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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Transportation costs impede sustained adherence and access to HAART in a clinic population in Southwestern Uganda: A qualitative study
AIDS and Behavior, Volume 14, No. 4, Year 2010
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Description
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. © 2010 Springer Science+Business Media, LLC.
Authors & Co-Authors
Tuller, David M.
United States, Berkeley
University of California, Berkeley
Bangsberg, David R.
United States, Boston
Harvard Medical School
Senkungu, Jude Kimbowa
Uganda, Mbarara
Mbarara University of Science and Technology
Ware, Norma C.
United States, Boston
Harvard Medical School
Emenyonu, Nneka I.
United States, Boston
Harvard Medical School
Weiser, Sheri D.
United States, San Francisco
University of California, San Francisco
United States, San Francisco
Ucsf Center for Aids Prevention Studies
Statistics
Citations: 367
Authors: 6
Affiliations: 5
Identifiers
Doi:
10.1007/s10461-009-9533-2
ISSN:
10907165
Research Areas
Food Security
Health System And Policy
Infectious Diseases
Mental Health
Study Design
Cross Sectional Study
Study Approach
Qualitative
Study Locations
Uganda