Understanding Sustained Retention in HIV/AIDS Care and Treatment: a Synthetic Review.

Abstract:

:Sustained retention represents an enduring and evolving challenge to HIV treatment programs in Africa. We present a theoretical framework for sustained retention borrowing from ecologic principles of sustainability and dynamic adaptation. We posit that sustained retention from the patient perspective is dependent on three foundational principles: (1) patient activation: the acceptance, prioritization, literacy, and skills to manage a chronic disease condition, (2) social normalization: the engagement of a social network and harnessing social capital to support care and treatment, and (3) livelihood routinization: the integration of care and treatment activities into livelihood priorities that may change over time. Using this framework, we highlight barriers specific to sustained retention and review interventions addressing long-term, sustained retention in HIV care with a focus on Sub-Saharan Africa.

journal_name

Curr HIV/AIDS Rep

journal_title

Current HIV/AIDS reports

authors

Roy M,Czaicki N,Holmes C,Chavan S,Tsitsi A,Odeny T,Sikazwe I,Padian N,Geng E

doi

10.1007/s11904-016-0317-9

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

177-85

issue

3

eissn

1548-3568

issn

1548-3576

pii

10.1007/s11904-016-0317-9

journal_volume

13

pub_type

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