Evidence map›Paper›PMID 37342282›Full record

ArticleHIV/AIDS (Auckland, N.Z.)2023

Factors Influencing ART Adherence Among Persons Living with HIV Enrolled in Community Client-Led Art Delivery Groups in Lira District, Uganda: A Qualitative Study.

Rogers Isabirye, Didan Jacob Opii, Sharon Opio Ekit, Alice Kawomera, Luke Lokiru, Robert Isoke, Joachim Ssenkaali, Sean Steven Puleh

Abstract read
In one paragraph

Article in HIV/AIDS (Auckland, N.Z.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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

  1. People Living with HIV Experiences from Peer Support: A Meta-Synthesis.International journal of community based nursing and midwifery · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Factors influencing adherence to antiretroviral therapy among young adults in Limpopo province.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
    Article
  7. Article
  8. Article
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.

Rogers IsabiryeDepartment of Midwifery and Nursing, Faculty of Health Sciences, Lira University, Lira, Uganda.
Didan Jacob OpiiDepartment of Midwifery and Nursing, Faculty of Health Sciences, Lira University, Lira, Uganda.ORCID 0000-0002-7651-6367
Sharon Opio EkitDepartment of Psychiatry, Faculty of Medicine, Lira University, Lira, Uganda.
Alice KawomeraDepartment of Psychiatry, Faculty of Medicine, Lira University, Lira, Uganda.
Luke LokiruDepartment of Epidemiology and Biostatistics, Faculty of Public Health, Lira University, Lira, Uganda.ORCID 0000-0002-5022-2627
Robert IsokeDepartment of Midwifery and Nursing, Faculty of Health Sciences, Lira University, Lira, Uganda.ORCID 0000-0003-0522-2553
Joachim SsenkaaliDepartment of Physiology, Faculty of Medicine, Lira University, Lira, Uganda.
Sean Steven PulehDepartment of Epidemiology and Biostatistics, Faculty of Public Health, Lira University, Lira, Uganda.ORCID 0000-0003-3940-0602

Funding

Health-professional Education Partnership Initiative - Transforming Ugandan Institutions Training Against HIV/AIDS (HEPI-TUITAH)R25TW011210 · FIC · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI OBUA, CELESTINO · 2018 to 2022
$3.3M
FIC NIH HHS R25 TW011210
6 · The paper itself

Abstract

Background: Community client-led ART delivery groups (CCLADs) were introduced as one of the strategies to better serve individual needs and reduce unnecessary burdens on the health system. However, limited data adequately explained the factors influencing ART adherence among HIV/AIDS patients in CCLAD's model of care. The study aimed to assess the factors influencing ART adherence among HIV-positive patients attending CCLADs in Lira District, Uganda. Materials and Methods: We employed a qualitative method of data collection recruiting 25 study participants (expert clients) between July and August 2020. The study purposefully chose 25 participants to participate in with HIV/AIDS patients enrolled in community-based HIV care models. The interviews were recorded on audiotape, transcribed, and translated verbatim. We used a thematic approach to analyze the data. Results: Our study shows that social support among group members, patient self-motivation, counselling, and guidance were the major facilitators of adherence. From the analysis of results, our study found the following themes: Lack of food, stigma, forgetfulness, stress, unfair staff at the hospital, and socio-cultural beliefs were among the major barriers identified in this study. Conclusion: The study emphasizes that CCLADs improve ART adherence for HIV-positive clients by providing a supportive environment and medication access. Peer influence on alternative medicine usage hinders adherence. We recommend that continued support, funding, and education are necessary to address misconceptions and sustain CCLADs' effectiveness.

Indexed as

barrierscommunity client-led ART deliveryfacilitatorsHIV/AIDS

Identifiers

PMID37342282
PMCPMC10278655

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Registered trials

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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.