Autor: |
Laura E. Pugh, Jacob S. Roberts, Nikita Viswasam, Elizabeth Hahn, Sophia Ryan, Ghilane Turpin, Carrie E. Lyons, Stefan Baral, Bhakti Hansoti |
Jazyk: |
angličtina |
Rok vydání: |
2022 |
Předmět: |
|
Zdroj: |
Journal of Infection and Public Health, Vol 15, Iss 10, Pp 1053-1060 (2022) |
Druh dokumentu: |
article |
ISSN: |
1876-0341 |
DOI: |
10.1016/j.jiph.2022.08.012 |
Popis: |
Long-term adherence to antiretroviral medication continues to present as a challenge along the continuum of the HIV care cascade. HIV interventions and support programs are significantly threatened in resource-limited settings by challenges in maintaining long-term follow-up for ART adherence. We sought to complete a systematic review to comprehensively examine ART adherence and retention in care interventions in Sub-Saharan Africa and to report on the implementation of interventions in real-world settings to inform future health investments in HIV care. Interventions were grouped according to their impact on individual, community, and health-systems levels. While a vast majority of studies evaluated a combination of interventions, those studies that incorporated the community as a resource were most successful. In addition, providing education and behavior reminders proved effective and should be accompanied by community and peer efforts for best results. Multi-level interventions, such as combining individual and community-level interventions showed promising results for long term ART adherence. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
|