title: Building adherence-competent communities: factors promoting children's adherence to anti-retroviral HIV/AIDS treatment in rural Zimbabwe.
abstract: Given relatively high levels of adherence to HIV treatment in Africa, we explore factors facilitating children's adherence, despite poverty, social disruption and limited health infrastructure. Using interviews with 25 nurses and 40 guardians in Zimbabwe, we develop our conceptualisation of an 'adherence competent community', showing how members of five networks (children, guardians, community members, health workers and NGOs) have taken advantage of the gradual public normalisation of HIV/AIDS and improved drug and service availability to construct new norms of solidarity with HIV and AIDS sufferers, recognition of HIV-infected children's social worth, an ethic of care/assistance and a supporting atmosphere of enablement/empowerment.
authors.affiliation: Institute of Social Psychology, London School of Economics and Political Science, London, UK. c.campbell@lse.ac.uk
authors.forename: Catherine
authors.initials: C
authors.lastname: Campbell
authors.forename: Morten
authors.initials: M
authors.lastname: Skovdal
authors.forename: Zivai
authors.initials: Z
authors.lastname: Mupambireyi
authors.forename: Claudius
authors.initials: C
authors.lastname: Madanhire
authors.forename: Constance
authors.initials: C
authors.lastname: Nyamukapa
authors.forename: Simon
authors.initials: S
authors.lastname: Gregson
mesh_terms: D000293:Adolescent; D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D015658:HIV Infections / Q000188:drug therapy*; D006293:Health Promotion; D006801:Humans; D007223:Infant; D007407:Interviews as Topic; D010349:Patient Compliance; D012424:Rural Population; D012944:Social Support; D055815:Young Adult; D015030:Zimbabwe
chemical_list: D044966:Anti-Retroviral Agents