Lay Social Resources for Support of Adherence to Antiretroviral Prophylaxis for HIV Prevention Among Serodiscordant Couples in sub-Saharan Africa: A Qualitative Study

Norma C. Ware, Emily E. Pisarski, Jessica E. Haberer, Monique A. Wyatt, Elioda Tumwesigye, Jared M. Baeten, Connie L. Celum, David R. Bangsberg

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Effectiveness of antiretroviral pre-exposure prophylaxis (PrEP) for HIV prevention will require high adherence. Using qualitative data, this paper identifies potential lay social resources for support of PrEP adherence by HIV serodiscordant couples in Uganda, laying the groundwork for incorporation of these resources into adherence support initiatives as part of implementation. The qualitative analysis characterizes support for PrEP adherence provided by HIV-infected spouses, children, extended family members, and the larger community. Results suggest social resources for support of PrEP adherence in Africa are plentiful outside formal health care settings and health systems and that couples will readily use them. The same shortage of health professionals that impeded scale-up of antiretroviral treatment for HIV/AIDS in Africa promises to challenge delivery of PrEP. Building on the treatment scale-up experience, implementers can address this challenge by examining the value of lay social resources for adherence support in developing strategies for delivery of PrEP.

Original languageEnglish (US)
Pages (from-to)811-820
Number of pages10
JournalAIDS and Behavior
Volume19
Issue number5
DOIs
StatePublished - May 1 2015
Externally publishedYes

Keywords

  • Adherence
  • HIV Health Care Delivery in Africa
  • HIV Prevention
  • PrEP
  • Serodiscordant Couples
  • Sub-Saharan Africa

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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