1 Department of Public Health, Health, Aarhus University2 The Department of Infectious Diseases, Faculty of Health Sciences, Aarhus University, Aarhus University3 Department of Public Health - Department of Health Services Research, Department of Public Health, Health, Aarhus University4 Department of Public Health - Department of Science in Nursing, Department of Public Health, Health, Aarhus University5 Department of Clinical Medicine - Department of Infectious Diseases, Department of Clinical Medicine, Health, Aarhus University6 Infektionsmedicin7 Bandim Health Project8 Dept of Infectious Diseases, Barcelona University Hospital9 Institut for Klinisk Medicin10 Ph.d.-studienævnet for Medicin11 Department of Clinical Medicine - Department of Infectious Diseases, Department of Clinical Medicine, Health, Aarhus University12 Department of Public Health - Department of Health Services Research, Department of Public Health, Health, Aarhus University
Adherence is a decisive factor in achieving a successful response to antiretroviral therapy (ART) for HIV infection. No previous studies have been conducted regarding HIV treatment adherence in Guinea-Bissau. In this study we assessed barriers and facilitators to patient ART adherence. Semi-structured interviews were conducted with 20 adult, HIV infected individuals receiving ART at a HIV treatment centre in Bissau, Guinea-Bissau. The grounded theory method was used to gather and analyse data. Results indicated that HIV-related knowledge was a determining factor for optimal adherence. The facilitators were experienced treatment benefits and complementing social networks. The barriers were treatment-related costs and competing livelihood needs; poor clinic infrastructure; perceived stigma; and traditional practices. Our findings indicate that good ART adherence, especially in resource-limited settings, requires that patients achieve adequate HIV-related knowledge. More studies on HIV-related knowledge and adherence among HIV infected individuals are currently needed.
African Journal of Aids Research, 2013, Vol 12, Issue 1, p. 1-8