Adherence to anti retroviral therapy (ART) during Muslim Ramadan fasting

A. G. Habib, J. C. Shepherd, M. K L Eng, M. Babashani, J. Jumare, U. Yakubu, U. I. Gebi, M. Saad, H. Ibrahim, W. A. Blattner

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Annual fasting during the month of Ramadan is observed in Muslim countries, some of which have widespread HIV infection. We studied treatment adherence and customary practices among 142 fasting 'FT' and 101 non-fasting 'NFT' patients on anti-retroviral therapy (ART) in Nigeria. Adherence on ART among FT and NFT patients was similar during Ramadan, 96% and 98%, and ever since commencement of ART, 80% and 88%, respectively. FT patients altered their typical daily behaviors by advancing morning and delaying evening doses thereby prolonging dosing intervals, eating heavier meals pre-dawn and on breakfast at sunset (78%), and changing or reducing their sleeping and waking times (40%). This preliminary study suggests that adherence and drug taking frequency appear uncompromised in FT HIV infected patients on ARVs.

Original languageEnglish (US)
Pages (from-to)42-45
Number of pages4
JournalAIDS and Behavior
Issue number1
StatePublished - Feb 2009
Externally publishedYes


  • Adherence
  • Antiretroviral therapy
  • Fasting
  • HIV
  • Islam

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology


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