In what ways do communities support optimal antiretroviral treatment in Zimbabwe?

Bibliographic Data

ID22945572
AuthorsKerry Scott (0000-0003-3597-9637, Johns Hopkins University, corresponding author), Catherine Campbell (0009-0008-4644-7728, London School of Economics and Political Science), Claudius Madanhire (Biomedical Research and Training Institute), Morten Skovdal (0000-0002-2068-1814, University of Bergen), Constance Nyamukapa (0000-0001-6779-4069, Biomedical Research and Training Institute), Sarah Gregson (0000-0003-2707-0714, Biomedical Research and Training Institute)
Year2014
Volume29
Issue4
Pages645-654
Publication date2014-12-01
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/dat014
PMID23503291
PMCIDPMC4224131
OpenAlexW2169119942
LanguageEN
Citations received2
References cited9

Little research has been conducted on how pre-existing indigenous community resources, especially social networks, affect the success of externally imposed HIV interventions. Antiretroviral treatment (ART), an externally initiated biomedical intervention, is being rolled out across sub-Saharan Africa. Understanding the ways in which community networks are working to facilitate optimal ART access and adherence will enable policymakers to better engage with and bolster these pre-existing resources. We conducted 67 interviews and eight focus group discussions with 127 people from three key population groups in Manicaland, eastern Zimbabwe: healthcare workers, adults on ART and carers of children on ART. We also observed over 100 h of HIV treatment sites at local clinics and hospitals. Our research sought to determine how indigenous resources were enabling people to achieve optimal ART access and adherence. We analysed data transcripts using thematic network technique, coding references to supportive community networks that enable local people to achieve ART access and adherence. People on ART or carers of children on ART in Zimbabwe report drawing support from a variety of social networks that enable them to overcome many obstacles to adherence. Key support networks include: HIV groups; food and income support networks; home-based care, church and women's groups; family networks; and relationships with healthcare providers. More attention to the community context in which HIV initiatives occur will help ensure that interventions work with and benefit from pre-existing social capital.

Business · Context (archaeology) · Environmental health · Focus group · Geography · Health care · Indigenous · Political science · Population · Psychological intervention · Public relations · Qualitative research · Social capital · Social support · Sociology · Thematic analysis · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Marketing · Medicine · Nursing · Poverty, Education, and Child Welfare · Psychology · Social Psychology

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