Table 1 Barriers/facilitators to adherence and retention in ART care in Sub-Saharan Africa
Category | Barriers | Facilitators |
|---|---|---|
Individual-Related Factors | • Age (being younger) • Depression (Mental health) • Forgetfulness • Substance abuse • Poor self-efficacy • Low Health literacy • Perceived wellness | • Age (being older) • Good self-efficacy • Good health literacy • Constructive Health beliefs |
Medication-Related Factors | • Medication side effects • Medication dosing (Complex regimen) • Treatment fatigue | • Simple drug regimen • Simple dosing • Use of mechanical devices and technologies |
Health System Factors | • Access to ART (Medication stock outs) • Relationship with health care providers • Staff shortages • Long waiting times • Poor services delivery | • Adequate availability of human resources • Adequate availability of resources • Good relationship with health care providers |
Socio-economic Factors | • Poverty • Lack of family support • Food insecurity • Stigma and discrimination • Transportation challenges | • Short distances and reduced transport fees • Financial viability |
Socio-cultural Factors | • Alternative treatment • Male dominance and gender-based violence • Religious beliefs | • Beneficial socio-cultural practices • Social support |