Transportation Costs Impede Sustained Adherence and Access to HAART in a Clinic Population in Southwestern Uganda: A Qualitative Study

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Transportation Costs Impede Sustained Adherence and Access to HAART in a Clinic Population in Southwestern Uganda: A Qualitative Study

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dc.contributor.author Tuller, David M.
dc.contributor.author Senkungu, Jude
dc.contributor.author Emenyonu, Nneka
dc.contributor.author Weiser, Sheri D.
dc.contributor.author Bangsberg, David Roy
dc.contributor.author Ware, Norma Clara
dc.date.accessioned 2011-07-05T19:24:34Z
dc.date.issued 2009
dc.identifier.citation Tuller, David M., David R. Bangsberg, Jude Senkungu, Norma C. Ware, Nneka Emenyonu, and Sheri D. Weiser. 2009. Transportation costs impede sustained adherence and access to HAART in a clinic population in southwestern Uganda: a qualitative study. AIDS and Behavior 14(4): 778-784. en_US
dc.identifier.issn 1090-7165 en_US
dc.identifier.uri http://nrs.harvard.edu/urn-3:HUL.InstRepos:4944072
dc.description.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. en_US
dc.language.iso en_US en_US
dc.publisher Springer US en_US
dc.relation.isversionof doi:10.1007/s10461-009-9533-2 en_US
dc.relation.hasversion http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2888948/pdf/ en_US
dash.license LAA
dc.subject HIV/AIDS en_US
dc.subject transportation en_US
dc.subject ARVs en_US
dc.subject adherence en_US
dc.subject access en_US
dc.subject Uganda en_US
dc.title Transportation Costs Impede Sustained Adherence and Access to HAART in a Clinic Population in Southwestern Uganda: A Qualitative Study en_US
dc.type Journal Article en_US
dc.description.version Version of Record en_US
dc.relation.journal AIDS and Behavior en_US
dash.depositing.author Bangsberg, David Roy
dc.date.available 2011-07-05T19:24:34Z
dash.affiliation.other HMS^Medicine-Massachusetts General Hospital en_US

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