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

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

Social Science & Medicine, 2023, vol. 317, issue C

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.

Keywords: Habit formation; Medication adherence; Behavioral economics; HIV/AIDS; Antiretroviral therapy; Sub-saharan africa; Treatment initiators; Uganda (search for similar items in EconPapers)
Date: 2023
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DOI: 10.1016/j.socscimed.2022.115567

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