Exploring linkages between drought and HIV treatment adherence in Africa: A Systematic Review
Orievulu, Kingsley, Ayeb-Karlsson, Sonja, Ngema, Sthembila, Baisley, Kathy, Tanser, Frank, Ngwenya, Nothando, Seeley, Janet, Hanekom, Willem, Herbst, Kobus, Kniveton, Dominic and Iwuji, Collins, (2022). Exploring linkages between drought and HIV treatment adherence in Africa: A Systematic Review. The Lancet Planetary Health, 6(4), e359-e370
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Sub-type Journal article Author Orievulu, Kingsley
Ayeb-Karlsson, Sonja
Ngema, Sthembila
Baisley, Kathy
Tanser, Frank
Ngwenya, Nothando
Seeley, Janet
Hanekom, Willem
Herbst, Kobus
Kniveton, Dominic
Iwuji, CollinsTitle Exploring linkages between drought and HIV treatment adherence in Africa: A Systematic Review Appearing in The Lancet Planetary Health Volume 6 Issue No. 4 Publication Date 2022-04-01 Place of Publication Amsterdam Publisher Elsevier Start page e359 End page e370 Language eng Abstract Climate change is directly and indirectly linked to human health, including through access to treatment and care. Our systematic review presents a systems understanding of the nexus between drought and antiretroviral therapy (ART) adherence in HIV-positive individuals in the African setting. Narrative synthesis of 111 studies retrieved from Web of Science, PubMed/MEDLINE, and PsycINFO suggests that livelihoods and economic conditions, comorbidities and ART regimens, human mobility, and psychobehavioural dispositions and support systems interact in complex ways in the drought–ART adherence nexus in Africa. Economic and livelihood-related challenges appear to impose the strongest impact on human interactions, actions, and systems that culminate in non-adherence. Indeed, the complex pathways identified by our systems approach emphasise the need for more integrated research approaches to understanding this phenomenon and developing interventions. Copyright Holder The Authors Copyright Year 2022 Copyright type Creative commons DOI 10.1016/S2542-5196(22)00016-X -
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