How treatment partners help: social analysis of an African adherence support intervention

AIDS Behav. 2012 Jul;16(5):1308-15. doi: 10.1007/s10461-011-0038-4.

Abstract
in English, Spanish

Treatment partnering is an adherence intervention developed in sub-Saharan Africa. This paper describes the additional social functions that treatment partners serve and shows how these functions contribute to health and survival for patients with HIV/AIDS. Ninety-eight minimally structured interviews were conducted with twenty pairs of adult HIV/AIDS patients (N = 20) and treatment partners (N = 20) treated at a public HIV-care setting in Tanzania. Four social functions were identified using inductive, category construction and interpretive methods of analysis: (1) encouraging disclosure; (2) combating stigma; (3) restoring hope; and (4) reducing social difference. These functions work to restore social connections and reverse the isolating effects of HIV/AIDS, strengthening access to essential community safety nets. Besides encouraging ARV adherence, treatment partners contribute to the social health of patients. Social health as well as HIV treatment success is essential to survival for persons living with HIV/AIDS in sub-Saharan Africa.

Tratamiento asociarse es una adhesión intervención desarrollado en el África subsahariana. Este documento describe las funciones sociales que el tratamiento socios servir y muestra cómo estas funciones contribuyen a la salud y la supervivencia para pacientes con VIH/SIDA. El Noventa y ocho mínimamente estructurada se realizaron entrevistas con veinte pares de adultos con VIH/SIDA pacientes (N = 20) y el tratamiento asociados (N = 20) tratada en un público VIH-cuidado en Tanzania. Cuatro funciones sociales fueron identificados mediante inductivo, categoría construcción interpretativa y métodos de análisis: (1) alentando revelación; (2) lucha contra el estigma; (3) restaurar la esperanza; y (4) reducir diferencia social. Estas funciones trabajar para restablecer las conexiones sociales y revertir los efectos aislar del VIH/SIDA, fortalecer el acceso a redes comunitarias de seguridad. Además alentar ARV adhesión, el tratamiento socios que contribuyen a la salud social de los pacientes. La salud Social así como tratamiento para el VIH éxito es esencial para la supervivencia de personas que viven con el VIH/SIDA in sub-Saharan Africa.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acquired Immunodeficiency Syndrome / drug therapy*
  • Acquired Immunodeficiency Syndrome / mortality
  • Acquired Immunodeficiency Syndrome / psychology
  • Adult
  • Anti-HIV Agents / therapeutic use*
  • Assessment of Medication Adherence*
  • Caregivers / psychology
  • Community Health Services / organization & administration*
  • Female
  • Follow-Up Studies
  • Helping Behavior
  • Humans
  • Interviews as Topic
  • Male
  • Medication Adherence / psychology
  • Outcome Assessment, Health Care
  • Social Stigma
  • Social Support*
  • Socioeconomic Factors
  • Tanzania / epidemiology

Substances

  • Anti-HIV Agents