A qualitative analysis of factors influencing antiretroviral adherence among persons living with HIV in Ghana

Martha Ali Abdulai*, Fraukje E. F. Mevissen, Robert A. C. Ruiter, Seth Owusu-Agyei, Kwaku Poku Asante, Arjan E. R. Bos

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Web of Science)

Abstract

Adherence to antiretroviral therapy (ART) remains an important factor in HIV prevention and treatment efforts. We explored the individual and environmental factors influencing antiretroviral adherence among PLWH in Ghana. This study used 20 semi-structured in-depth interviews and three focus group discussions (FGD) involving 29 PLWH attending one of three antiretroviral clinics. Thematic analysis covered experiences of PLWH clinic visits, knowledge, attitudes, self-efficacy related to ART adherence, psychological wellbeing and stigma. The findings suggest that both individual and environmental factors including treatment outcome, coping skills, disclosure, self-regulation, healthcare-provider interaction, family and partner support, organization of ART clinics, stigma, and transportation cost influenced treatment adherence. Interventions that empower PLWH and reduce HIV-related stigma in the community will most likely support antiretroviral adherence. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement.

Original languageEnglish
Pages (from-to)135-150
Number of pages16
JournalJournal of Community & Applied Social Psychology
Volume32
Issue number1
Early online date7 Jun 2021
DOIs
Publication statusPublished - Jan 2022

Keywords

  • adherence
  • antiretroviral
  • determinants
  • Ghana
  • HIV
  • stigma
  • SUB-SAHARAN AFRICA
  • SOCIAL SUPPORT
  • THERAPY
  • MEDICATION
  • STIGMA
  • CARE
  • BEHAVIOR
  • PATIENT
  • PEOPLE

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