Ensuring high levels of adherence to highly active anti-retroviral therapy (HAART) is a priority in treating people living with AIDS. This study reports the rates of adherence of patients served by DREAM (Drug Resource Enhancement against AIDS and Malnutrition) in the city of Matola, Mozambique. DREAM, an innovative programme tailored for Africa, was implemented by the Community of Sant'Egidio in August 2001. DREAM provides patients with anti-retroviral drugs and laboratory tests at no charge, and is based on a particular strategy of health education and organization of services designed for a population that is predominantly poor and has a low level of formal education. This study analyzes the adherence of 154 patients over a period of 6 months. In evaluating adherence, two indicators were used: (1) the percentage of appointments kept for check-ups, tests and the collection of medicine, and (2) the overall change in the patients' blood chemistry over the 6-month period. Of the 154 patients, 127 (82.5%) kept more than 90% of their appointments. Adherence to the programme was further confirmed by a relevant increase of hemoglobin levels and CD4 counts, and a significant decrease in the viral loads among the 154 patients.

Marazzi, M., Bartolo, M., Emberti, L., Germano, P., Guidotti, G., Liotta, G., et al. (2006). Improving adherence to highly active anti-retroviral therapy in Africa: the DREAM programme in Mozambique. HEALTH EDUCATION RESEARCH, 21(1), 34-42 [10.1093/her/cyh039].

Improving adherence to highly active anti-retroviral therapy in Africa: the DREAM programme in Mozambique

EMBERTI, LEONARDO;LIOTTA, GIUSEPPE;MANCINELLI, SANDRO;PERNO, CARLO FEDERICO;SCARCELLA, PAOLA;PALOMBI, LEONARDO
2006-02-01

Abstract

Ensuring high levels of adherence to highly active anti-retroviral therapy (HAART) is a priority in treating people living with AIDS. This study reports the rates of adherence of patients served by DREAM (Drug Resource Enhancement against AIDS and Malnutrition) in the city of Matola, Mozambique. DREAM, an innovative programme tailored for Africa, was implemented by the Community of Sant'Egidio in August 2001. DREAM provides patients with anti-retroviral drugs and laboratory tests at no charge, and is based on a particular strategy of health education and organization of services designed for a population that is predominantly poor and has a low level of formal education. This study analyzes the adherence of 154 patients over a period of 6 months. In evaluating adherence, two indicators were used: (1) the percentage of appointments kept for check-ups, tests and the collection of medicine, and (2) the overall change in the patients' blood chemistry over the 6-month period. Of the 154 patients, 127 (82.5%) kept more than 90% of their appointments. Adherence to the programme was further confirmed by a relevant increase of hemoglobin levels and CD4 counts, and a significant decrease in the viral loads among the 154 patients.
feb-2006
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/42 - IGIENE GENERALE E APPLICATA
English
Con Impact Factor ISI
Male; Retrospective Studies; Mozambique; Middle Aged; Patient Compliance; Female; Antiretroviral Therapy, Highly Active; Patient Education as Topic; Adult; Humans
Marazzi, M., Bartolo, M., Emberti, L., Germano, P., Guidotti, G., Liotta, G., et al. (2006). Improving adherence to highly active anti-retroviral therapy in Africa: the DREAM programme in Mozambique. HEALTH EDUCATION RESEARCH, 21(1), 34-42 [10.1093/her/cyh039].
Marazzi, M; Bartolo, M; Emberti, L; Germano, P; Guidotti, G; Liotta, G; Magnano San Lio, M; Mancinelli, S; Modolo, M; Narciso, P; Perno, Cf; Scarcella...espandi
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/13852
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