title: ART Adherence as a Key Component of Prevention With Persons Living With HIV in Mozambique.
abstract: Medication adherence is an effective approach to prevent HIV transmission. In Mozambique, a country with a generalized epidemic, the government has adopted Positive Prevention (PP) training for clinicians as part of its national strategy. Our study, conducted after trainings in five clinics, examined the understanding of trained health care staff and their patients about the importance of adherence to antiretroviral therapy (ART), a key element of PP. Interviews with trained clinicians (n = 31) and patients (n = 57) were conducted and analyzed. Clinicians and patients demonstrated an understanding that ART adherence could decrease HIV transmission. However, participants also highlighted the difficulties of adherence when patients had limited access to food. At the same time that treatment as prevention awareness was increasing, poverty and widespread food insecurity were barriers to taking medications. In Mozambique, the full benefits of treatment as prevention may not be realized without adequate access to food.
authors.forename: Carol
authors.initials: C
authors.lastname: Dawson-Rose
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Gutin
authors.forename: Beverly
authors.initials: B
authors.lastname: Cummings
authors.forename: Prafulta
authors.initials: P
authors.lastname: Jaiantilal
authors.forename: Kelly
authors.initials: K
authors.lastname: Johnson
authors.forename: Francisco
authors.initials: F
authors.lastname: Mbofana
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D005260:Female; D005523:Food Supply; D015658:HIV Infections / Q000188:drug therapy* / Q000517:prevention & control / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D009073:Mozambique; D010353:Patient Education as Topic / Q000379:methods*; D011203:Poverty; D015397:Program Evaluation / Q000379:methods*; D036301:Qualitative Research; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents
keywords: HIV prevention with PLWH; Mozambique; adherence; clinical training; food insecurity