Adherence to Antiretroviral Therapy in Jinja, Uganda: A Six-Year Follow-Up Study

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dc.contributor.authorMbonye, Martin
dc.contributor.authorSeeley, Janet
dc.contributor.authorSsembajja, Fatuma
dc.contributor.authorBirungi, Josephine
dc.contributor.authorJaffar, Shabbar
dc.date.accessioned2018-07-25T14:32:14Z
dc.date.available2018-07-25T14:32:14Z
dc.date.issued2013-10-11
dc.descriptionThe study reports on the adherence experience of a group of people living with HIV on ART over six years in Uganda.en_US
dc.description.abstractIntroduction: We report on the adherence experience of a group of people living with HIV on ART over six years in Uganda. Methods: Between 2005 and 2009, we followed up 41 participants who were also part of a clinical trial comparing home and facility based delivery of ART in Jinja, eastern Uganda. We conducted qualitative in-depth interviews at enrolment, 3, 6, 18 and 30 months to capture experiences with adherence over time. In 2011 we returned to these participants to find out how they were fairing with long term adherence. We managed to retrace 24 participants and interviewed them about their experience. We thematically analysed the data and compared findings over time. Results: Initially there were few barriers to adherence and many followed the adherence guidance closely. By year six, relaxation of these rules was noticeable although self-reported adherence continued to be high. Alcohol consumption was more common than before. Some relatives of the participants who had died claimed that some deaths were a result of alcohol. While participants reported that ART had allowed them to reclaim independence and return to work the changes in work and social routines created new challenges for adherence. Side effects like lipodystrophy were not only causing some stigma but for some tested their faith in the drugs. Many participants reported resumption of sexual lives but apart from those who selected same status partners, disclosure to new partners was minimal.en_US
dc.identifier.citationMbonye, Martin, Seeley, Janet, Ssembajja, Fatuma, Birungi, Josephine, Jaffar, Shabbar, 2013. Adherence to Antiretroviral Therapy in Jinja, Uganda: A Six-Year Follow-Up Study.en_US
dc.identifier.urihttps://hdl.handle.net/20.500.11951/301
dc.language.isoenen_US
dc.subjectAntiretroviral Therapyen_US
dc.subjectUgandaen_US
dc.titleAdherence to Antiretroviral Therapy in Jinja, Uganda: A Six-Year Follow-Up Studyen_US
dc.typeArticleen_US
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The final, definitive version of this paper has been published in the PLOS ONE, October 2013 | Volume 8 | Issue 10. https://doi.org/10.1371/journal.pone.0078243.
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