edoc

Patient-reported barriers and drivers of adherence to antiretrovirals in sub-Saharan Africa : a meta-ethnography

Merten, S. and Kenter, E. and McKenzie, O. and Musheke, M. and Ntalasha, H. and Martin Hilber A., . (2010) Patient-reported barriers and drivers of adherence to antiretrovirals in sub-Saharan Africa : a meta-ethnography. Tropical medicine and international health : TM & IH : a European journal, 15 (1). pp. 16-33.

Full text not available from this repository.

Official URL: http://edoc.unibas.ch/dok/A5842975

Downloads: Statistics Overview

Abstract

This meta-ethnography aims at providing a synthesis and an interpretation of the findings of recent social science research on the questions of retention in antiretroviral therapy (ART) programmes in sub-Saharan Africa (SSA). The literature reviewed comprises ethnographic studies of the barriers to adherence to ART in various cultural settings. The results show that the quality of services, treatment-related costs, as well as the need to maintain social support networks - which can be negatively affected by HIV-related stigma - are important barriers to adherence. In addition, they show how African concepts of personhood are incompatible with the way services are conceived and delivered, targeting the individual. In SSA, individuals must balance physical health with social integrity, which is sometimes achieved by referring to traditional medicine. The ability of local concepts of illness to address social relations in addition to health, together with a historically grounded distrust in Western medicine, explains why traditional medicine is still widely used as an alternative to ART
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Swiss Centre for International Health (SCIH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Former Units within Swiss TPH > Sexual and Reproductive Health (Zahorka)
UniBasel Contributors:Merten, Sonja and Martin Hilber, Adriane
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Blackwell Science
ISSN:1360-2276
Note:Publication type according to Uni Basel Research Database: Journal article
Related URLs:
Identification Number:
Last Modified:04 Sep 2018 10:12
Deposited On:14 Sep 2012 06:48

Repository Staff Only: item control page