TITLE

Different delivery models for antiretroviral therapy in sub-Saharan Africa in the context of ‘Universal Access’

AUTHOR(S)
Harries, Anthony D.; Makombe, Simon D.; Schouten, Erik J.; Ben-Smith, Anne; Jahn, Andreas
PUB. DATE
April 2008
SOURCE
Transactions of the Royal Society of Tropical Medicine & Hygiene;Apr2008, Vol. 102 Issue 4, p310
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Summary: In 10 years, in line with the concept of universal access, 25 million HIV-infected patients in sub-Saharan Africa might be on antiretroviral therapy (ART). There are different models of ART delivery, from the individualised, medical approach to the simple, public health approach, both having distinct advantages and disadvantages. This mini-review highlights the essential components of both models and argues that, whatever the mix of different models in a country, both must be underpinned by similar core principles so that uninterrupted drug supplies, patient adherence to therapy and compliance with follow up are assured. Failure to do otherwise is to court disaster.
ACCESSION #
31306373

 

Related Articles

  • Physician Beliefs about Antiretroviral Adherence Communication. Roberts, Kathleen Johnston // AIDS Patient Care & STDs;Sep2000, Vol. 14 Issue 9, p477 

    Adherence to antiretroviral regimens is thought to be imperative for HIV-positive patients. However, little is known about health care professionals' willingness to discuss adherence with patients, nor what barriers, if any, may impede their adherence communication. The aims of the study were to...

  • Is average adherence to HIV antiretroviral therapy enough? Bangsberg, David R.; Deeks, Steven G. // JGIM: Journal of General Internal Medicine;Oct2002, Vol. 17 Issue 10, p812 

    Comments on an article on the adherence behavior of several HIV-infected people to antiretroviral therapy. Assessment of the biological relationship between adherence and antiretroviral drug resistance; Factors that contribute to the apparent disconnect between virologic failure, drug...

  • A prospective study of predictors of adherence to combination antiretroviral medication. Golin, Carol E.; Liu, Honghu; Hays, Ron D.; Miller, Loren G.; Beck, C. Keith; Ickovics, Jeanette; Kaplan, Andrew H.; Wenger, Neil S. // JGIM: Journal of General Internal Medicine;Oct2002, Vol. 17 Issue 10, p756 

    Objective: Adherence to complex antiretroviral therapy (ART) is critical for HIV treatment but difficult to achieve. The development of interventions to improve adherence requires detailed information regarding barriers to adherence. However, short follow-up and inadequate adherence...

  • Effects of Antiretroviral Drug Recall on Perception of Therapy Benefits and on Adherence to Antiretroviral Treatment in HIV-Infected Children. Giannattasio, Antonietta; Barbarino, Alessandro; Vecchio, Andrea Lo; Bruzzese, Eugenia; Mango, Carmela; Guarino, Alfredo // Current HIV Research;Sep2009, Vol. 7 Issue 5, p468 

    In June 2007, the European Medicines Agency announced the recall by Roche of nelfinavir from European Union markets because of contamination of tablets with ethyl mesylate. Based on this event, we investigated the effect of switching therapy because of nelfinavir recall or for other reasons on...

  • Case Management Is Associated with Improved Antiretroviral Adherence and CD4+ Cell Counts in Homeless and Marginally Housed Individuals with HIV Infection. Kushel, M. B.; Colfax, G.; Ragland, K.; Heineman, A.; Palacio, H.; Bangsberg, D. R. // Clinical Infectious Diseases;7/15/2006, Vol. 43 Issue 2, p234 

    Background. Case management (CM) coordinates care for persons with complex health care needs. It is not known whether CM is effective at improving biological outcomes among homeless and marginally housed persons with human immunodeficiency virus (HIV) infection. Our goal was to determine whether...

  • Factors Affecting Adherence to Antiretroviral Therapy. Chesney, Margaret A. // Clinical Infectious Diseases;6/1/2000 Supplement 2, Vol. 30, pS171 

    Enumerates the factors that influence adherence to antiretroviral therapy for treating HIV infections. Patient factors; Medication regimen; Patient-health care provider relationship; System of care; Reasons reported by HIV-infected individuals for not taking their medications.

  • Association of social stress, illicit drug use, and health beliefs with nonadherence to antiretroviral therapy. Gebo, Kelly A.; Keruly, Jeanne; Moore, Richard D. // JGIM: Journal of General Internal Medicine;Feb2003, Vol. 18 Issue 2, p104 

    Objective: To assess the roles of socioeconomic status, social stability, social stress, health beliefs, and illicit drug use with nonadherence to antiretroviral therapy.Design: Cross-sectional study.Setting: Urban hospital clinic.Participants:...

  • Taking Antiretroviral Therapy for HIV Infection. Laws, M. Barton; Wilson, Ira B.; Bowser, Diana M.; Kerr, Sarah E. // JGIM: Journal of General Internal Medicine;Dec2000, Vol. 15 Issue 12, p848 

    OBJECTIVE: To describe how people with HIV understand and experience the problem of adhering to antiretroviral medication regimens. DESIGN: We performed a qualitative study based on interviews with HIV-infected patients, including 46 clients of AIDS service organizations, who were sampled...

  • Efectos del tiempo de infección sobre predictores de adherencia en personas con VIH. Piña López, Julio Alfonso; Tapia, Mariana Dávila; Sánchez Sosa, Juan José; Robles, Óscar Cázares; Togawa, Carlos; Corrales Rascón, Andrés Ernesto // International Journal of Psychology & Psychological Therapy;2009, Vol. 9 Issue 1, p67 

    A cross-sectional study was made with the main objective to prove the effects of length of infection (in months) on predictors of adherence behaviors to antiretroviral therapy in a sample of 44 persons with HIV. A multiple linear regression analysis showed that motives and stress-related to high...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics