Association between patient engagement in HIV care and antiretroviral therapy medication adherence: cross-sectional evidence from a regional HIV care center in Kenya

Mûnene, Edwin; Ekman, Björn

doi:10.1080/09540121.2014.963020

Cited by 20 publications

(29 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nonadherence to ART is identified as the most common reason for treatment failure [ 9 ]. Thus, retaining patients on ART is of public health importance as it is directly linked to access to medication and medication adherence [ 10 ]. Nonadherence to ART poses major challenges to reducing new HIV infections, addressing health disparities, and improving health outcomes [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Conceptualising the Factors Affecting Retention in Care of Patients on Antiretroviral Treatment in Kabwe District, Zambia, Using the Ecological Framework

Mukumbang

Mwale

Wyk

2017

AIDS Research and Treatment

View full text Add to dashboard Cite

Background. HIV remains a major public health challenge in Zambia. The roll-out of antiretroviral treatment (ART) has engendered new challenges in retention in care. Objective. To conceptualise the factors affecting retention in care of ART patients at three primary healthcare facilities using the ecological framework. Method. Qualitative data were collected through in-depth interviews with 45 ART patients and three focus group discussions with 20 healthcare providers from three primary healthcare facilities in Kabwe district, Zambia, and subjected to thematic content analysis. Results. Individual level barriers to retention in care included side effects, gaining weight, belief in faith healing, and use of herbal remedies and alcohol. Interpersonal barriers such as stigma and nondisclosure of HIV status were reported. At the institutional level, inadequate space in the clinic, long waiting times, long travel distances, and shortage of third-line drugs presented barriers to retention in care. Food shortages and patient mobility were reported as community barriers to retention in care. Conclusion. The ecological framework conceptualises the complex and dynamic factors affecting retention in ART care and highlights the need for multifaceted interventions that combine health education, disease management, and opportunities for income generation in a socially responsive and accountable environment.

show abstract

Section: Introductionmentioning

confidence: 99%

Conceptualising the Factors Affecting Retention in Care of Patients on Antiretroviral Treatment in Kabwe District, Zambia, Using the Ecological Framework

Mukumbang

Mwale

Wyk

2017

AIDS Research and Treatment

View full text Add to dashboard Cite

show abstract

“…ART coverage in Kenya increased from 64% in 2008 to 80% in 2013 (NACC, 2014). Despite this achievement, poor adherence and high loss to follow-up (LTFU) rates along the cascade of HIV care (Hassan et al, 2012; Karcher, Omondi, Odera, Kunz, & Harms, 2007; Mann et al, 2013; Mûnene & Ekman, 2015; Ochieng-Ooko et al, 2010) reduce the effectiveness of these efforts. These challenges have been attributed to various individual, social, and structural factors (Fox & Rosen, 2010; Merten et al, 2010; Ochieng-Ooko et al, 2010; Posse, Meheus, Van Asten, Van Der Ven, & Baltussen, 2008; Reda & Biadgilign, 2012; Vreeman et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

“…Patient engagement in care, which entails patient involvement in decisions regarding their treatment, has been shown to promote better HIV medication and clinic adherence (Mûnene & Ekman, 2015). For HIV patients to be engaged, high quality provider-patient communication and relationship dynamics must be fostered and maintained (Flickinger, Saha, Moore, & Beach, 2013).…”

Section: Introductionmentioning

confidence: 99%

The Perspective of HIV Providers in Western Kenya on Provider-Patient Relationships

Wachira

Genberg

Kafu

et al. 2018

Journal of Health Communication

View full text Add to dashboard Cite

Enhancing effective adherence dialogue with HIV patients in an environment that promotes good provider-patient relationships, is key to optimizing the benefits of antiretroviral therapy (ART). The study examines the perspectives of HIV providers in western Kenya on provider-patient relationships. Sixty healthcare providers were sampled using convenience sampling methods from three Academic Model for Providing Access to Healthcare (AMPATH) sites (one urban and two rural). In-depth interviews conducted in either Swahili or English were audio recorded, transcribed, and translated into English. Content analysis was performed after thematic coding. Providers perceived that they had good relationships with most patients, and tended to identify negative patient attributes as the source of poor provider-patient relationships. Providers preferred patients who adhered to treatment guidelines. They did not like patients who challenged their authority, and did not see it as their responsibility to find more effective ways of interacting with patients who they found difficult. Structural barriers to collaborative physician-patient relationships included noncontinuity of relationships, lack of specific appointment times, high provider-patient ratio, and management of provider fatigue and job dissatisfaction. There is need for HIV care programs to identify culturally appropriate interventions to enhance better provider-patient relationship.

show abstract

“…Despite the advantages associated with the use of technologies to promote adherence to ART, some difficulties may compromise cell phone use in health care, such as the lack of credits, handling difficulty, keeping the battery charged, network problems, loss of access, change of number, restricted time of telephone use, breach of confidentiality and concern with the disclosure of the serological status to third parties 7,32,33 . Given the above, it is necessary to develop intervention strategies that are inexpensive, effective, and that seek to involve the patient with the health service 34 . Also, it is essential to know the patients' perceptions and needs vis-à-vis these technologies, identifying the barriers and solving the problems to seek the development of effective technologies 19 .…”

Section: Discussionmentioning

confidence: 99%

Uso do telefone para adesão de pessoas vivendo com HIV/AIDS à terapia antirretroviral: revisão sistemática

Santos

Costa

Lima

et al. 2019

Ciênc. saúde coletiva

View full text Add to dashboard Cite

Resumo O objetivo deste artigo é avaliar a eficácia do uso do telefone para adesão de pessoas com HIV/AIDS à terapia antirretroviral. Realizou-se uma revisão sistemática, nas bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs/Bireme), Scopus, Medical Literature Analysis and Retrieval System Online (Medline/PubMed), Web of Science; e nas bibliotecas Scientific Eletronic Library Online (SciELO) e Cochrane, com uso dos seguintes descritores: “HIV”, “Cell Phones”, “Acquired Immunodeficiency Syndrome” e “Antiretroviral Therapy, Highly Active”. Obteve-se uma amostra de 17 artigos. As intervenções com uso de telefones celulares propostas foram: uso de aplicativos de celulares, Serviço de Mensagem Curta e chamadas telefônicas. Na maioria dos estudos, o uso do telefone trouxe impacto significativo sobre a adesão ao tratamento. A avaliação dos estudos apontou boa qualidade metodológica e sigilo de alocação adequado. Acerca dos métodos de mensuração da adesão destacou-se a autorrelatada. A utilização de telefone celular foi eficaz para a melhoria da adesão à terapia antirretroviral de pessoas vivendo com HIV.

show abstract

Association between patient engagement in HIV care and antiretroviral therapy medication adherence: cross-sectional evidence from a regional HIV care center in Kenya

Cited by 20 publications

References 27 publications

Conceptualising the Factors Affecting Retention in Care of Patients on Antiretroviral Treatment in Kabwe District, Zambia, Using the Ecological Framework

Conceptualising the Factors Affecting Retention in Care of Patients on Antiretroviral Treatment in Kabwe District, Zambia, Using the Ecological Framework

The Perspective of HIV Providers in Western Kenya on Provider-Patient Relationships

Uso do telefone para adesão de pessoas vivendo com HIV/AIDS à terapia antirretroviral: revisão sistemática

Contact Info

Product

Resources

About