Wouters E., Van Damme W., Van Rensburg D., Meulemans H.
Department of Sociology and Research, Centre for Longitudinal and Life Course Studies, University of Antwerp, Antwerp, Belgium; Centre for Health Systems Research and Development, University of the Free State, Bloemfontein, South Africa; Department of Sociology, University of Antwerp, Sint-Jacobstraat 2, BE-2000 Antwerp, Belgium
Wouters, E., Department of Sociology and Research, Centre for Longitudinal and Life Course Studies, University of Antwerp, Antwerp, Belgium, Department of Sociology, University of Antwerp, Sint-Jacobstraat 2, BE-2000 Antwerp, Belgium; Van Damme, W., Centre for Health Systems Research and Development, University of the Free State, Bloemfontein, South Africa; Van Rensburg, D., Department of Sociology, University of Antwerp, Sint-Jacobstraat 2, BE-2000 Antwerp, Belgium; Meulemans, H., Department of Sociology and Research, Centre for Longitudinal and Life Course Studies, University of Antwerp, Antwerp, Belgium
The importance of community support when scaling-up antiretroviral treatment (ART) in resource-limited settings is poorly understood. We assessed the impact of baseline health, patient characteristics and community support on ART outcomes at 6 and 12 months in a representative sample of 268 patients enrolled in the Free State public sector ART program (South Africa). Delayed ART initiation reduced ART response, whereas support from treatment buddies, community health workers and support groups significantly improved treatment outcomes.
antiretrovirus agent; adult; article; community; community care; drug response; female; health auxiliary; health program; highly active antiretroviral therapy; human; Human immunodeficiency virus infected patient; Human immunodeficiency virus infection; major clinical study; male; priority journal; social support; South Africa; treatment outcome; Adult; Anti-Retroviral Agents; Community Health Services; Female; HIV Infections; HIV-1; Humans; Male; Rural Health; Social Support; South Africa; Treatment Outcome; Viral Load