• Barriers and facilitators to antiretroviral medication adherence among HIV-infected paediatric patients in Ethiopia: A qualitative study

      A Deribew; S Biadgilign; A Amberbir; K Deribe (SAHARA J (Journal of Social Aspects of HIV/AIDS Research Alliance), 2010-02-05)
      Medication adherence is a complex behaviour with multiple determinants. Understanding the barriers and facilitators of adherence is invaluable for programme improvement, which assists the foundation of adherence intervention strategies. A qualitative study was conducted in six selected hospitals of Addis Ababa in 2008, to explore barriers and facilitators to antiretroviral medication adherence among HIV-infected paediatric patients. Twelve caregivers of adherent and non-adherent children and 14 key informants in five hospitals were included in the study. The findings revealed that over-dosage (heavy pill burden), fear of stigma and discrimination, cost and access to transportation, lack of understanding of the benefit of taking the medication, economic problems in the household, and lack of nutritional support were the barriers to adherence to HAART. The presence of mobile/wall alarm, the presence of follow-up counselling, improved health of the child, ART clinic setups, and disclosure of HIV serostatus were among the facilitators. This study indicated that paediatric adherence to antiretroviral therapy faces a huge challenge. It suggests the provision of income-generating schemes to caregivers for assisting HIV-infected children. Health care providers should address proper usageof medication reminders.Keywords: HIV/AIDS, adherence, antiretroviral therapy, children, Ethiopia
    • Barriers and facilitators to antiretroviral medication adherence among HIV-infected paediatric patients in Ethiopia: A qualitative study

      Sibhatu Biadgilign; Amare Deribew; Alemayehu Amberbir; Kebede Deribe (Taylor & Francis Group, 2009-12-01)
      Medication adherence is a complex behaviour with multiple determinants. Understanding the barriers and facilitators of adherence is invaluable for programme improvement, which assists the foundation of adherence intervention strategies. A qualitative study was conducted in six selected hospitals of Addis Ababa in 2008, to explore barriers and facilitators to antiretroviral medication adherence among HIV-infected paediatric patients. Twelve caregivers of adherent and non-adherent children and 14 key informants in five hospitals were included in the study. The findings revealed that over-dosage (heavy pill burden), fear of stigma and discrimination, cost and access to transportation, lack of understanding of the benefit of taking the medication, economic problems in the household, and lack of nutritional support were the barriers to adherence to HAART. The presence of mobile/wall alarm, the presence of follow-up counselling, improved health of the child, ART clinic setups, and disclosure of HIV serostatus were among the facilitators. This study indicated that paediatric adherence to antiretroviral therapy faces a huge challenge. It suggests the provision of income-generating schemes to caregivers for assisting HIV-infected children. Health care providers should address proper usage of medication reminders.
    • Barriers and facilitators to patients' adherence to antiretroviral treatment in Zambia: a qualitative study

      Nawa Sanjobo; Jan C Frich; Atle Fretheim (Taylor & Francis Group, 2008-09-01)
      Patients' adherence to antiretroviral therapy (ART) is important for effective medical treatment of HIV/AIDS. We conducted a qualitative interview study in the Copperbelt Province of Zambia in 2006. The aim of the study was to explore patients' and health care professionals' perceived barriers and facilitators to patients' adherence to ART. Based on data from individual interviews and focus group interviews with a total of 60 patients and 12 health care professionals, we identified barriers and facilitators related to patients' beliefs and behaviours, the health service, and socio-economic and cultural factors. Among the barriers we identified were lack of communication and information about ART, inadequate time during consultations, lack of follow-up and counselling, forgetfulness, stigma, discrimination and disclosure of HIV status, lack of confidentiality in the treatment centres, and lack of nutritional support. Feeling better, prospects of living longer, family support, information about ART, support for income-generating activities, disclosure of HIV status, prayers and transport support were among the facilitators. Our study suggests that several issues need to be considered when providing ART. Further research is needed to study interactions between patients and their health care providers. Our findings can inform interventions to improve adherence to ART.
    • Barriers and facilitators to patients\' adherence to antiretroviral treatment in Zambia: a qualitative study

      N Sanjobo; JC Frich; A Fretheim (SAHARA J (Journal of Social Aspects of HIV/AIDS Research Alliance), 2009-01-07)
      Patients\' adherence to antiretroviral therapy (ART) is important for effective medical treatment of HIV/AIDS. We conducted a qualitative interview study in the Copperbelt Province of Zambia in 2006. The aim of the study was to explore patients\' and health care professionals\' perceived barriers and facilitators to patients\' adherence to ART. Based on data from individual interviews and focus group interviews with a total of 60 patients and 12 health care professionals, we identified barriers and facilitators related to patients\' beliefs and behaviours, the health service, and socio-economic and cultural factors. Among the barriers we identified were lack of communication and information about ART, inadequate time during consultations, lack of follow-up and counselling, forgetfulness, stigma, discrimination and disclosure of HIV status, lack of confidentiality in the treatment centres, and lack of nutritional support. Feeling better, prospects of living longer, family support, information about ART, support for income-generating activities, disclosure of HIV status, prayers and transport support were among the facilitators. Our study suggests that several issues need to be considered when providing ART. Further research is needed to study interactions between patients and their health care providers. Our findings can inform interventions to improve adherence to ART. Keywords: AIDS, HIV, antiretroviral therapy, adherence, patient compliance, delivery of health care.SAHARA-J Vol. 5 (3) 2008: pp. 136-143
    • Blood-borne HIV: Risks and Prevention

      S Ramlagan (SAHARA J (Journal of Social Aspects of HIV/AIDS Research Alliance), 2010-01-20)
      By Mariette Correa, David Gisselquist and Deodatta Hari Gore. Hyderabad: Orient Longman Private Ltd. ISBN 13: 978-81-250-3462-9 and ISBN 10: 81-250-3462-5This is a 91-page book written to fill the gap that exists in public education about HIV prevention. The book focuses on the country of India, where public discussion of HIV risk concentrates on sexual transmission and overlooks blood exposures.
    • Book Review HIV/AIDS and agriculture in Sub-Saharan Africa: impact on farming systems, agricultural practices and rural livelihoods – an overview and annotated bibliography By Tania R Muller (2004)

      S Drimie; Human Sciences Research Council, South Africa (SAHARA J (Journal of Social Aspects of HIV/AIDS Research Alliance), 2005-10-13)
      Academic Publishers,The Netherlands, 2004.ISBN: 9076998469.Journal of Social Aspects of HIV/AIDS Vol 2(2) 2005: 296-297
    • Book Review: Living with AIDS in Uganda: Impacts on Banana-Farming Households in Two Districts

      J Seager (SAHARA J (Journal of Social Aspects of HIV/AIDS Research Alliance), 2010-01-20)
      By Monica Karuhanga Beraho, African women leaders in agriculture and the environment (AWLAE) Series No. 6, Wageningen: Wageningen Academic Publishers. 2008. 371pp. ISBN 978-90-8686-064-7The book is essentially a doctoral thesis and, as such, offers a very detailed study of the impact of AIDS on banana-farming households in two Ugandan districts. Being based on a thesis means that it should not be regarded as a general text on AIDS and livelihoods, but it does offer many insights into the reality of living with AIDS in these specific communities.
    • Book ReviewHIV in South Africa By SS Abdool Karim and Q Abdool Karim (Editors) (2005)

      Shandir Ramlagan; Human Research Council, South Africa (SAHARA J (Journal of Social Aspects of HIV/AIDS Research Alliance), 2006-04-26)
      Cape Town: Cambridge University PressISBN-13 978-0-521-61629-4ISBN-10 0-521-61629-8 SAHARA J (Journal of Social Aspects of HIV/AIDS Research Alliance) Vol. 2(3) 2005: 352-353
    • Book ReviewHIV/AIDS and Democratic Governance in South Africa: Illustrating the Impact on Electoral ProcessesBy Per Strand, Khabele Matlosa, Ann Strode & Kondwani Chirambo (2005)

      Sarah Pugh; Dalhousie University, Canada (SAHARA J (Journal of Social Aspects of HIV/AIDS Research Alliance), 2006-04-26)
      Institute for Democracy in South Africa (IDASA), Pretoria, South AfricaISBN 1-919798-80-3 SAHARA J (Journal of Social Aspects of HIV/AIDS Research Alliance) Vol. 2(3) 2005: 354-355
    • Book ReviewHIV/AIDS and Democratic Governance in South Africa: Illustrating the Impact on Electoral ProcessesBy Per Strand, Khabele Matlosa, Ann Strode & Kondwani Chirambo (2005)

      Pugh, Sarah; Dalhousie University, Canada (Taylor & Francis, 2006-04-26)
      Institute for Democracy in South Africa (IDASA), Pretoria, South AfricaISBN 1-919798-80-3 SAHARA J (Journal of Social Aspects of HIV/AIDS Research Alliance) Vol. 2(3) 2005: 354-355
    • Book ReviewHIV/AIDS and Democratic Governance in South Africa: Illustrating the Impact on Electoral ProcessesBy Per Strand, Khabele Matlosa, Ann Strode & Kondwani Chirambo (2005)

      Pugh, Sarah; Dalhousie University, Canada (Taylor & Francis, 2006-04-26)
      Institute for Democracy in South Africa (IDASA), Pretoria, South AfricaISBN 1-919798-80-3 SAHARA J (Journal of Social Aspects of HIV/AIDS Research Alliance) Vol. 2(3) 2005: 354-355
    • Book ReviewHIV/AIDS, gender and rural livelihoods in Sub-Saharan Africa: african women leaders in agriculture and environmentBy Tania R Muller (2005)

      J Seeley; University of East Anglia, UK (SAHARA J (Journal of Social Aspects of HIV/AIDS Research Alliance), 2005-10-13)
      Academic Publishers,The Netherlands, 2005.ISBN: 9076998493.Journal of Social Aspects of HIV/AIDS Vol 2(2) 2005: 297-298
    • Book Reviews

      Muhammed Haron (Taylor & Francis Group, 2010-07-01)
      Islam and AIDS: Between Scorn, Pity and Justice By Farid Esack and Sarah Chiddy (eds). Oxford: Oneworld. 256 pp. 2009. ISBN 978-1-85168-633-9. Reviewed by Muhammed Haron.
    • Book Reviews

      Shandir Ramlagan; Sarah Pugh; Malcolm MacLachlan (Taylor & Francis Group, 2005-11-01)
      HIV/AIDS in South Africa Edited by SS Abdool Karim and Q Abdool Karim. Cape Town: Cambridge University Press, 2005. ISBN-10 0-521- 61629-8 & ISBN-13 978-0-521-61629-4. Reviewed by Shandir Ramlagan.HIV/AIDS and Democratic Governance in South Africa: Illustrating the Impact on Electoral Processes By Per Strand, Khabele Matlosa,Ann Strode & Kondwani Chirambo, Institute for Democracy in South Africa (IDASA), Pretoria, South Africa, 2005. ISBN: 1-919798-80-3 Reviewed by Sarah Pugh.The Health of our Educators: Focus on HIV/AIDS in South African Public Schools Edited by O Shisana, K Peltzer,N Zungu-Dirwayi & JS Louw. Cape Town: HSRC, 2005 Reviewed by Malcolm MacLachlan.
    • Book Reviews

      Y. Naidoo Dhee (Taylor & Francis Group, 2011-04-01)
      The Country we Want to Live in: Hate Crimes and Homophobia in the Lives of Black Lesbian South Africans By N Mkhize, J Bennett, V Reddy, R Moletsane (eds). 2010. South Africa. HSRC Press. 66 pp. ISBN: 978-0-7969-2341-7. Reviewed by Y Naidoo (Dhee).
    • Book Reviews

      Shandir Ramlagan (Taylor & Francis Group, 2007-08-01)
      AIDS and the Ecology of Poverty Eileen Stillwaggon (2006), Oxford University Press. New York, ISBN-13: 978-0-19-516927-0, & ISBN: 0-19-516927-1, Hardback, 260 pages. Reviewed by Shandir Ramlagan.
    • Book Reviews

      Nkululeko Nkomo (Taylor & Francis Group, 2006-05-01)
      Moving Mountains:The Race to Treat Global AIDS By Anne-Christine D'Adesky, London & New York:Verso, 2004, ISBN 1-84467-002-3, 473 pp. Reviewed by Nkululeko Nkomo.
    • Book Reviews

      Geoff Setswe (Taylor & Francis Group, 2008-09-01)
      A Generation at Risk: The Global Impact of HIV/AIDS on Orphans and Vulnerable Children Edited by G Foster, C Levi and J Williamson. Cambridge University Press, 2005. ISBN 978-0-521-65264-3 Reviewed by Geoff Setswe.
    • Book Reviews

      Mercy Banyini (Taylor & Francis Group, 2010-10-01)
      HIV/AIDS in South Africa. 2nd ed. 2010. Edited by S S Abdool Karim and Q Abdool Karim Reviewed by Mercy Banyini.
    • Book Reviews

      Brian van Wyk; Shandir Ramlagan; Sharon Kleintjes (Taylor & Francis Group, 2005-04-01)
      Letting Them Die: Why HIV/AIDS Prevention Programmes Fail By Catherine Campbell, Cape Town, South Africa: Double Storey Books, 2003, ISBN 1-919-930116. Reviewed by Brian van Wyk.The Moral Economy of AIDS in South Africa By Nicoli Nattrass. New York: Cambridge University Press, 2004. ISBN 0-521-54864-0. Reviewed by Shandir Ramlagan.Learning from HIV and AIDS Edited by George Ellison, Melissa Parker, and Catherine Campbell. 2003. New York: Cambridge University Press, ISBN 0-521-80866-9, 0-521-00470-5pbk. Reviewed by Sharon Kleintjes.