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Inadequate pre-antiretroviral care, stock-out of antiretroviral drugs and stigma: Policy challenges/bottlenecks to the new WHO recommendations for earlier initiation of antiretroviral therapy (CDÂ

Author

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  • Muhamadi, Lubega
  • Nsabagasani, Xavier
  • Tumwesigye, Mbona Nazarius
  • Wabwire-Mangen, Fred
  • Ekström, Anna-Mia
  • Peterson, Stefan
  • Pariyo, George

Abstract

Objective This study explores reasons for late ART initiation among known HIV positive persons in care from a client/caretaker perspective in eastern Ugandan where ART awareness is presumably high yet AIDS related mortality is a common function of late initiation of ARVs.Methods In Iganga, Uganda we conducted in-depth interviews with clients who started ART at 50-200 CD4 cells/[mu]L and those initiated very late at CD4Â

Suggested Citation

  • Muhamadi, Lubega & Nsabagasani, Xavier & Tumwesigye, Mbona Nazarius & Wabwire-Mangen, Fred & Ekström, Anna-Mia & Peterson, Stefan & Pariyo, George, 2010. "Inadequate pre-antiretroviral care, stock-out of antiretroviral drugs and stigma: Policy challenges/bottlenecks to the new WHO recommendations for earlier initiation of antiretroviral therapy (CDÂ," Health Policy, Elsevier, vol. 97(2-3), pages 187-194, October.
    • Handle: RePEc:eee:hepoli:v:97:y:2010:i:2-3:p:187-194
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    References listed on IDEAS

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    1. Ezekiel, Mangi Job & Talle, Aud & Juma, James M. & Klepp, Knut-Inge, 2009. ""When in the body, it makes you look fat and HIV negative": The constitution of antiretroviral therapy in local discourse among youth in Kahe, Tanzania," Social Science & Medicine, Elsevier, vol. 68(5), pages 957-964, March.
    2. Lubega, Muhamadi & Nsabagasani, Xavier & Tumwesigye, Nazarius M. & Wabwire-Mangen, Fred & Ekström, Anna Mia & Pariyo, George & Peterson, Stefan, 2010. "Policy and practice, lost in transition: Reasons for high drop-out from pre-antiretroviral care in a resource-poor setting of eastern Uganda," Health Policy, Elsevier, vol. 95(2-3), pages 153-158, May.
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    Cited by:

    1. Ahmed, Shahira & Autrey, Jessica & Katz, Ingrid T. & Fox, Matthew P. & Rosen, Sydney & Onoya, Dorina & Bärnighausen, Till & Mayer, Kenneth H. & Bor, Jacob, 2018. "Why do people living with HIV not initiate treatment? A systematic review of qualitative evidence from low- and middle-income countries," Social Science & Medicine, Elsevier, vol. 213(C), pages 72-84.
    2. Biplab Bhattacharya & Li Lin & Rajan Batta & Pavani K. Ram, 2020. "Stock-out severity index: tool for evaluating inequity in drug stock-outs," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 28(4), pages 1243-1263, December.
    3. Tinne Gils & Claire Bossard & Kristien Verdonck & Philip Owiti & Ilse Casteels & Maria Mashako & Gilles Van Cutsem & Tom Ellman, 2018. "Stockouts of HIV commodities in public health facilities in Kinshasa: Barriers to end HIV," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-12, January.
    4. Christian Unge & Björn Södergård & Gaetano Marrone & Anna Thorson & Abigael Lukhwaro & Jane Carter & Festus Ilako & Anna Mia Ekström, 2010. "Long-Term Adherence to Antiretroviral Treatment and Program Drop-Out in a High-Risk Urban Setting in Sub-Saharan Africa: A Prospective Cohort Study," PLOS ONE, Public Library of Science, vol. 5(10), pages 1-12, October.

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