1. Observance to antiretroviral treatment in the rural region of the Democratic Republic of Congo: a cognitive dissonance.
- Author
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Mabakutuvangilanga Ntela, Simon-Decap, Goutte, Nathalie, Morvillers, Jean-Manuel, Crozet, Cyril, Ahouah, Mathieu, Omanyondo-Ohambe, Marie-Claire, Ntoto-Kunzi, Bernard, Tshimungu Kandolo, Félicien, and Rothan-Tondeur, Monique
- Subjects
COGNITIVE dissonance ,PATIENT compliance ,LOCAL mass media ,RURAL hospitals ,RELIGIOUS leaders - Abstract
Introduction: this study aimed to understand the influence of local media, religion and cultural beliefs on the therapeutic compliance of patients living with HIV. Methods: this study was conducted in two rural hospitals in the Central Kongo province of the Democratic Republic of Congo. Semidirectional interviews were conducted with patients on antiretroviral therapy using a phenomenological qualitative method. Results: our results indicated that patients living with HIV in the rural region of the Democratic Republic of Congo are in a constant state of tension between the messages for compliance to antiretroviral treatment advocated by caregivers, and those broadcasted by audiovisual media, religious leaders and local beliefs. This dissonance constitutes a real barrier to therapeutic compliance. Conclusion: collaborative strategies between healthcare providers, patients, as well as religious, media and traditional organizations are urgently needed. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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