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Barriers and facilitators of antiretroviral therapy (ART) adherence habit formation in Sub-Saharan Africa: Evidence from a qualitative study in Kampala, Uganda

Author

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  • Stecher, Chad
  • Palimaru, Alina I.
  • Odiit, Mary
  • Lunkuse, Lillian
  • Walukaga, Stewart
  • Linnemayr, Sebastian

Abstract

In 2020, nearly 40 million people lived with HIV/AIDS (PLWHA) worldwide, of whom 70% were receiving antiretroviral therapy (ART). Two-thirds of PLWHA reside in Sub-Saharan Africa (SSA), where rates of viral load suppression are often suboptimal and frequently attributed to low ART adherence. Strong pill-taking habits are often reported as a key strategy among those who successfully maintain medication adherence, yet not enough is known about the barriers and facilitators in SSA to pill-taking in response to the same contextual cue, which is a necessary step in the habit formation process.

Suggested Citation

  • Stecher, Chad & Palimaru, Alina I. & Odiit, Mary & Lunkuse, Lillian & Walukaga, Stewart & Linnemayr, Sebastian, 2023. "Barriers and facilitators of antiretroviral therapy (ART) adherence habit formation in Sub-Saharan Africa: Evidence from a qualitative study in Kampala, Uganda," Social Science & Medicine, Elsevier, vol. 317(C).
    • Handle: RePEc:eee:socmed:v:317:y:2023:i:c:s0277953622008735
    DOI: 10.1016/j.socscimed.2022.115567
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    References listed on IDEAS

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    1. Johnson, Ginger A. & Vindrola-Padros, Cecilia, 2017. "Rapid qualitative research methods during complex health emergencies: A systematic review of the literature," Social Science & Medicine, Elsevier, vol. 189(C), pages 63-75.
    2. Stecher, Chad & Mukasa, Barbara & Linnemayr, Sebastian, 2021. "Uncovering a behavioral strategy for establishing new habits: Evidence from incentives for medication adherence in Uganda," Journal of Health Economics, Elsevier, vol. 77(C).
    3. Benjamin Saunders & Julius Sim & Tom Kingstone & Shula Baker & Jackie Waterfield & Bernadette Bartlam & Heather Burroughs & Clare Jinks, 2018. "Saturation in qualitative research: exploring its conceptualization and operationalization," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(4), pages 1893-1907, July.
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