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A Cascade of Interventions to Promote Adherence to Antiretroviral Therapy in African Countries.


ABSTRACT:

Purpose of review

We reviewed interventions to improve uptake and adherence to antiretroviral therapy (ART) in African countries in the Treat All era.

Recent findings

ART initiation can be improved by facilitated rapid receipt of first prescription, including community-based linkage and point-of-care strategies, integration of HIV care into antenatal care and peer support for adolescents. For people living with HIV (PLHIV) on ART, scheduled SMS reminders, ongoing intensive counselling for those with viral non-suppression and economic incentives for the most deprived show promise. Adherence clubs should be promoted, being no less effective than facility-based care for stable patients. Tracing those lost to follow-up should be targeted to those who can be seen face-to-face by

SUBMITTER: Jopling R 

PROVIDER: S-EPMC7497365 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature