Barriers and outcomes: TB patients co-infected with HIV accessing antiretroviral therapy in rural Zambia

AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

Volumn 22, Issue SUPPL. 1, 2010, Pages 51-59

  Chileshe, Muatale ^a,b   Bond, Virginia Anne ^b,c  

^a UNIVERSITY OF CAPE TOWN   (South Africa)

^b Anatomy Department   (Zambia)

^c LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

Author keywords

ART; food security; HIV; TB; Zambia

Indexed keywords

ANTIRETROVIRUS AGENT;

ADULT; ARTICLE; CLINICAL ARTICLE; DEATH; ECONOMIC ASPECT; FEMALE; FOOD SECURITY; FUNDING; GENDER; HOUSEHOLD; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; MALE; MARRIAGE; MIXED INFECTION; NUTRITIONAL SUPPORT; POVERTY; PRIORITY JOURNAL; RURAL AREA; SOCIAL ASPECT; STIGMA; TUBERCULOSIS; ZAMBIA;

ADULT; ANTI-HIV AGENTS; ANTITUBERCULAR AGENTS; COMORBIDITY; DIET; FEMALE; FOOD SUPPLY; HEALTH SERVICES ACCESSIBILITY; HIV INFECTIONS; HUMANS; MALE; MIDDLE AGED; RURAL HEALTH; SOCIOECONOMIC FACTORS; TREATMENT OUTCOME; TUBERCULOSIS, PULMONARY; YOUNG ADULT; ZAMBIA;

EID: 77955238517     PISSN: 09540121     EISSN: 13600451     Source Type: Journal    
DOI: 10.1080/09540121003617372     Document Type: Article

References (29)

1. Ayles, A., Sismanidis, C., Beyers, N., Hayes, R.J., & Godfrey-Faussett, P. (2008). ZAMSTAR, The Zambia South Africa TB and HIV Reduction study: Design of a 2 x 2 factorial community randomized trial. BioMed Central. Retrieved April 15, 2009, from
2. Bond, V., Chileshe, M., Sullivan, C., & Magazi, B. (2009). The converging impact of tuberculosis, HIV/AIDS and food insecurity in Zambia and South Africa, final working report for the Renewal Programme, RENEWAL. Retrieved April 15, 2009, from http:// www.ifpri.org/renewal/renewalpub.asp
3. Bond, V., & Nyblade, L. (2006). The importance of addressing the unfolding TB-HIV stigma in high HIV prevalence settings. Journal of Community and Applied Social Psychology, 16, 452-461.
4. Bwalya, E. (2006). The political economy of antiretroviral drugs in Zambia. Perspectives on Global Development and Technology, 5(4), 385-409.
5. Egger, M., Boulle, A., Schechter, M., & Miotti, P. (2005). Antiretroviral therapy in resource-poor settings: Scaling up inequalities? International Journal of Epidemiology, 34, 509-512.
6. Farmer, P., Leandre, F., Mukherjee, J.S., Claude, S.M., Nevil, P., Smith-Fawzi, M., et al. (2001). Community- based approaches to HIV treatment in resource-poor settings. Lancet, 358(9279), 404-409.
7. Gulliford, M., Munoz, J.F., Morgan, M., Hughes, D., Gibson, B., Beech, R., et al. (2002). What does 'access to health care' mean? Journal of Health Services Research & Policy, 7(3), 186-188.
8. Hardon, A.P., Akurut, D., Comoro, C., Ekezie, C., Irunde, H.F., Gerrits, T., et al. (2007). Hunger, waiting time and transport costs: Time to confront challenges to ART adherence in Africa. AIDS Care, 19(5), 658-665.
9. Harris, J.B., Hatwiinda, S.M., Randels, K.M., Chi, B.H., Kancheva, N.G., Jham, M.A., et al. (2008). Earlylessons from the integration of tuberculosis and HIV services in primary care centres in Lusaka, Zambia. International Journal of Tuberculosis and Lung Diseases, 12(7), 773-779.
10. Jones, S.P. (2005). On a never-ending waiting list: Toward equitable access to anti-retroviral treatment? Experiences from Zambia. Health and Human Rights, 8(2), 76-102.
11. Kumarasamy, N., Safren, S.A., Raminani, S.R., Pickard, R., James, R., Sri Krishnan, A.K., et al. (2005). Barriers and facilitators to antiretroviral medication adherence among patients with HIV in Chennai, India: A qualitative study. AIDS Patient Care and STDs, 19(8), 526-537.
12. Kwalombota, M.K., & Shumba, C.D. (2004). Influence of gender on access to antiretroviral therapy among African women. Abstract TuPeD5158. Presented at the XV International AIDS conference, Bangkok, Thailand.
13. Mafigiri, D.K., McGrath, J.W., Rundall, S.A., & Kakande, N. (2004). Women's perspectives on barriers to HIV treatment in Kampala, Uganda. Presented at 104th annual meeting of the American Anthropological Association in Washington, DC. Paper ID#4948.
14. Makwiza, I., Nyirenda, L., Bongololo, G., Loewenson, R., & Theobald, S. (2005). Monitoring equity and health systems in the provision of anti-retroviral therapy (ART): Malawi country report. Discussion Paper 24. Harare: EQUINET.
15. McIntyre, D., Thiede, M., & Birch, S. (2009). Access as a policy-relevant concept in low and middle income countries. Health Economics, Policy and Law, 4, 179-193.
16. Mshana, G.H., Wamoyi, J., Busza, J., Zaba, B., Changa- lucha, J., Kaluvya, S., & Urassa, M. (2006). Barriers to accessing antiretroviral therapy in Kisesa, Tanzania: A qualitative study of early referrals to the national program. AIDS Patient Care and STDs, 20(9), 649-657.
17. Mukherjee, J., Ivers, L., Leandre, F., Farmer, P., & Behforouz, H. (2006). Antiretroviral therapy in resources-poor settings: Decreasing barriers to access and promoting adherence. Journal of Acquired Immune Deficiency Syndrome, 43(1), S123-S126.
18. Murray, L.K., Semrau, K., McCurley, E., Thea, D.M., Scott, N., Mwiya, M., et al. (2009). Barriers to acceptance and adherence of antiretroviral therapy in urban Zambian women: A qualitative study. AIDS Care, 21(1), 78-86.
19. Ncayiyana, D.J. (2007). HIV/AIDS, TB and nutrition. ASSAf Report, 97(10), Sabinet. Retrieved April 15, 2009, from
20. ODI (2006). Food, nutrition and HIV: What next? Briefing paper. Retrieved April 15, 2009, from . odi.org.uk/publications/briefing/bp-aug06-hiv-nutrition. pdf
21. Penchansky, R., & Thomas, J.W. (1981). The concept of access: Definition and relationship to consumer satisfaction. Medical Care, 19(2), 127-140.
22. Peters, P.E. (1997). Against the odds: Matriliny, land and gender in the Shire Highlands of Malawi. Critique of Anthropology, 17(1), 189-210.
23. PlusNews (2008). High food prices put pressure on HIV programmes 19 August, IRIN. Retrieved April 15, 2009, from 79749
24. RENEWAL (2008). HIV, livelihoods, food and nutrition security: Findings from RENEWAL research. Retrieved April 15, 2009, from . ifpri.org/renewal/ findingsbriefs.asp
25. Roura, M., Busza, J., Wringe, A., et al. (2009). Barriers to sustaining antiretroviral treatment in Kisesa, Tanzania: A follow-up study to understand attrition from the antiretroviral Program. AIDS Patient Care and STDs, 23(3), 203-210.
26. Samuels, F., Simbaya, J., & Ndubani, P. (2008). Social aspects of free AIDS medicines (ARVs) access in public health care settings in Tanzania and Zambia: Zambia country case study. Working report. Retrieved April 15, 2009, from
27. UNAIDS (2007). From sub-saharan Africa: AIDS epidemic update, regional summary. Geneva, Switzerland: Author.
28. Wallman, S. (1984). Eight London households. London & New York: Tavistock.
29. World Health Organisation (2009). Global tuberculosis control epidemiology, strategy, financing: WHO report. Geneva: Author.