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Transportation and adherence : share with us your organization's experience

By Mona Haidar, MD, MPH Moderator | 24 Jun, 2009 Last edited by Robert Szypko on 02 Aug 2011

Often patients in resources poor countries must travel at significant cost in money and time to reach the clinic that distribute the ARVs.Transportation cost and the time spent on the road constitute a challenge for access and adherence to ARVs. These issues are explored in the recent publication that was posted above.
We would love if you can share with the community your thoughts on this topic and the experience of your organization in addressing and overcoming this challenge!

Thank you

Attached resource:
  • Transportation Costs Impede Sustained Adherence and Access to HAART in a Clinic Population in Southwestern Uganda: A Qualitative Study (download, 188.4┬áKB)

    Summary: Abstract :
    The cost of transportation for monthly clinic visits has been identified as a potential barrier to antiretroviral (ARV) adherence in sub-Saharan Africa and elsewhere, although there is limited data on this issue. We conducted open-ended interviews with 41 individuals living
    with HIV/AIDS and attending a clinic in Mbarara,Uganda, to understand structural barriers to ARV adherence and clinical care. Almost all respondents cited the need to locate funds for the monthly clinic visit as a constant source of stress and anxiety, and lack of money for transportation was a key factor in cases of missed doses and missed medical appointments. Participants struggled with competing demands between transport costs and other necessities such as food, housing and school fees. Our findings suggest that transportation costs can compromise both ARV adherence and access to care. Interventions that address this barrier will be important to ensure the success of ARV programs in sub-Saharan Africa

    Source: AIDS and Behavior

    Publication Date: March 13, 2009

    Language: English

    Keywords: Access, ARV, HIV/AIDS, Social Support, transporation. adherence, Uganda

Replies

 

Ziad Khatib Replied at 3:43 AM, 25 Jun 2009

Hi Mona,
Quite relevant point that I am looking for reports around it if someone can
share any links/refs?
My experience in South Africa, patients often tend to seek HIV care in
clinic outside their areas to avoid being recognized by health staff who
might be a neighbour of them, and eventually tend to come late or default of
care.

Best regards
ziad

This Community is Archived.

This community is no longer active as of December 2018. Thanks to those who posted here and made this information available to others visiting the site.