Structural barriers to adherence to antiretroviral therapy in a resource-constrained setting: The perspectives of health care providers

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dc.contributor.authorCoetzee B.
dc.contributor.authorKagee A.
dc.contributor.authorVermeulen N.
dc.date.accessioned2011-05-15T15:58:47Z
dc.date.available2011-05-15T15:58:47Z
dc.date.issued2011
dc.description.abstractThe present study examined the chief structural barriers to antiretroviral treatment (ART) adherence from the perspective of health care workers who provide treatment to patients living with HIV and AIDS in South Africa. The main barrier to adherence as identified by participants in the study was the stigma associated with living with HIV, and thus with receiving AIDS treatment. A second barrier was the fact that some patients willfully decide to forgo treatment so that they could retain state disability benefits associated with a low CD4 count. Other barriers included the lack of finances for transport to clinics and food insecurity, especially when medication needed to be taken with food. These barriers to ART adherence are conceptualized in terms of Bronfenbrenner's Ecological Systems Theory. © 2011 Taylor & Francis.
dc.description.versionArticle
dc.identifier.citationAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
dc.identifier.citation23
dc.identifier.citation2
dc.identifier.issn9540121
dc.identifier.other10.1080/09540121.2010.498874
dc.identifier.urihttp://hdl.handle.net/10019.1/10849
dc.subjectacquired immune deficiency syndrome
dc.subjectarticle
dc.subjectCD4 lymphocyte count
dc.subjectcrowding
dc.subjectdisability
dc.subjectfinance
dc.subjectfood intake
dc.subjecthealth care facility
dc.subjecthealth care personnel
dc.subjecthealth service
dc.subjecthighly active antiretroviral therapy
dc.subjecthuman
dc.subjectHuman immunodeficiency virus infection
dc.subjectlanguage
dc.subjectmigration
dc.subjectnurse
dc.subjectoutpatient department
dc.subjectpatient compliance
dc.subjectphysician
dc.subjectpriority journal
dc.subjectsocial belief
dc.subjectSouth Africa
dc.subjectstigma
dc.subjectsubstance abuse
dc.subjecttime
dc.subjecttraffic and transport
dc.titleStructural barriers to adherence to antiretroviral therapy in a resource-constrained setting: The perspectives of health care providers
dc.typeArticle
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