The price of adherence: Qualitative findings from HIV positive individuals purchasing fixed-dose combination generic HIV antiretroviral therapy in Kampala, Uganda

J. T. Crane, A. Kawuma, J. H. Oyugi, J. T. Byakika, A. Moss, P. Bourgois, D. R. Bangsberg

Research output: Contribution to journalArticle

57 Scopus citations

Abstract

Contrary to early expectations, recent studies have shown near-perfect adherence to HIV antiretrovirals in sub-Saharan Africa We conducted qualitative interviews with patients purchasing low-cost, generic antiretroviral therapy to better understand the social dynamics underlying these findings. We found that concerns for family well-being motivate adherence, yet, the financial sacrifices necessary to secure therapy may paradoxically undermine family welfare. We suggest that missed doses may be more due to a failure to access medication rather than a failure to adhere to medications, and that structural rather than behavioral interventions may be most useful to insure optimal treatment response.

Original languageEnglish (US)
Pages (from-to)437-442
Number of pages6
JournalAIDS and Behavior
Volume10
Issue number4
DOIs
StatePublished - Jul 2006

Keywords

  • Adherence
  • Africa
  • Ethnography
  • Generic fixed-dose combination antiretroviral therapy
  • HIV

ASJC Scopus subject areas

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

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