Abstract
Long-term adherence to antiretroviral medication continues to present as a challenge along the continuum of the HIV care cascade. HIV interventions and support programs are significantly threatened in resource-limited settings by challenges in maintaining long-term follow-up for ART adherence. We sought to complete a systematic review to comprehensively examine ART adherence and retention in care interventions in Sub-Saharan Africa and to report on the implementation of interventions in real-world settings to inform future health investments in HIV care. Interventions were grouped according to their impact on individual, community, and health-systems levels. While a vast majority of studies evaluated a combination of interventions, those studies that incorporated the community as a resource were most successful. In addition, providing education and behavior reminders proved effective and should be accompanied by community and peer efforts for best results. Multi-level interventions, such as combining individual and community-level interventions showed promising results for long term ART adherence.
Original language | English (US) |
---|---|
Pages (from-to) | 1053-1060 |
Number of pages | 8 |
Journal | Journal of Infection and Public Health |
Volume | 15 |
Issue number | 10 |
DOIs | |
State | Published - Oct 2022 |
Keywords
- Adherence
- Human immunodeficiency virus (HIV)
- Sub-Saharan Africa
- Systematic analysis
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Infectious Diseases