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