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 Repjournal_title
Current HIV/AIDS reportsauthors
Roy M,Czaicki N,Holmes C,Chavan S,Tsitsi A,Odeny T,Sikazwe I,Padian N,Geng Edoi
10.1007/s11904-016-0317-9subject
Has Abstractpub_date
2016-06-01 00:00:00pages
177-85issue
3eissn
1548-3568issn
1548-3576pii
10.1007/s11904-016-0317-9journal_volume
13pub_type
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pub_type: 杂志文章,评审
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更新日期:2013-06-01 00:00:00
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