Transportation costs impede sustained adherence and access to HAART in a clinic population in Southwestern Uganda

A qualitative study

David M. Tuller, David Bangsberg, Jude Senkungu, Norma C. Ware, Nneka Emenyonu, Sheri D. Weiser

Research output: Contribution to journalArticle

199 Citations (Scopus)

Abstract

The cost of transportation for monthly clinic visits has been identified as a potential barrier to antiretroviral (ARV) adherence in sub-Saharan Africa and elsewhere, although there is limited data on this issue. We conducted open-ended interviews with 41 individuals living with HIV/AIDS and attending a clinic in Mbarara, Uganda, to understand structural barriers to ARV adherence and clinical care. Almost all respondents cited the need to locate funds for the monthly clinic visit as a constant source of stress and anxiety, and lack of money for transportation was a key factor in cases of missed doses and missed medical appointments. Participants struggled with competing demands between transport costs and other necessities such as food, housing and school fees. Our findings suggest that transportation costs can compromise both ARV adherence and access to care. Interventions that address this barrier will be important to ensure the success of ARV programs in sub-Saharan Africa.

Original languageEnglish (US)
Pages (from-to)778-784
Number of pages7
JournalAIDS and Behavior
Volume14
Issue number4
DOIs
StatePublished - Aug 2010
Externally publishedYes

Fingerprint

Uganda
Highly Active Antiretroviral Therapy
Africa South of the Sahara
Ambulatory Care
Costs and Cost Analysis
Population
Fees and Charges
Financial Management
Appointments and Schedules
Acquired Immunodeficiency Syndrome
Anxiety
HIV
Interviews
Food

Keywords

  • Access
  • Adherence
  • ARVs
  • HIV/AIDS
  • Transportation
  • Uganda

ASJC Scopus subject areas

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

Cite this

Transportation costs impede sustained adherence and access to HAART in a clinic population in Southwestern Uganda : A qualitative study. / Tuller, David M.; Bangsberg, David; Senkungu, Jude; Ware, Norma C.; Emenyonu, Nneka; Weiser, Sheri D.

In: AIDS and Behavior, Vol. 14, No. 4, 08.2010, p. 778-784.

Research output: Contribution to journalArticle

Tuller, David M. ; Bangsberg, David ; Senkungu, Jude ; Ware, Norma C. ; Emenyonu, Nneka ; Weiser, Sheri D. / Transportation costs impede sustained adherence and access to HAART in a clinic population in Southwestern Uganda : A qualitative study. In: AIDS and Behavior. 2010 ; Vol. 14, No. 4. pp. 778-784.
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