The Modalities of Nonadherence to Highly Active Antiretroviral Therapy and the Associated Factors Related to Patients’ Sociodemographic Characteristics and Their Caregiving Perceptions in Ouagadougou (Burkina Faso)

Guira, Oumar; Kaboré, Delwendé S. R.; Dao, Ginette; Zagré, Nicaise; Zohoncon, Théodora Mahoukèdè; Pietra, Virginio; Drabo, Joseph; Simporé, Jacques

doi:10.1177/2325957415616492

Cited by 5 publications

(3 citation statements)

References 11 publications

(24 reference statements)

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“…The factors that were statistically significant such as social support and responsibility acceptance reinforced the idea of adherence as a result of positive coping. However, the escape-avoidance factor also presented statistical significance and may be related to the difficulties encountered during treatment such as the large number of pills to take, rigid schedules and routines, side effects, long treatment time, and so forth 16 - 17 .…”

Section: Discussionmentioning

confidence: 99%

Coping strategies of people living with AIDS in face of the disease

Silva¹,

Silva

Rodrigues

et al. 2018

Rev. Latino-Am. Enfermagem

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Objective:to identify the coping strategies of people living with aids to face the disease and analyze them according to sociodemographic, clinical and lifestyle variables. Method:this is a cross-sectional quantitative study. The sample consisted of 331 people living with aids treated at an outpatient clinic at a referral hospital for treatment of aids. The Coping Strategies Inventory was used to collect the data. Results:emotion-focused coping modes were more frequently mentioned. The mean scores of women, workers, religious people, and people who never withdrew from the treatment were higher for all factors. Patients who had a partner, who lived with family members and who received treatment support, had higher mean scores in coping, withdrawal and social support factors. As for leisure and the practice of physical exercises, the emotion-focused modes also predominated. A correlation was identified between treatment time, schooling, family income and the factors of the Coping Strategies Inventory of. Conclusion:the study showed that the most frequent coping modes were those focused on emotion.

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Section: Discussionmentioning

confidence: 99%

Coping strategies of people living with AIDS in face of the disease

Silva¹,

Silva

Rodrigues

et al. 2018

Rev. Latino-Am. Enfermagem

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“…Between 2008 and 2012, adherence to ART in Bobo-Dioulasso was 63.7% 8 in all PLWH, and the global proportion of non-adherence in Ouagadougou was 38.2% in 2014. 9 While the gains of treatment are recognized, poor adherence builds a gap between the prospective and accomplished public-health rewards of ART. 10…”

Section: Introductionmentioning

confidence: 99%

Adherence to HIV Antiretroviral Therapy Among Pregnant and Breastfeeding Women, Non-Pregnant Women, and Men in Burkina Faso: Nationwide Analysis 2019–2020

Zoungrana-Yameogo¹,

Fassinou²,

Ngwasiri³

et al. 2022

PPA

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Background Since the scale-up of antiretroviral therapy (ART) services in Burkina-Faso, achieving an AIDS-free generation depends on optimal ART adherence. However, no data exists on the population group differences on the level of ART adherence in Burkina-Faso. This study analyzes ART adherence among pregnant-and breastfeeding-women, non-pregnant women, and men in Burkina-Faso. Methods From December 2019 to March 2020, a cross-sectional study among adult HIV-infected patients in Burkina-Faso, belonging either to the active file or the Prevention of Mother-To-Child Transmission programs was conducted. An analysis was performed and adherence was measured based on the number of times, patients did not meet the number of doses prescribed and did not take the ART treatment in the month prior to the survey. Logistic-regression models were used to identify factors associated with poor ART adherence and the adjusted odds ratios (aORs) with their 95% confidence intervals (95% CI) were reported. Results The prevalence of good adherence was higher in the group of pregnant-and breastfeeding-women (86.6%, n = 112) compared to the other groups (73.1%, n=1017 in non-pregnant women and 72.0%, n = 318 in men). No association was found between ART adherence and the socio-demographic, clinical, and therapeutic characteristics of pregnant-and breastfeeding-women and men groups. However, non-pregnant women with a high level of education (aOR = 1.70; 95% CI: 1.16–2.49), having ever belonged to a support group (aOR= 1.47; 95% CI: 1.07–2.04), not having income-generating occupations (aOR= 1.53; 95% CI: 1.11–2.12), and in advanced clinical stage (aOR= 1.42; 95% CI: 1.06–1.91) were more susceptible to have poor adherence compared to their pairs. Conclusion Findings showed a large difference in ART adherence among pregnant-and breastfeeding-women, non-pregnant women and men and highlight the need for differentiated healthcare delivery according to population while specifically considering addressing the interest in early initiation of treatment and the benefit of support groups meeting.

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“…Understanding the behaviour of people on ART [ 15 , 21 , 25 , 63 , 65 , 89 , 90 , 91 , 92 , 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 , 112 , 113 , 114 , 115 , 116 , 117 , 118 ]…”

Section: Resultsmentioning

confidence: 99%

Measuring patient engagement with HIV care in sub‐Saharan Africa: a scoping study

et al. 2022

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Introduction:Engagement with HIV care is a multi-dimensional, dynamic process, critical to maintaining successful treatment outcomes. However, measures of engagement are not standardized nor comprehensive. This undermines our understanding of the scope of challenges with engagement and whether interventions have an impact, complicating patient and programmelevel decision-making. This study identified and characterized measures of engagement to support more consistent and comprehensive evaluation. Methods: We conducted a scoping study to systematically categorize measures the health system could use to evaluate engagement with HIV care for those on antiretroviral treatment. Key terms were used to search literature databases (Embase, PsychINFO, Ovid Global-Health, PubMed, Scopus, CINAHL, Cochrane and the World Health Organization Index Medicus), Google Scholar and stakeholder-identified manuscripts, ultimately including English evidence published from sub-Saharan Africa from 2014 to 2021. Measures were extracted, organized, then reviewed with key stakeholders. Results and discussion: We screened 14,885 titles/abstracts, included 118 full-texts and identified 110 measures of engagement, categorized into three engagement dimensions ("retention," "adherence" and "active self-management"), a combination category ("multi-dimensional engagement") and "treatment outcomes" category (e.g. viral load as an end-result reflecting that engagement occurred). Retention reflected status in care, continuity of attendance and visit timing. Adherence was assessed by a variety of measures categorized into primary (prescription not filled) and secondary measures (medication not taken as directed). Active self-management reflected involvement in care and self-management. Three overarching use cases were identified: research to make recommendations, routine monitoring for quality improvement and strategic decision-making and assessment of individual patients. Conclusions: Heterogeneity in conceptualizing engagement with HIV care is reflected by the broad range of measures identified and the lack of consensus on "gold-standard" indicators. This review organized metrics into five categories based on the dimensions of engagement; further work could identify a standardized, minimum set of measures useful for comprehensive evaluation of engagement for different use cases. In the interim, measurement of engagement could be advanced through the assessment of multiple categories for a more thorough evaluation, conducting sensitivity analyses with commonly used measures for more comparable outputs and using longitudinal measures to evaluate engagement patterns. This could improve research, programme evaluation and nuanced assessment of individual patient engagement in HIV care.

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The Modalities of Nonadherence to Highly Active Antiretroviral Therapy and the Associated Factors Related to Patients’ Sociodemographic Characteristics and Their Caregiving Perceptions in Ouagadougou (Burkina Faso)

Abstract: Nonadherence to HAART needs to be correctly managed during HIV/AIDS monitoring.

Cited by 5 publications

References 11 publications

Coping strategies of people living with AIDS in face of the disease

Coping strategies of people living with AIDS in face of the disease

Adherence to HIV Antiretroviral Therapy Among Pregnant and Breastfeeding Women, Non-Pregnant Women, and Men in Burkina Faso: Nationwide Analysis 2019–2020

Measuring patient engagement with HIV care in sub‐Saharan Africa: a scoping study

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