Retention in Care and Adherence to ART are Critical Elements of HIV Care Interventions

Retention in care and adherence to antiretroviral treatment (ART) are critical elements of HIV care interventions and are closely associated with optimal individual and public health outcomes and cost effectiveness. This literature review was conducted to analyse how the roles of clients in HIV care...

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Bibliographic Details
Published in:AIDS and behavior 2014-10, Vol.18 (Suppl 5), p.465-475
Main Authors: Stricker, Sebastian M., Fox, Kathleen A., Baggaley, Rachel, Negussie, Eyerusalem, de Pee, Saskia, Grede, Nils, Bloem, Martin W.
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
AIDS
Anti-Retroviral Agents - administration & dosage
Anti-Retroviral Agents - therapeutic use
Antiretroviral agents
Antiretroviral drugs
Attrition
Disease Progression
Drug use
Food security
Health behavior
Health Care Costs
Health Psychology
HIV
HIV Infections - drug therapy
Human immunodeficiency virus
Humans
Infectious Diseases
Intervention
Literature Reviews
Lost to Follow-Up
Medication Adherence - psychology
Medicine
Medicine & Public Health
Morbidity
Original Paper
Outcome Assessment (Health Care)
Public Health
Retention
Terminology
Treatment Compliance
Treatment Outcomes
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Summary:Retention in care and adherence to antiretroviral treatment (ART) are critical elements of HIV care interventions and are closely associated with optimal individual and public health outcomes and cost effectiveness. This literature review was conducted to analyse how the roles of clients in HIV care and treatment are discussed, from terminology used to measurement methods to consequences of a wide range of patient-related factors impacting client adherence to ART and retention in care. Unfortunately, data suggests that clients find it hard to follow recommended behaviour. For HIV, the greatest loss to follow-up occurs before starting treatment, though each step of the continuum of care is affected. Measurement approaches can be divided into ‘direct’ and ‘indirect’ methods; in practice, a combination is often considered the best strategy. Inadequate retention and adherence lead to decreased health outcomes (morbidity, mortality, drug resistances, risk of transmission) and cost effectiveness (increased costs and lower productivity).
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-013-0598-6