How treatment partners help: Social analysis of an african adherence support intervention

Kelli N. O'Laughlin; Monique A. Wyatt; Sylvia Kaaya; David R. Bangsberg; Norma C. Ware

doi:10.1007/s10461-011-0038-4

How treatment partners help: Social analysis of an african adherence support intervention

Kelli N. O'Laughlin, Monique A. Wyatt, Sylvia Kaaya, David R. Bangsberg, Norma C. Ware

Research output: Contribution to journal › Article › peer-review

41 Scopus citations

Abstract

Treatment partnering is an adherence intervention developed in sub-Saharan Africa. This paper describes the additional social functions that treatment partners serve and shows how these functions contribute to health and survival for patients with HIV/AIDS. Ninetyeight minimally structured interviews were conducted with twenty pairs of adult HIV/AIDS patients (N = 20) and treatment partners (N = 20) treated at a public HIV-care setting in Tanzania. Four social functions were identified using inductive, category construction and interpretive methods of analysis: (1) encouraging disclosure; (2) combating stigma; (3) restoring hope; and (4) reducing social difference. These functions work to restore social connections and reverse the isolating effects of HIV/AIDS, strengthening access to essential community safety nets. Besides encouraging ARV adherence, treatment partners contribute to the social health of patients. Social health as well as HIV treatment success is essential to survival for persons living with HIV/AIDS in sub-Saharan Africa.

Original language	English (US)
Pages (from-to)	1308-1315
Number of pages	8
Journal	AIDS and Behavior
Volume	16
Issue number	5
DOIs	https://doi.org/10.1007/s10461-011-0038-4
State	Published - Jun 2012
Externally published	Yes

Keywords

Adherence
Africa
HIV/AIDS
Hiv
Treatment assistant
Treatment partner

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-011-0038-4

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title = "How treatment partners help: Social analysis of an african adherence support intervention",

abstract = "Treatment partnering is an adherence intervention developed in sub-Saharan Africa. This paper describes the additional social functions that treatment partners serve and shows how these functions contribute to health and survival for patients with HIV/AIDS. Ninetyeight minimally structured interviews were conducted with twenty pairs of adult HIV/AIDS patients (N = 20) and treatment partners (N = 20) treated at a public HIV-care setting in Tanzania. Four social functions were identified using inductive, category construction and interpretive methods of analysis: (1) encouraging disclosure; (2) combating stigma; (3) restoring hope; and (4) reducing social difference. These functions work to restore social connections and reverse the isolating effects of HIV/AIDS, strengthening access to essential community safety nets. Besides encouraging ARV adherence, treatment partners contribute to the social health of patients. Social health as well as HIV treatment success is essential to survival for persons living with HIV/AIDS in sub-Saharan Africa.",

keywords = "Adherence, Africa, HIV/AIDS, Hiv, Treatment assistant, Treatment partner",

author = "O'Laughlin, {Kelli N.} and Wyatt, {Monique A.} and Sylvia Kaaya and Bangsberg, {David R.} and Ware, {Norma C.}",

note = "Funding Information: Acknowledgments The authors gratefully acknowledge the contributions of the following individuals and groups to this study. Conceptualization and Design of Study: Sylvia Kaaya, MD, PhD; Guerino Chalamilla, MD, PhD Data Collection: Joyce Kahembe, MA; Angelina Mwimba, BA; Elizabeth Ndakidemi, MA; Madeleine Smith, MSW. Facilitating the Research Process: the HIV Care and Treatment Clinic (CTC) team at Amana District Hospital, Dar es Salaam, Tanzania; the Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; and the Harvard University Program on AIDS, Boston, Massachusetts. Dr. Bangsberg received support from K-24 MH87227 National Institute of Mental Health. Norma Ware received support from K24MH090894 National Institute of Mental Health.",

year = "2012",

month = jun,

doi = "10.1007/s10461-011-0038-4",

language = "English (US)",

volume = "16",

pages = "1308--1315",

journal = "AIDS and Behavior",

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AU - Bangsberg, David R.

AU - Ware, Norma C.

N1 - Funding Information: Acknowledgments The authors gratefully acknowledge the contributions of the following individuals and groups to this study. Conceptualization and Design of Study: Sylvia Kaaya, MD, PhD; Guerino Chalamilla, MD, PhD Data Collection: Joyce Kahembe, MA; Angelina Mwimba, BA; Elizabeth Ndakidemi, MA; Madeleine Smith, MSW. Facilitating the Research Process: the HIV Care and Treatment Clinic (CTC) team at Amana District Hospital, Dar es Salaam, Tanzania; the Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; and the Harvard University Program on AIDS, Boston, Massachusetts. Dr. Bangsberg received support from K-24 MH87227 National Institute of Mental Health. Norma Ware received support from K24MH090894 National Institute of Mental Health.

PY - 2012/6

Y1 - 2012/6

N2 - Treatment partnering is an adherence intervention developed in sub-Saharan Africa. This paper describes the additional social functions that treatment partners serve and shows how these functions contribute to health and survival for patients with HIV/AIDS. Ninetyeight minimally structured interviews were conducted with twenty pairs of adult HIV/AIDS patients (N = 20) and treatment partners (N = 20) treated at a public HIV-care setting in Tanzania. Four social functions were identified using inductive, category construction and interpretive methods of analysis: (1) encouraging disclosure; (2) combating stigma; (3) restoring hope; and (4) reducing social difference. These functions work to restore social connections and reverse the isolating effects of HIV/AIDS, strengthening access to essential community safety nets. Besides encouraging ARV adherence, treatment partners contribute to the social health of patients. Social health as well as HIV treatment success is essential to survival for persons living with HIV/AIDS in sub-Saharan Africa.

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How treatment partners help: Social analysis of an african adherence support intervention

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