Related Experiment Video
Updated: Jun 12, 2026
19:57
An Affordable HIV-1 Drug Resistance Monitoring Method for Resource Limited Settings
Published on: March 30, 2014
Structural barriers to ART adherence in Southern Africa: Challenges and potential ways forward
A Kagee1, R H Remien, A Berkman
1Department of Psychology, Stellenbosch University, Stellenbosch, South Africa. skagee@sun.ac.za
Global Public Health
|May 29, 2010
Summary
Structural barriers significantly impede antiretroviral therapy (ART) adherence among people with HIV in Southern Africa. Addressing poverty, institutional, and socio-cultural factors is crucial for improving medication adherence.
Area of Science:
- Public Health
- Social Sciences
- Medical Research
Background:
- Antiretroviral therapy (ART) adherence is critical for managing HIV.
- Structural barriers encompass economic, institutional, political, and cultural factors impacting treatment adherence.
- These barriers are particularly pronounced in Southern Africa.
Purpose of the Study:
- To identify and categorize structural barriers to ART adherence in Southern Africa.
- To explore strategies for overcoming these barriers at individual, community, and healthcare system levels.
- To recommend future research directions for enhancing ART adherence.
Main Methods:
- Qualitative analysis of structural barriers to ART adherence.
- Identification of poverty-related, institutional, and political/cultural factors.
- Exploration of potential solutions and research needs.
Main Results:
- Key barriers include poverty, resource constraints, transportation issues, food insecurity, and inadequate social support.
- Institutional barriers involve logistical challenges, overburdened facilities, limited mental health access, and insufficient counseling.
- Political and cultural barriers encompass treatment controversies, migration, traditional beliefs, poor health literacy, and gender inequality.
Conclusions:
- Overcoming structural barriers requires a multi-faceted approach involving individuals, communities, and healthcare systems.
- Interdisciplinary collaboration across public health, psychology, anthropology, sociology, and medicine is essential.
- Further research is needed to develop effective interventions for improving ART adherence.
Related Concept Videos
01:21Barriers to Effective Communication II
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
01:30Barriers to Effective Communication I
A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this barrier...
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this barrier...
01:20Masonry Curtain Walls
Masonry curtain walls employ brick or stone veneers supported by the building's structure to form an external cladding system that is both aesthetically appealing and functional. These walls are erected through two principal techniques, first by traditional layering of masonry units and second by using prefabricated panels. Traditional construction relies on steel shelf angles attached to the spandrel beam for support, with high-bond mortars ensuring secure attachment of masonry veneer units.
01:20Spanning Openings in Brick Walls
In brick wall construction, supporting structures are crucial for openings like windows and doors to maintain the integrity and support the weight of the wall above. These supports include lintels, corbels, and arches, each serving specific structural purposes.
Lintels are primary supports used to span openings and can be crafted from materials such as reinforced concrete, steel-reinforced brick masonry, or simple steel angles. These are straightforward to install and are typically concealed...
Lintels are primary supports used to span openings and can be crafted from materials such as reinforced concrete, steel-reinforced brick masonry, or simple steel angles. These are straightforward to install and are typically concealed...
01:09Bending of Material: Problem Solving
In this lesson, determine the ratio of the maximum bending moments applied to two metal pipes, given that both pipes can withstand a maximum stress of 100 MPa. Both pipes have an outer radius of 1.8 cm. Pipe A has an inner radius of 1.5 cm, and Pipe B has an inner radius of 1 cm. The ratio of the maximum bending moment applied to two metallic pipes, each with a different inner and outer radius, is determined by considering their dimensions. The inner radius of the first pipe is 1.5 cm, and for...
00:47Radical Formation: Abstraction
The electron of an atom can be abstracted from a compound by a relatively unstable radical to generate a new radical of relatively greater stability. For example, an initiator which forms radicals by homolysis can abstract a suitable species like a hydrogen atom or a halogen atom from a compound to generate a new radical. This ability of radicals to propagate by abstraction is a crucial feature of radical chain reactions.
Even though homolysis produces radicals, it is different from radical...
Even though homolysis produces radicals, it is different from radical...