"I take my pills every day, but then it goes up, goes down. I don't know what's going on": Perceptions of HIV virological failure in a rural context in Mozambique. A qualitative research study.
Ivan Alejandro Pulido TarquinoEmilie VenablesJose Manuel de Amaral FidelisRuggero GiulianiTom DecrooPublished in: PloS one (2019)
In this rural context undetectable viral load is recognized as a predictor of good health by people living with HIV and health-care workers. However, a lack of knowledge and health system barriers caused different responses in patients and health-care workers. Adapted counselling strategies, accelerated viral load follow-up and second-line ART initiation in patients with virological failure need to be prioritized.
Keyphrases
- antiretroviral therapy
- hiv infected
- healthcare
- end stage renal disease
- hiv infected patients
- south africa
- human immunodeficiency virus
- public health
- chronic kidney disease
- newly diagnosed
- hiv aids
- ejection fraction
- primary care
- peritoneal dialysis
- mental health
- hepatitis c virus
- prognostic factors
- patient reported outcomes
- health promotion
- climate change
- patient reported