Barriers to HIV care and adherence for young people living with  HIV in Zambia and mHealth

Clair-Sullivan, Natalie St; Mwamba, Chanda; Whetham, Jennifer; Bolton‐Moore, Carolyn; Darking, Mary; Vera, Jaime H.

doi:10.21037/mhealth.2019.09.02

Cited by 37 publications

(44 citation statements)

References 30 publications

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“…It is not surprising that our participants suggested to have campaigns in their local language. These results are in consonance with a study done in Zambia about the barriers to HIV care and adherence for young people living with HIV where language challenges were cited to be one of the reasons for adolescents failure to enroll or dropping from ART Clinic (16).…”

Section: Discussionsupporting

confidence: 89%

ART Uptake Among HIV Positive Adolescents: The Effect of Mass Media Campaigns in Southwestern Uganda

Akankunda

Tayebwa

Byamugisha

et al. 2020

Preprint

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Background: Globally about 1.7 million adolescents between the ages of 10 and 19 were living with HIV in 2019, of these, about 1.5 million were living in sub-Saharan Africa and approximately above 127,000 were living in Uganda. However uptake of ART is still low among adolescents especially in low income countries due to lack of information they need to understand HIV and its management. Therefore, we set out to explore the influence of mass media campaigns on promoting ART uptake among HIV positive adolescents in Southwestern Uganda.Methods: A phenomenological qualitative cross-sectional study design was adopted to explore the influence of mass media campaigns on the promotion of ART Uptake among adolescents. We conducted 7 FGDs with Adolescents living with HIV aged 10-19 years and 5 key informants’ interviews with the health care workers in the adolescents’ HIV clinic at Mbarara Regional Referral Hospital. Data was transcribed verbatim and translated from Runyankole to English. Two researchers reviewed all the transcripts, developed a codebook identifying the emerging subthemes from which we manually generated the themes in relation to our research question. Results: Results revealed a large breadth of awareness and knowledge possessed by adolescents about mass media campaigns. This ranged from knowing the various messages that were being aired out and the channels which carried these messages. These campaigns acted as catalysts to ART uptake and adherence since they inspired participants to accept themselves thus managing a number of limitations. Our participants preferred broadcast media channels and messages that featured successful stories of HIV positive living people. Conclusion: HIV mass media campaigns promoted ART uptake among HIV positive adolescents. It is recommended that HIV health service providers take into account the unique needs and nature of adolescents while designing and airing out various media campaigns which would influence their positive living and thus leading to their increased health life expectancy.

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Section: Discussionsupporting

confidence: 89%

ART Uptake Among HIV Positive Adolescents: The Effect of Mass Media Campaigns in Southwestern Uganda

Akankunda

Tayebwa

Byamugisha

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…In addition, other building capacities such as familiarity of users to use the mobile phone service, good wireless data service, participation of stakeholders, coordination with multiple sectors and integration with other existing technologies, were key to ensure good performance of mHealth intervention and improve other outcome dimensions (feasibility and effectiveness). We identified some barriers such as weak internet connectivity, low phone ownership and poor cell phone network access which still represent a challenge for some portions of the population [101][102][103]. Cultural and sociodemographic factors (age, gender, education, among others) can also influence the adoption of a mobile technology [104,105].…”

Section: Findings Of Outcome Dimensionsmentioning

confidence: 99%

The use of mobile phones for the prevention and control of arboviral diseases: a scoping review

et al. 2021

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Background The rapid expansion of dengue, Zika and chikungunya with large scale outbreaks are an increasing public health concern in many countries. Additionally, the recent coronavirus pandemic urged the need to get connected for fast information transfer and exchange. As response, health programmes have -among other interventions- incorporated digital tools such as mobile phones for supporting the control and prevention of infectious diseases. However, little is known about the benefits of mobile phone technology in terms of input, process and outcome dimensions. The purpose of this scoping review is to analyse the evidence of the use of mobile phones as an intervention tool regarding the performance, acceptance, usability, feasibility, cost and effectiveness in dengue, Zika and chikungunya control programmes. Methods We conducted a scoping review of studies and reports by systematically searching: i) electronic databases (PubMed, PLOS ONE, PLOS Neglected Tropical Disease, LILACS, WHOLIS, ScienceDirect and Google scholar), ii) grey literature, using Google web and iii) documents in the list of references of the selected papers. Selected studies were categorized using a pre-determined data extraction form. Finally, a narrative summary of the evidence related to general characteristics of available mobile health tools and outcomes was produced. Results The systematic literature search identified 1289 records, 32 of which met the inclusion criteria and 4 records from the reference lists. A total of 36 studies were included coming from twenty different countries. Five mobile phone services were identified in this review: mobile applications (n = 18), short message services (n=7), camera phone (n = 6), mobile phone tracking data (n = 4), and simple mobile communication (n = 1). Mobile phones were used for surveillance, prevention, diagnosis, and communication demonstrating good performance, acceptance and usability by users, as well as feasibility of mobile phone under real life conditions and effectiveness in terms of contributing to a reduction of vectors/ disease and improving users-oriented behaviour changes. It can be concluded that there are benefits for using mobile phones in the fight against arboviral diseases as well as other epidemic diseases. Further studies particularly on acceptance, cost and effectiveness at scale are recommended.

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“…These overlapping, yet distinct, facets of patient care can influence each other in complex ways. For example, negative perceptions regarding quality of overall care received may sabotage adherence 6 . At the same time, medicationrelated challenges could also complicate overall treatment and adherence [7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

Treatment aspirations and attitudes towards innovative medications among people living with HIV in 25 countries

Okoli¹,

Young²,

Allan³

et al. 2020

Popul. Med.

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INTRODUCTION The worldview in relation to patient care has shifted from conquering diseases to improving overall wellbeing and quality of life. We examined treatment aspirations among people living with HIV (PLHIV). METHODS In all, 2389 PLHIV were surveyed in the 25-country 2019 Positive Perspectives Study. Descriptive and multivariable analyses were used to explore attitudes towards treatment. RESULTS Participants were from: Northern America (USA, Canada), 21.8% (520/2389); Europe, 46.8% (1119/2389); and other international regions, 31.4% (750/2389). Factors associated with some level of dissatisfaction with HIV medication among those otherwise fully satisfied with their HIV management included being on a multi-tablet regimen (AOR=2.76; 95% CI: 1.93-3.96), reporting polypharmacy (AOR=2.10; 95% CI: 1.45-3.03), and experiencing side effects from current HIV medication (AOR=2.12; 95% CI: 1.49-3.02). Of seven improvements to HIV medications assessed, the percentage ranking each attribute, as the first or second most important, was: 'reduced long-term impact on my body' (46.7%); 'longer-lasting medicine so I don't have to take it every day' (43.1%); 'fewer side effects' (40.5%); 'less HIV medicine each day but just as effective' (25.4%); 'less chance of affecting other medicines' (21.6%); 'no food restrictions/ requirements' (14.0%); and 'smaller pills' (8.7%). Overall, 77.1% (1842/2389) believed 'future advances in HIV treatment will improve my overall wellbeing', 72.2% (1726/2389) were 'open to taking an HIV treatment composed of fewer medicines', while 54.7% (1306/2389) expressed openness towards longer-acting (non-daily) HIV medication. Compared to those not fully satisfied with either their HIV medication or management, those fully satisfied with both reported significantly higher prevalence of optimal treatment adherence (89.2% [372/417] vs 69.5% [763/1098]) and optimal overall health (70.3% [293/417] vs 47.8% [525/1098]) (all p<0.001). CONCLUSIONS Many PLHIV perceived gaps in their care and aspired for novel treatments. Providing flexible treatment options can help patients across the spectrum of unmet needs and improve health-related quality of life.

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Barriers to HIV care and adherence for young people living with HIV in Zambia and mHealth

Cited by 37 publications

References 30 publications

ART Uptake Among HIV Positive Adolescents: The Effect of Mass Media Campaigns in Southwestern Uganda

ART Uptake Among HIV Positive Adolescents: The Effect of Mass Media Campaigns in Southwestern Uganda

The use of mobile phones for the prevention and control of arboviral diseases: a scoping review

Treatment aspirations and attitudes towards innovative medications among people living with HIV in 25 countries

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