ArticleBMC public health2011
Barriers to antiretroviral therapy adherence in rural Mozambique.
Article in BMC public health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.
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Who cites it
49 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.
- Factors related to loss to follow-up among people living with HIV: a systematic review.Revista do Instituto de Medicina Tropical de Sao Paulo · 2025Pooled it
- Acceptability and Preferences of Two Different Community Models of ART Delivery in a High Prevalence Urban Setting in Zambia: Cluster-Randomized Trial, Nested in the HPTN 071 (PopART) Study.AIDS and behavior · 2022Trial
- Strategies to improve retention in care among people living with HIV at health facilities in Manaus, Brazil: insight from health care providers.AIDS research and therapy · 2026Article
- Transforming Healthcare: Mozambique's Pioneering Integrative Medicine Course.Annals of global health · 2026Article
- Factors associated with loss to follow-up among people living with HIV at public health facilities in Manaus, Brazil: a multicentric study.BMC public health · 2025Article
- Gender and stigma in antiretroviral treatment adherence in Mozambique: A qualitative study.PLOS global public health · 2024Article
- Association between mental disorders and adherence to antiretroviral treatment in health facilities in two Mozambican provinces in 2018: a cross-sectional study.BMC psychiatry · 2023Article
- Dyadic Validation of Relational Processes in Seroconcordant Mozambican Couples: Social Support, Physician Trust, and Stigma.AIDS and behavior · 2022Article
- Understanding Repeat Positive HIV Testing in South Africa Under Changing Treatment Guidelines.AIDS and behavior · 2022Article
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- Exploring the barriers to the antiretroviral therapy adherence among people living with HIV in Bangladesh: A qualitative approach.PloS one · 2022Article
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- Patterns of mobility and its impact on retention in care among people living with HIV in the Manhiça District, Mozambique.PloS one · 2021Article
- Development and Acceptability of a Tablet-Based App to Support Men to Link to HIV Care: Mixed Methods Approach.JMIR mHealth and uHealth · 2020Article
- Adherence among HIV-positive injection drug users undergoing methadone treatment in Taiwan.BMC psychiatry · 2020Article
- Individual, household, and community level barriers to ART adherence among women in rural Eswatini.PloS one · 2020Article
- Article
- Perceptions and decision-making with regard to pregnancy among HIV positive women in rural Maputo Province, Mozambique - a qualitative study.BMC women's health · 2018Article
- Are health systems interventions gender blind? examining health system reconstruction in conflict affected states.Globalization and health · 2018Review
- Partners-based HIV treatment for seroconcordant couples attending antenatal and postnatal care in rural Mozambique: A cluster randomized trial protocol.Contemporary clinical trials · 2018Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHIV is treated as a chronic disease, but high lost-to-follow-up rates and poor adherence to medication result in higher mortality, morbidity, and viral mutation. Within 18 clinical sites in rural Zambézia Province, Mozambique, patient adherence to antiretroviral therapy has been sub-optimal.
methodsTo better understand barriers to adherence, we conducted 18 community and clinic focus groups in six rural districts. We interviewed 76 women and 88 men, of whom 124 were community participants (CP; 60 women, 64 men) and 40 were health care workers (HCW; 16 women, 24 men) who provide care for those living with HIV.
resultsWhile there was some consensus, both CP and HCW provided complementary insights. CP focus groups noted a lack of confidentiality and poor treatment by hospital staff (42% CP vs. 0% HCW), doubt as to the benefits of antiretroviral therapy (75% CP vs. 0% HCW), and sharing medications with family members (66% CP vs. 0%HCW). Men expressed a greater concern about poor treatment by HCW than women (83% men vs. 0% women). Health care workers blamed patient preference for traditional medicine (42% CP vs. 100% HCW) and the side effects of medication for poor adherence (8% CP vs. 83% CHW).
conclusionsPerspectives of CP and HCW likely reflect differing sociocultural and educational backgrounds. Health care workers must understand community perspectives on causes of suboptimal adherence as a first step toward effective intervention.
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