Theorising beyond the individual: adherence to antiretroviral therapy in resource-constrained societies.
Adherence to antiretroviral therapy, while often conceptualised as an individual or community-level concern, needs to be understood in the context of political and historical developments that have characterised many resource-constrained societies. This article identifies some of these dimensions of antiretroviral therapy adherence in South Africa and outlines the implications for community health psychology in taking this perspective. Using the conceptual apparatus of therapeutic citizenship, we demonstrate the importance of historical, political and other structural barriers to adherence. We conclude by examining the implications of these debates for community health psychology that go beyond the individual as the unit of intervention and analysis.
Stellenbosch University, South Africa.
Ashraf
A
Kagee
Alison
A
Swartz
Leslie
L
Swartz
D044966:Anti-Retroviral Agents / Q000191:economics*; D023241:Antiretroviral Therapy, Highly Active / Q000191:economics / Q000523:psychology*; D001524:Behavioral Medicine / Q000592:standards; D015658:HIV Infections / Q000188:drug therapy / Q000191:economics / Q000523:psychology*; D006801:Humans; D055118:Medication Adherence / Q000523:psychology*; D011057:Politics; D012111:Residence Characteristics; D013019:South Africa
D044966:Anti-Retroviral Agents
South Africa; adherence; antiretroviral therapy; structural barriers