Evidence map›Paper›PMID 29545828›Full record

ArticleConflict and health2018

A qualitative approach to understand antiretroviral therapy (ART) adherence for refugees living in Nakivale Refugee Settlement in Uganda.

Kelli N O'Laughlin, Shada A Rouhani, Julius Kasozi, Kelsy E Greenwald, Nicholas R Perkons, Zikama M Faustin, Ingrid V Bassett, Norma C Ware

Abstract read
In one paragraph

Article in Conflict and health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kelli N O'Laughlin1Division of International Emergency Medicine and Humanitarian Programs, Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 USA.
Shada A Rouhani1Division of International Emergency Medicine and Humanitarian Programs, Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 USA.
Julius KasoziUnited Nations High Commissioner for Refugees, P.O. Box 3813, Kampala, Uganda.
Kelsy E Greenwald3Harvard Medical School, 25 Shattuck Street, Boston, MA 02115 USA.
Nicholas R Perkons5Harvard University, Massachusetts Hall, Boston, MA 02138 USA.
Zikama M Faustin6Bugema University, P.O. Box 6529, Kampala, Uganda.
Ingrid V Bassett2Medical Practice Evaluation Center, Department of Internal Medicine, Massachusetts General Hospital, 100 Cambridge Street, Boston, MA 02114 USA.
Norma C Ware9Department of Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 USA.

Funding

What happens after diagnosis: Characterizing long-term HIV care trajectories and mortality in South AfricaR01MH108427 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BASSETT, INGRID VALERIE · 2016 to 2019
$1.7M
Linking Refugees to HIV Clinical Care in UgandaK23MH108440 · NIMH · UNIVERSITY OF WASHINGTON · PI O'LAUGHLIN, KELLI NICOLE · 2016 to 2020
$990k
The Efficacy and Impact of Routine HIV and TB Testing in Durban, South AfricaK23AI068458 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI BASSETT, INGRID VALERIE · 2006 to 2010
$669k
NIAID NIH HHS K23 AI068458NIMH NIH HHS K23 MH108440NIMH NIH HHS R01 MH108427
6 · The paper itself

Abstract

backgroundRefugees living with HIV in sub-Saharan Africa suffer unique hardships that may increase their vulnerability to interruptions in antiretroviral therapy (ART).

methodsTo investigate refugees' experiences adhering to ART, we conducted inperson interviews with refugees on ART (

resultsRefugees described profound motivation to adhere to ART and employed adherence strategies to facilitate success despite the austere setting. However, refugees spoke of specific hardships living in Nakivale that served as barriers to ART adherence, including difficulty accessing clinic when ill, food insecurity, drug stockouts, and violence and unrest in the settlement. For some refugees, need for ART inextricably linked them to the HIV clinic and prevented them from transitioning permanently away from the settlement.

conclusionsBy learning about refugees' experiences we can design informed interventions to enhance ART adherence, thus minimizing morbidity and mortality, preventing transmission of HIV, and supporting refugees' abilities to move freely toward repatriation, resettlement or integration in their host country.

Indexed as

AfricaAIDSAntiretroviral therapyARTART adherenceHIVMigrationRefugeeSub-Saharan AfricaUganda

Identifiers

PMID29545828
PMCPMC5846232

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.