Treatment partners and adherence to HAART in Central Mozambique

Adherence to highly active antiretroviral treatment (HAART) has been associated with increased survival rates and decreased drug resistance in various settings. There is growing concern that loss to follow-up will increase and adherence rates will decrease as HAART programs are expanded in resource-...

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Bibliographic Details
Published in:AIDS care 2009-11, Vol.21 (11), p.1412-1419
Main Authors: Stubbs, B.A., Micek, M.A., Pfeiffer, J.T., Montoya, P., Gloyd, S.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Activists
Adherence
Adolescent
Adult
Aged
AIDS
AIDS/HIV
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antiretroviral drugs
Antiretroviral therapy
Antiretroviral Therapy, Highly Active
Antiviral agents
Biological and medical sciences
Community based
Confidence intervals
developing countries
Directly Observed Therapy
Drug resistance
Drug therapy
Female
HAART
HIV Infections - drug therapy
HIV/AIDS
Humans
Male
Medical sciences
Medication Adherence
Mental health
Middle Aged
Mozambique
Patient Acceptance of Health Care
Pharmacology. Drug treatments
Prevention. Health policy. Planification
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Regression Analysis
Social psychiatry. Ethnopsychiatry
Social Support
Survival analysis
Young Adult
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Summary:Adherence to highly active antiretroviral treatment (HAART) has been associated with increased survival rates and decreased drug resistance in various settings. There is growing concern that loss to follow-up will increase and adherence rates will decrease as HAART programs are expanded in resource-limited settings. In Central Mozambique, an innovative program was implemented, using community-based (trained community activists) and self-selected (family members or friends) "treatment partners" to provide psycho-social support to patients on HAART. We calculated adherence rates based on pharmacy records for all patients who refilled their medication for at least six consecutive months between September 2004 and June 2006. Medical charts were reviewed for a subset of 375 patients having high (≥90%) adherence and 59 patients having low (
ISSN:0954-0121
1360-0451
DOI:10.1080/09540120902814395