi
  44. (2011). Masculinity as a barrier to men’s use of HIV services in Zimbabwe. doi
  45. (2005). No room for complacency about adherence to antiretroviral therapy in sub-Saharan Africa. doi
  46. (2010). Obstacles to local-level AIDS competence in rural Zimbabwe: putting HIV prevention in context. doi
  47. (2010). Orphan Competent Communities: a framework for community analysis and action. doi
  48. (2004). Outcomes after two years of providing antiretroviral treatment in Khayelitsha, South Africa. doi
  49. (2009). Pediatric adherence to HIV antiretroviral therapy. doi
  50. (2001). Predictors of psychological adjustment in school-age children infected with HIV. doi
  51. (2009). Public-sector ART in the Free State Province, South Africa: community support as an important determinant of outcome. doi
  52. (2009). Slow to share: social capital and its role in public HIV disclosure among public sector ART patients in the Free State province of South Africa. doi
  53. (2009). Social capital, social funds and poor communities: an exploratory analysis. doi
  54. (2011). Sources of motivation and frustration among healthcare workers administering antiretroviral treatment for HIV in rural Zimbabwe. doi
  55. (2009). Strengthening community responses to AIDS: possibilities and challenges. doi
  56. (2009). Structural barriers and human rights related to HIV prevention and treatment in Zimbabwe. Global Public Health: doi
  57. (2010). Survey of children accessing HIV services in a high prevalence setting: time for adolescents to count? doi
  58. (1998). The asset vulnerability framework: reassessing urban poverty reduction strategies. doi
  59. (2005). The loss of property rights and the collapse of Zimbabwe.
  60. (2009). The role of social capital in successful adherence to antiretroviral therapy in Africa. doi
  61. (2001). Thematic networks: an analytic tool for qualitative research. doi
  62. (2011). We, the AIDS peopley’’: through what mechanisms have antiretroviral therapy created a context for ARV users to resist stigma and construct positive identities?
  63. (2011). When masculinity interferes with women’s treatment of HIV infection: a qualitative study about adherence to antiretroviral therapy in Zimbabwe. doi
  64. (2006). Who is accessing antiretroviral therapy during national scale-up in Malawi? doi
  65. (2010). World Health Statistics doi
  66. (2007). Zimbabwe Demographic Health Survey 2005/6. Zimbabwe Central Statistics Office.

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