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Moderators of Adherence & Retention and GHDonline staff

Dear Members,
South Africa has now started over 1.9 million people living with HIV on antiretroviral therapy and in the recent HIV counselling and testing campaign over 13 million people were tested for HIV and 2.1 million people were found to be HIV positive. South Africa is facing a major challenge to support adherence for the rapidly increasing number of people on ART and ensure retention in care for those who are found to be HIV positive but not yet eligible for ART. The South African National Department of Health is revising its HIV treatment and care guidelines and wants to carry out a reveiw of adherence support and retention in care strategies in South Africa. I would be gateful if members could share any experiences, published or unpublished, of adherence support and retention in care strategies from South Africa - either successful or otherwise. We are particularly interested in hearing about smaller scale community based interventions that may not be published. In addition South Africa will transition this year to a fixed dose combination regimen for first line therapy and we would be interested to hear experiences from other countries who have undergone the same transition, particularly in terms of the implications for patient and community education.
Many thanks for your suggestions.

 
Omar Sued
Replied at 4:07 PM, 17 Feb 2013

Dear Adaslair,
PAHO in 2010 undertook a review of experiences. In the following link you
can find the report. (
http://new.paho.org/hq/index.php?option=com_docman&task=doc_view&gid=13449&It...
)

Unfortunately it is in Spanish, but has a good introduction with plenty of
references.
I hope this can be useful in some way.
Best

*Dr. Omar Sued*

Director del Área de Investigaciones Clínicas

*-*Fundación Huésped www.huesped.org.ar

Pasaje A. Peluffo 3932 (C1202ABB) - Buenos Aires - Argentina

Tel: +54-11-4981-7777 ext. 113

E mail:

Nuestra visión es una sociedad en la cual el problema del VIH/SIDA no sea
una de las principales causas de discriminación, enfermedad y muerte. Una
sociedad en la cual sea igualitario el acceso a la información, prevención
y tratamiento. Para ello aportamos nuestra real contribución como
organización en búsqueda de la excelencia profesional y humana,
sustentable, consistente y confiable.

Marcia Holstad
Replied at 10:56 AM, 18 Feb 2013

Dear Alasdair,
I am attaching an article describing a successfull pilot project in Lagos, Nigeria. We evaluated the efficacy of motivational groups, using motivational interviewing, to promote adherence to ART and risk reduction behaviors in HIV infected women in Lagos. This was published in the African Journal of Reproductive Health in September 2012.
Marcia Holstat

Attached resource:

This Community is Archived.

While this community is no longer active, we invite you to review and recommend past posts and resources. Membership for this community is closed, but we hope you'll join us in one of the many other communities on GHDonline.

Moderators of Adherence & Retention and GHDonline staff