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Understanding Sustained Retention in HIV/AIDS Care and Treatment: a Synthetic Review
- Source :
- Current HIV/AIDS Reports. 13:177-185
- Publication Year :
- 2016
- Publisher :
- Springer Science and Business Media LLC, 2016.
-
Abstract
- Sustained retention represents an enduring and evolving challenge to HIV treatment programs in Africa. We present a theoretical framework for sustained retention borrowing from ecologic principles of sustainability and dynamic adaptation. We posit that sustained retention from the patient perspective is dependent on three foundational principles: (1) patient activation: the acceptance, prioritization, literacy, and skills to manage a chronic disease condition, (2) social normalization: the engagement of a social network and harnessing social capital to support care and treatment, and (3) livelihood routinization: the integration of care and treatment activities into livelihood priorities that may change over time. Using this framework, we highlight barriers specific to sustained retention and review interventions addressing long-term, sustained retention in HIV care with a focus on Sub-Saharan Africa.
- Subjects :
- 0301 basic medicine
Health Knowledge, Attitudes, Practice
Patient Dropouts
Anti-HIV Agents
Psychological intervention
HIV Infections
Health Services Accessibility
Appointments and Schedules
03 medical and health sciences
0302 clinical medicine
Nursing
Acquired immunodeficiency syndrome (AIDS)
Virology
Humans
Medicine
Normalization (sociology)
030212 general & internal medicine
Patient participation
Policy Making
Community-based care
Africa South of the Sahara
Social network
business.industry
Environmental resource management
medicine.disease
Livelihood
030112 virology
Treatment Outcome
Infectious Diseases
Patient Participation
business
Social capital
Subjects
Details
- ISSN :
- 15483576 and 15483568
- Volume :
- 13
- Database :
- OpenAIRE
- Journal :
- Current HIV/AIDS Reports
- Accession number :
- edsair.doi.dedup.....f320b6325aab7319056e14b1ef83b305