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

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...

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Bibliographic Details
Published in:Health & place 2012-03, Vol.18 (2), p.123-131
Main Authors: Campbell, Catherine, Skovdal, Morten, Mupambireyi, Zivai, Madanhire, Claudius, Nyamukapa, Constance, Gregson, Simon
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
Adherence
Adolescent
Africa
AIDS
AIDS-competent communities
Anti-Retroviral Agents - therapeutic use
Antiretroviral therapy
Child
Child Poverty
Child, Preschool
Children
Community development
Conceptualization
Empowerment
Guardians
Health
Health Care Services
Health Promotion
Health technology assessment
HIV
HIV Infections - drug therapy
HIV/AIDS
Human immunodeficiency virus
Humans
Infant
Interviews as Topic
Medical treatment
Non-governmental organizations
Patient Compliance
Rural Areas
Rural environment
Rural Population
Social capital
Social spaces
Social Support
Solidarity
Young Adult
Zimbabwe
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Summary: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.
ISSN:1353-8292
1873-2054
DOI:10.1016/j.healthplace.2011.07.008